Advanced Registered Nurse Practitioner - Buprenorphine Pathways Clinic & Mobile Team

Published: 11/12/2026

Salary: $53.62 - $75.48 Hourly
Location : Downtown Public Health Clinic - 2124 4th Ave, Seattle, WA
Job Type: Career Service (Exec)
Job Number: 2025AMC28154
Department: DPH - Public Health
Division: Community Health Services
Opening Date: 11/09/2026
FLSA: Non-Exempt
Bargaining Unit: R2 : WSNA-Staff Nurses-DPH, DAJD
Full- or Part-Time: Full Time
Hours/Week: 40 hours/week

Summary

Pathways Clinic at Downtown Public Health is seeking a skilled and compassionate Advanced Registered Nurse Practitioner (ARNP) to join our interdisciplinary team providing service in the community as part of our mobile buprenorphine team. Pathways is an innovative harm-reduction program providing low-barrier access to Medications for Opioid Use Disorder (MOUD), urgent/walk-in medical care, and mobile outreach services for people experiencing homelessness, substance use disorders, and other complex health needs.

This ARNP role provides mobile field-based services and MOUD treatment, including administration of long-acting injectable medications, as well as some care coordination. The successful candidate in this role will be the primary provider on the Pathways Mobile Team providing long-acting injectable buprenorphine (LAIB) in the field. They will also cross-cover on a regular basis in the Pathways Clinic providing low-barrier buprenorphine and basic medical and/or psychiatric care depending on training.

Commitment To Equity and Social Justice:
Named after Dr. Martin Luther King, Jr., one of the most influential civil rights leaders in our nation's history, King County is a vibrant international community with residents that represent countries from around the world. It is a region with increasing diversity that cherishes the traditions of many cultures.

The county government has a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all - in our workplaces and our communities. With this commitment, King County has adopted a pro-equity agenda to advance regional change and ensure that residents from all communities are incorporated into our emergency planning and public outreach efforts.

We recognize that structural racism consists of principles and practices that cause and justify an inequitable distribution of rights, opportunities, and experiences across racial groups. Since declaring Racism is a Public Health Crisis in June 2020, King County and Public Health committed to being intentionally anti-racist and accountable to Black, Indigenous and People of Color communities.

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Job Duties
Clinical Care (Clinic & Mobile Team)

Conduct health histories, physical examinations, triage, and comprehensive assessments.
Diagnose, develop differential diagnoses, identify risks, and create individualized treatment plans.
Provide urgent medical care for individuals experiencing homelessness and substance use disorders.
Order, perform, and interpret diagnostic tests; administer medications as needed.
Provide follow-up assessments, preventive screenings, and longitudinal care for individuals receiving MOUD.
Prescribe and manage MOUD, including buprenorphine and long-acting injectable medications. Provide medication counseling and patient education related to opioid and other substance use.

MOUD Prescribing & Administration

Prescribe and manage MOUD, including buprenorphine and long-acting injectable medications.
Provide medication counseling and patient education related to opioid and other substance use.
Ensure safe storage, transportation, handling, and documentation of medications during mobile outreach operations

Mobile Outreach Responsibilities

Provide MOUD services in the field throughout the Seattle area as part of an interdisciplinary mobile team.
Administer long-acting injectable buprenorphine in non-traditional settings including encampments and shelters.
Manage Pathways Mobile Team long-acting injectable buprenorphine supply, including safe storage, transportation, handling, and documentation of medications during mobile outreach operations.
Conduct medical screenings, triage, health assessments, and follow-up care in nontraditional care settings.
Collaborate with community partners including street medicine programs, harm-reduction services, and needle exchange programs

Care Coordination & Collaboration

Facilitate specialty referrals, diagnostic services, and inpatient care as appropriate.
Document care accurately and promptly in the electronic health record.
Participate in quality assurance activities, workflow improvements, and care coordination initiatives.
Provide training and education to staff, students, and volunteers.
Support a trauma-informed, harm-reduction care environment for diverse and vulnerable populations.
Other duties as assigned

Experience, Qualifications, Knowledge, Skills
Requirements:

Master's or DNP from an accredited school of nursing.
Active and unencumbered license to practice in the State of Washington for both Registered Nurse and Advanced Practice Nurse Practitioner
National Provider Identification (NPI) number and Drug Enforcement Administration (DEA) registration
Documentation of current BLS CPR certification for Healthcare Providers
Possess a valid Washington State driver's license in good standing
Successful completion of background, pre-employment physical and credentialing

Desired:

Proficiency in a language other than English.

Work Schedule: This career service position is a fully benefitted, 1.0 FTE that will typically work within Monday-Friday, 8 a.m. and 5 p.m. and is overtime eligible. May work outside of the typical schedule to meet operational needs. This is a clinic-based position and telework is not possible.

Work Location: The primary work location for this position will be at various sites within King County but is based at 2124 4th Ave, Seattle, WA 98121.

Preference will be given to those who apply by November 30th. Interviews will be conducted on December 7th and 8th.Note: This recruitment will be used to create an eligibility pool to fill additional Career Service, Term-Limited Temporary (TLT), or Special Duty Assignment (SDA) vacancies that may occur over the next six months.

Who May Apply: This position is open to all minimally qualified nurses which includes new to practice and re-entry nurses.

Union Affiliation: Washington State Nurses Association (WSNA).

Contact: Amy M. Curtis, BSN, RN, Nursing Workforce Manager at with any practice related questions.
Supplemental Information
Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

Application Process

If you are interested in pursuing this position and supporting King County's vision for unified, equitable, and high-performing government, please follow the application instructions carefully. Provide us with your work history as applicable, ensuring that you provide details that highlight your ability to fulfill the requirements for this position.

If you need this announcement in an alternate language or format, or you would like to request accommodation or assistance in the application or assessment process, please contact Amy Curtis at amy.curtis@kingcounty.gov

King County's Vision, Mission, and ACTIVATE Values unite us.

King County serves residents with a relentless sense of urgency, delivering on commitments with transparency and accountability. We are action-oriented, creative problem solvers who collaborate across roles, engage directly with communities, and challenge the status quo to achieve meaningful impact. As a unified team, we uphold high ethical and stewardship standards, embrace change, stay curious, and continuously improve. Across all interactions, we listen first, act quickly, and stay aligned as a team to earn and sustain public trust. Learn more about our Vision, Mission, and ACTIVATE Values here and visit our Why work at King County page here.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on sex, race, color, national origin, ethnicity, religious affiliation, disability, sexual orientation, gender identity or expression, age except by minimum age and retirement provisions, pregnancy, status as a family caregiver, parental status, marital status, military status or status as a veteran who was honorably discharged or who was discharged solely as a result of the person's sexual orientation or gender identity or expression, citizenship or immigration status, genetic information, or other protected class. However, to the extent that distinction or differential treatment on the basis of citizenship or immigration status is authorized by either federal or state law, regulation, or government contract, it is not an unfair practice.

Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.
Necessary Special Requirements

The selection process may include evaluation of application materials and supplemental questions, interviewing, and testing. You must completely fill out the application with your relevant education and work experience.
The selected candidate must be able to pass credentialing, pre-employment physical, and a thorough background investigation, but findings may not necessarily disqualify an applicant for employment.
For more information on our selection process, please refer to For tips on interviewing, please visit
Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law.
Public Health relies on office automation (Microsoft Office) and web-based enabled tools; therefore, candidates must be proficient and comfortable with computer use to perform functions associated with on-going work.
Employees are required to adhere to OSHA/WISHA guidelines including but not limited to completing their mandatory trainings on time and obtaining required immunizations.
Regular and reliable attendance, effective communication skills, and development of effective working relationships are requirements of all Public Health positions.
When Public Health responds to an emergency, and in accordance with relevant CBA language and/or KC policy and procedures, we may assign duties outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department.
If you need a disability accommodation in the application or testing process, please call the contact number listed on the job announcement.

King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being. Eligible positions receive the following benefits and have access to the following programs:

Excellent medical, dental, and vision coverage options: King County provides eligible employees with options, so they can decide what's best for themselves and their eligible dependents
Life and disability insurance: employees are provided basic coverage and given the opportunity to purchase additional insurance for both the employee and eligible dependents
Retirement: eligible King County employees may participate in a pension plan through the Washington State Department of Retirement Systems and a 457(b) deferred-compensation plan
Transportation program and ORCA transit pass
12 paid holidays each year plus two personal holidays
Generous vacation and paid sick leave
Paid parental, family and medical, and volunteer leaves
Flexible Spending Account
Wellness programs
Onsite activity centers
Employee Giving Program
Employee assistance programs
Flexible schedules and telecommuting options, depending on position
Training and career development programs

For additional information about employee benefits, visit our

This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy. If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails.

NOTE: Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position. Short Term Temporary positions are not eligible for an ORCA transit pass.

For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.
01

Are you applying to this position as an eligible current or previous King County Employee Priority Placement Program Participant? ANDIs this position the same or lower percentage of full-time when compared to the position held at the point of the notification of layoff? ANDDo you possess the skills and abilities to qualify for this position?

Yes, I was given a layoff notice from my Career Service role at King County and I am within two years of the effective date of my layoff. Additionally, the position I was laid off from was the same or a higher percentage of FT status when compared to this one.
No.

If you answered yes to the question above and you are applying for this position as a Priority Placement Participant, to be considered, you must provide the following three pieces of information in the space provided:1. The title you held when you received your layoff notice2. The department you worked in3. The effective date of your layoff
03

What is your nurse practice specialty (e.g., FNP, gerontology, etc.)?
04

Please provide your Nurse Practitioner credential number and issuing state. Both pieces of information must be provided, or your application will be rejected as incomplete.
05

Have you ever been subject to review, challenges, and/or disciplinary action, formal or informal, by an ethics committee, licensing board, medical disciplinary board or related professional association which would also include those that are pending? If yes, please explain in full detail that includes state.
06

Do you possess BLS CPR for Healthcare Providers? If so, please attach documentation of your current BLS/CPR certification. If you do not, please describe how you would obtain certification by time of job offer. Failure to obtain this BLS/CPR certification will result in job offer being delayed or rescinded.
07

Do you possess a National Provider Identification (NPI) number?

Are you registered with Drug Enforcement Administration (DEA)?

Are you willing to provide options counseling to pregnant people, including referrals for obstetric care, adoption services, and termination?

What electronic health records systems are you proficient in using?
13

Are you multilingual? If so, what language(s) are you proficient in reading, writing and speaking?
14

In which settings have you had experience medically managing alcohol and/or other drug withdrawal?
15

How recently have you provided primary medical care in a clinical setting?
Required Question