Addiction Medicine Executive Director

Jamestown Healing Clinic is seeking an experienced and mission-driven Executive Director to provide executive, clinical, and administrative leadership for Jamestown Healing Clinic’s integrated healthcare services, including primary care, dental care, behavioral health, and opioid treatment services.

This is a high-impact leadership opportunity for an experienced healthcare executive, physician, or advanced practice provider who is passionate about integrated care, addiction medicine, patient-centered services, and culturally responsive healthcare.

The Executive Director is responsible for the overall operation of the Opioid Treatment Program (OTP), organizational performance, regulatory compliance, fiscal stewardship, workforce leadership, quality improvement, and continued development of Jamestown Healing Clinic’s programs and services.

The Executive Director leads the Jamestown Healing Clinic Leadership Team and works collaboratively with the Jamestown Healing Clinic Medical Director and other clinical and operational leaders to ensure safe, effective, integrated, culturally responsive, and compliant patient care.

In addition to executive leadership responsibilities, the Executive Director maintains an active clinical role and provides direct patient care within licensure and scope of practice, including services requiring prescriptive authority, to support Jamestown Healing Clinic’s primary care and opioid treatment services.

Schedule & Work-Life Balance

This position is primarily scheduled Monday–Friday, 5:30 a.m. – 2:00 p.m., providing a consistent daytime schedule that supports a healthy work-life balance. Federal holidays are observed as days off.

Occasional schedule flexibility may be needed to support urgent operational or clinical needs, including limited evening, weekend, holiday, or after-hours consultation. These needs are expected to be occasional and limited, with an emphasis on maintaining a sustainable schedule and supporting work-life balance.

Essential Functions

Leadership, Operations & Compliance

Provide executive, administrative, and clinical leadership for Jamestown Healing Clinic programs and services and ensure alignment with organizational goals, policies, and standards.

Ensure administrative, personnel, and clinical policies and procedures are current, implemented, and consistently followed.

Maintain executive oversight of Jamestown Healing Clinic regulatory compliance and ensure the Opioid Treatment Program meets applicable federal, state, Tribal, accreditation, and organizational requirements.

Ensure development and maintenance of an internal quality management and performance improvement process addressing clinical quality, supervision, training, regulatory compliance, patient outcomes, and continuous improvement.

Monitor program performance, utilization, authorization processes, clinician productivity, quality measures, and patient outcomes; identify and address operational or clinical workflow concerns.

Lead continued development and growth of Jamestown Healing Clinic programs and services through workforce planning, recruitment, community engagement, quality review, strategic planning, and program development.

Oversee fiscal performance, budget management, resource allocation, and operational planning in collaboration with JCARE leadership.

Provide administrative supervision and leadership support to the Jamestown Healing Clinic Medical Director, Substance Use Disorder Counseling Lead, Director of Integrated Behavioral Health, Clinic Administrative Officer, and other designated leadership positions.

Oversee Security and Behavioral Health operations to ensure staffing, service delivery, and operational practices align with Jamestown Healing Clinic and organizational standards.

Conduct performance evaluations and provide ongoing leadership, coaching, and performance feedback to direct reports.

Ensure compliance with applicable Jamestown Healing Clinic and JCARE policies, safety requirements, confidentiality standards, and workplace practices.

Clinical & Integrated Care Leadership

Provide direct patient care within licensure and scope of practice, including Opioid Treatment Program assessments, medication management and prescribing, medication adjustments, primary care services, and other clinical services necessary to support patient care and program operations.

Maintain applicable professional licensure, credentials, and prescriptive authority necessary to perform assigned clinical responsibilities.

Lead the Jamestown Healing Clinic Leadership Clinical Review Group and participate in clinical consultation, case review, quality improvement, and other interdisciplinary activities.

Collaborate with the Jamestown Healing Clinic Medical Director and dental, behavioral health, primary care, and other clinical and operational leaders to support clinical quality, patient safety, continuity of care, and effective integration of services across Jamestown Healing Clinic.

Serve in designated SAMHSA/Opioid Treatment Program clinical or regulatory roles, including as the SAMHSA Delegate when assigned, consistent with applicable requirements and scope of practice.

Provide clinical consultation and after-hours support, as needed, and participate in provider coverage arrangements necessary to support continuity of care and applicable Opioid Treatment Program requirements.

Ensure appropriate coordination of care with hospitals, correctional facilities, community providers, and other partners to support continuity of patient care.

Community & Organizational Leadership

Develop and maintain collaborative relationships with community partners, referral sources, payers, regulatory agencies, and other stakeholders.

Provide community outreach and education and represent Jamestown Healing Clinic professionally in local, regional, Tribal, and other appropriate forums.

Participate in JCARE-wide performance improvement, strategic planning, leadership meetings, and other organizational initiatives as requested.

Perform other duties as assigned by the JCARE CEO.

Requirements

MD/DO or DNP preferred; ARNP candidates with a minimum of five (5) years of leadership experience will also be considered.

Current, unrestricted Washington State professional license and prescriptive authority sufficient to perform the clinical responsibilities of the position.

Minimum of five (5) years of progressively responsible clinical experience as an advanced practice provider or physician.

Demonstrated experience in primary care and addiction medicine, including opioid treatment services and/or medication treatment for opioid use disorder.

Demonstrated knowledge of medication management, co-occurring behavioral health conditions, and chronic disease management within an integrated care environment.

Current knowledge of primary care, behavioral health, addiction medicine, and integrated care practices.

Demonstrated knowledge of applicable federal and Washington State healthcare and Opioid Treatment Program laws, regulations, confidentiality requirements, and accreditation standards.

Experience with healthcare operations, personnel leadership, regulatory compliance, quality improvement, budgeting, and program performance.

Current CPR/First Aid certification, or ability to obtain within the timeframe established by Jamestown Healing Clinic.

Ability to work effectively in a cross-cultural environment and demonstrate understanding of trauma, historical and intergenerational impacts, community and family systems, and culturally responsive approaches to wellness and recovery.

Exceptional interpersonal, written, and verbal communication skills, including demonstrated conflict-resolution and relationship-management abilities.

Demonstrated sound judgment, ethical conduct, professional boundaries, organizational skills, initiative, and ability to manage competing priorities.

Proficiency with electronic health records and standard business technology.

Ability to travel locally and regionally as assigned.

Valid Washington State Driver’s License.

Must successfully complete required background screening.

Preferred Qualifications

Experience providing executive or senior leadership within an Opioid Treatment Program, integrated healthcare organization, behavioral health organization, Tribal health system, or comparable healthcare environment.

Experience with federal and Washington State Opioid Treatment Program regulatory and accreditation requirements.

Experience working within Tribal healthcare and/or demonstrated knowledge of American Indian/Alaska Native communities, Tribal sovereignty, and culturally responsive healthcare delivery.

Physical Requirements/Working Conditions

Must be able to lift, push and carry up to 25 lbs. unassisted.

Physical ability to access all areas of the property applicable to your position.

Must be able to withstand prolonged standing, sitting, walking, bending, climbing, squatting and twisting without restriction.

Requires eye/hand coordination and manual dexterity; ability to distinguish letters, numbers and symbols.

Must have the ability to reach at or below/above shoulder level on a continuous basis.

Must be able to work in a fast-paced, busy, and somewhat stressful environment and maintain physical stamina and proper mental attitude while dealing effectively with patients, management, team members, and outside contacts while working under pressure and meeting deadlines.

Why Join Jamestown Healing Clinic?

This is an opportunity to make a meaningful impact at the executive and clinical level while helping advance integrated, culturally responsive healthcare services for the community.

The Executive Director will play a critical role in shaping the future of Jamestown Healing Clinic’s programs, strengthening clinical and operational excellence, and expanding access to high-quality primary care, behavioral health, dental, and opioid treatment services.

In addition to meaningful executive and clinical leadership, this position offers a consistent Monday–Friday daytime schedule, federal holidays off, and limited evening, weekend, holiday, and after-hours responsibilities, supporting a sustainable approach to leadership and work-life balance.

If you are an experienced healthcare leader who is ready to combine executive leadership with meaningful clinical impact, we encourage you to apply.