About the Role
Nature of Position:
High Country Community Health is seeking a full-time Family Nurse Practitioner (FNP) or Physician Assistant (PA) to provide comprehensive care with a dedicated focus on Medication for Opioid Use Disorder (MOUD) and outreach to individuals living with
substance use disorders. This provider will deliver care in both traditional clinic settings and nontraditional, community-based environments. The role is ideal for a clinician committed to harm reduction, equity-focused care, and serving patients with complex medical, psychiatric, and social needs.
Reports to: Chief Medical Officer
Key Responsibilities:
Clinical Care
Provide comprehensive primary care services within an FQHC setting
Initiate and manage MOUD (e.g., buprenorphine-based treatment)
Conduct assessment and management of substance use disorders, including co-occurring mental illness
Deliver low-barrier, patient-centered care using harm reduction principles
Coordinate care with behavioral health providers, case managers, and peer support specialists
Address chronic medical conditions common among patients with SUD (Hep C, HIV prevention/PrEP, wound care, chronic pain, etc.)
Outreach & Community-Based Services
Provide outreach services to individuals with SUD in community settings
Collaborate with community partners, shelters, recovery programs, and harm reduction organizations
Participate in innovative models of care delivery (mobile services, street outreach, bridge clinics, etc.)
Build trusting relationships with patients who may be disengaged from traditional healthcare
Team Collaboration
Work closely with interdisciplinary teams including primary care, psychiatry, behavioral health, and care management
Participate in quality improvement initiatives related to SUD and MOUD
Contribute to program development and expansion of SUD services in Burke County
Requirements
Qualifications:
Required
Licensed or eligible for licensure as an FNP or PA in North Carolina
DEA registration (or ability to obtain)
Willingness to obtain training and competency in MOUD provision
Commitment to trauma-informed, patient-centered care
Strongly Preferred
Experience providing MOUD
Familiarity with harm reduction principles
Experience working with: Individuals experiencing homelessness, patients with co-occurring mental illness and substance use disorders, and justice-involved populations
Comfort working in nontraditional clinical environments
Experience in FQHC or safety-net settings
Ideal Candidate
Approaches patients with empathy, humility, and cultural sensitivity
Is adaptable and comfortable working outside traditional care models
Understands addiction as a chronic medical condition
Demonstrates resilience and flexibility
Thrives in team-based, mission-driven environments
Compensation & Benefits:
Competitive salary commensurate with experience
NHSC loan repayment eligible site
Comprehensive benefits package including health, dental, vision
Retirement plan with employer contribution
CME allowance and paid professional development time
Generous paid time off
Why Morganton?
Morganton, located in Burke County in Western North Carolina, offers access to the Blue Ridge
Mountains, vibrant community life, and a strong sense of purpose serving rural Appalachia. This
position offers the opportunity to meaningfully impact the opioid crisis in a region deeply
affected by substance use disorder while working within a supportive, innovative healthcare
system.
About the Company
HCCH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HCCH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
HCCH conducts background checks on all final candidates. Employment is contingent upon a clear background check or approval of the CEO