OTP Medical Director

Salem, Oregon
MAT Program
MAT - Salem/Portland
229,310.37  Annual
163,956.62  Annual
40 Hours Per Week+
Until Filled

Job Summary: 

Serves as lead physician in charge of clinical care provided at the Tribe's Opioid Treatment Programs in Salem and Portland. Develops, implements and evaluates the clinical practice delivery model in accordance with the goals of the Tribe. Provides direct client services and responsible for approving all admissions for medication-assisted treatment (e.g. methadone, suboxone, vivitrol, or alcohol treatment services). 

Contributes to accomplishment of the Tribe's holistic health and wellness objectives for clients and families. Supports Operations Director in medical organizations across operation.

Essential Functions:

  • Provides overall direction and guidance of OTP medical staff and ensures consistency between the OTP sites.

  • Ensures safe medication dispensing, adherence to physician order sets, and accuracy of client assessment.Responsible for reviewing all client admissions into the Opioid Treatment Program.

  • Collaborates with OTP staff to ensure highest client standards of care are achieved.

  • Oversees direct client care services for physicians and ensures timely completes appropriate documentation that supports billing guidelines.

  • Approves admission and dosing orders for medication-assisted treatment (e.g., methadone, suboxone, vivitrol, or alcohol treatment services) whether in person or via consult with site physician.

  • Provides and reviews documentation of site physicians to ensure complete and accurate adherence to all OTP regulatory guidelines.

  • Approves and reviews orders for all patient medication dosing, reviews, and consults on all dosing changes with clients.

  • Reviews client lab results and prioritizes clients for internal follow up care and referral to primary care or a same day provider. Refers high risk patients for immediate follow up care with consultation of nursing team.

  • Coordinates care with client's primary care and other resource providers to ensure continuity and safe prescribing practices.

  • Once available to offers COVID-19 vaccination to clients upon entry into the OTP.

  • Shares in administrative functions that directly impact clinical services.

  • Maintains 12 hours annually of CEU credits for addiction medicine education.

  • Ensures that all documentation is updated as required by Oregon Administrative rules within an OTP setting.

  • Collaborates with organizational leadership to review clinical policies and procedures; and approves clinical policies and procedures for OTP sites.

  • Collaborates with leadership team to identify and implement operations that support coordination between all treatment processes of the OTP clinics.

  • Promotes communication between medical and biopsychical model within the clinic setting.

  • Provides leadership and guidance over the same day medical program located on the OTP campus.

  • Participates and provides input to clinical wellness programs as determined by administrative team.

  • Provides public health education beyond client visits which includes speaking at community events and writing for publications related to Opioid Overdose and addiction.

  • Meets or exceeds the minimum professional requirements for annual CME.

  • Performs other duties as assigned by Operations Director.


    Education, Experience, and Licenses:

  • Requires an M.D. or D.O. degree, and an active, unrestricted Oregon Medical license.

  • Requires Board Certification or Board eligibility in family practice, internal medicine, anesthesia or psychiatry.

  • Three (3) years' experience in the use of medication assisted treatment for patients with addictive disorders including methadone, suboxone induction and management, and extended-release naltrexone (vivitrol) induction and management is required.Five (5) years' experience in the use of medication assisted treatment for patients with addictive disorders including methadone, suboxone induction and management, and extended-release naltrexone (vivitrol) induction and management is preferred.

  • Requires current DATA 2000 waiver.

    Qualifications, Registrations, and Certifications:

  • Maintains BLS certification

  • Must have experience providing care to high risk, high needs patients including those diagnosed with co-occurring disorders.

  • Must demonstrate a commitment to recovery and help develop the processes and procedures within a new OTP setting.

  • Must possess a strong knowledge base of medications to aid in the recovery process.

  • Must be able to complete client visits and documentation in a reasonable amount of time (as determined by organizational generated protocols).

  • When required, obtain appropriate medical consultation.

  • Must have strong interpersonal skills working with individuals from diverse backgrounds.

  • Must respect all others regardless of age, gender, ethnicity, or income level.

  • Must possess a strong knowledge base of medications to aid in the recovery process.

  • Requires working knowledge and proficiency in use of office equipment and computer software such as Microsoft Word, Excel, Power Point, and Outlook.

  • Must have the ability to resolve conflict while utilizing conflict management philosophies.

  • Requires excellent verbal and written communication skills, business and telephone etiquette.

  • Must have the ability to work with minimal supervision.

  • Must have excellent organizational skills, attention to detail and record keeping skills.

  • Must have ability to respond courteously and tactfully to complaints and client requests.

  • Electronic Health Record (EHR) knowledge is highly desirable. Preferably with NextGen or Methasoft.

  • Adherences to the organization's policies and procedures covering the privacy, access, and client health information in compliance with Federal and state laws and the healthcare organization's information privacy practices.

  • Must have a working knowledge of the Privacy Act/HIPPA and its applications.

  • Knowledge of and sensitivity to Native American culture required.


    Environmental Factors and Conditions/Physical Requirements:

  • Continually requires the ability to express or receive detailed information or important instructions through oral communication.

  • Continually requires working with fingers rather than the whole hand or arm. Requires repetitive movement of wrists, hands and/or fingers. Often requires walking or moving about to accomplish tasks.

  • Continually requires the use of vision, specifically close vision, color identification and depth perception.

  • Occasionally requires hearing alarms.

  • Requires standing and/or sitting for sustained periods of time, raising objects from a lower to a higher position and/or moving objects horizontally. Occasionally requires lifting of up to 40 pounds.

  • Due to the nature of the interactions with other employees and the public we serve, employees may be required to provide documentation of, or receive, certain health vaccinations.

  • This position is frequently subject to inside environmental conditions which provide protection from weather conditions, but not necessarily from temperature changes, and is occasionally subject to outside environmental conditions.

  • Supports a safe work environment by performing all duties in accordance with Tribal safety policies and procedures, and Emergency Management Plan.

  • Continually required to wear plastic/latex gloves and safety shoes.

  • Occasionally required to wear safety glasses.

  • Occasionally exposed to compressed gases and detergents.

  • May be called upon to serve as a Disaster Reservist during Emergencies, or when the Tribal Emergency Operations Center is opened.

  • Local travel is occasionally required. Travel outside of the state is infrequently required.

    Background Check:

  • Candidates for this position will be subject to criminal and character background checks and will be subject to fingerprinting.


The individual must perform the essential duties and responsibilities with or without reasonable accommodation efficiently and accurately without causing a significant safety threat to self or others. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and/or skills required of all personnel so classified.