Nurse Practitioner or Physician Assistant (SUD)

Steadfast Health

$132K — $145K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • NP (FNP, AGNP, PMHNP) or PA-C certification with 2+ years of clinical practice experience, preferably outpatient.
  • Experience in substance use disorder treatment, including psychiatric evaluation and management.
  • Ability to independently manage a full patient panel with minimal ramp-up.
  • Strong understanding of SUD diagnoses, medications, and therapies.
  • Excellent interpersonal skills to engage with diverse staff and patients.
  • Commitment to ongoing learning and professional development.
  • Alignment with Steadfast Health's mission of providing compassionate, harm-reduction SUD care.

Responsibilities

  • Diagnose and manage substance use disorders (SUDs) and related conditions with a patient-first approach.
  • Collaborate with clinic staff to develop and implement patient care plans.
  • Advocate for patients using Motivational Interviewing techniques.
  • Apply current, effective SUD therapies under the guidance of addiction specialists.
  • Innovate to enhance access to care for marginalized populations.
  • Foster a supportive environment to build trust with patients and the community.
  • Adapt flexibly to the varying needs of patients and situations.

Benefits

  • Comprehensive medical, dental, and vision insurance plus short- and long-term disability and life insurance fully covered by employer.
  • Generous vacation and personal leave, totaling 29 days off initially, with additional Re-Fuel Days for mental health and learning activities.
  • Annual $2,000 CEU stipend along with ongoing paid training opportunities.
  • Support for mental health and wellness through confidential EAP access.
  • Protected time within work hours for team collaboration and administrative responsibilities.
  • Collaborative work environment with dedicated support staff to allow focus on patient care.
  • Employee perks like student loan interest discounts and subscription services for personal wellness.
Full Job Description
About the role

We're looking for an experienced APP to practice at the top of their license in a supportive, evidence-based addiction medicine model. You'll collaborate closely with physicians, therapists, and peers to deliver coordinated, compassionate care. With streamlined workflows and dedicated MA support, you can spend more of your day doing what matters most: caring for your patients without distraction. We offer CME funding, mentorship, and leadership pathways, in a sustainable work environment that truly supports work-life balance. Here, you're not just part of a care team - you're helping shape the future of addiction treatment.

Responsibilities
  • Diagnose and manage SUDs and associated comorbidities, embodying the Steadfast patient-first ethos.
  • Collaborate with all clinic-level team members to formulate and execute patient care plans, including Medical Assistants, Peer Recovery Specialists, and Therapists.
  • Provide expert compassion and patient-centered advocacy through the application of Motivational Interviewing principles.
  • Practice up-to-date, life-saving, cutting-edge SUD therapies with close guidance, oversight and mentorship from specialty-trained addiction experts.
  • Pioneer novel ways of improving access and overall care for disadvantaged, marginalized populations.
  • Provide compassionate, patient-centered care by creating a warm and welcoming environment, fostering trust and strong relationships with patients and communities.
  • Demonstrate flexibility and a proactive attitude in adapting to diverse patient needs and situations.
  • Continuously seek out new knowledge and stay informed on new medical advancements, maintaining a lifelong learning mindset to deliver the best care possible.
  • Provide occasional cross-coverage for inpatient consult APPs as needed, ensuring seamless patient care and team support.

Why Steadfast?
  • Medical, dental & vision insurance, plus 100% employer-paid short- and long-term disability and life insurance
  • 401(k) with up to 5% company match
  • 29 days off a year to start (PTO, floating holidays, paid volunteer days), increasing on your anniversary - plus 4 Re-Fuel Days annually for mental health, rest, or CEU activities
  • $2,000 annual CEU stipend and ongoing paid training
  • Free, confidential EAP access to therapy, legal, financial, and wellness resources
  • Protected time built into your day for recharging, clinical supervision, huddles, care planning, and admin work
  • MA/LPN and Peer Recovery Specialist support, collaborative care model with physician backup, and manageable panel sizes so you can practice at the top of your license
  • Extra perks: SoFi student loan interest rate discount, Rightway Health Concierge, a year of free pet telehealth through Pawp, and Perkspot discount marketplace
  • Soulside AI documentation support - because your energy belongs with patients, not paperwork
  • We believe lived experience with recovery is a strength, not a barrier - many of our team bring personal or family experience with addiction and recovery, and we welcome candidates in recovery to apply
  • Ground-floor opportunity to help shape how we grow

Background
  • NP (FNP, AGNP, PMHNP preferred) or PA-C (Internal, Family, Emergency Medicine experience preferred), with a minimum of 2+ years of clinical experience as a provider - ideally in an outpatient setting.
  • Comprehensive medical and/or psychiatric evaluation & management experience in substance use disorder treatment, preferably in an outpatient setting.
  • Demonstrated ability to work independently and confidently manage a full patient panel with minimal ramp-up time.
  • Strong knowledge of SUD diagnoses, medications, and treatment modalities.
  • Ability to effectively interact with diverse staff, patients, and community members.
  • Excellent interpersonal skills, a flexible, can-do mentality, and a commitment to continuous learning and professional development.
  • Passionate about Steadfast Health's mission to provide low-barrier, non-punitive, harm-reductionist SUD care.

Physical Requirements
  • Ability to remain in a stationary position (sitting or standing) for extended periods while conducting patient visits, charting, and team collaboration.
  • Frequent movement throughout the clinic to interact with patients, team members, and equipment.
  • Ability to operate standard clinical and office equipment, including computers, medical devices, and phones.
  • Must be able to lift and/or move up to 25 pounds occasionally (e.g., medical supplies, patient records, small equipment).
  • Visual acuity and manual dexterity sufficient to perform medical procedures, assess patients, and use electronic health record systems.
  • Ability to communicate clearly and effectively in person and over the phone, including during emotionally charged or crisis situations.
  • Must be able to respond quickly and calmly to urgent or emergency situations in the clinic.

Schedule: This role follows the anticipated schedule of Monday - Friday, 8:30a - 5:00p EST. Please note that this schedule may evolve based on organizational needs, and flexibility may be required as Steadfast Health continues to grow.

Location: 3540 Maitland Dr #102, Raleigh, NC 27610

Salary: This is a full-time, W2 position offering a salary of $132,500 - $145,000, commensurate with experience with a 5% monthly performance based bonus.

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