Remote Harm Reduction Jobs in Oregon (NOW HIRING)

Boulder Care is looking for Registered Nurses who are aligned with Harm Reduction principles and have experience supporting patients receiving buprenorphine-based treatment for opioid use disorder in an outpatient setting.

This is a 100% remote, full-time, W2 position. 

We are looking for RNs who:

• Have an active, unrestricted RN license in your state of residency
• Have a minimum of 2 years of specialized nursing experience in outpatient substance use disorder treatment.
• Are interested in full-time work (40 hours a week) with a Monday-Friday schedule:
  • 1pm - 9pm EST (10am - 6pm Pacific Time) 

If this sounds like you, please continue applying.

• This position is 100% remote but you must reside in one of the following states: AL, AK, AZ, CO, FL, GA, ID, IN, KS, MD, MI, NH, NM, NY, NC, OH, OR, PA, TN, TX, WA, WY
• The Registered Nurse works directly with patients to deliver medication-assisted recovery for substance use disorder (SUD) and empowers patients in their recovery journeys in coordination with the Care Team (primarily Nurse Practitioners, Medical Assistants and Peer Recovery Specialists)
• Our team delivers compassionate and empathetic telephonic, text-based, and video-based (telehealth) patient engagement and monitoring
• Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply

• Provide compassionate, empathetic telephonic, text based & video-based (Telehealth) patient engagement and monitoring, assisted by clinical decision support tools
• Provide support to patients within the Boulder application to ensure successful engagement and initiation of treatment
• Educate patients about addiction, medications, and available support services; answer questions regarding treatment and program protocols, and provide guidance to patients and providers within scope of practice
• Provide opioid overdose prevention, education, and reversal, safer consumption education, and safer sex education and testing
• Access Prescription Drug Monitoring Program information, facilitate patient adherence monitoring protocols, for each assigned patient
• Assess progress, patient functioning, and stage in recovery; in collaboration with other care team members and the patient, develop and update treatment care plans for each individual
• Assess and advocate for acute withdrawal management
• Assess for pain and collaborate findings with Clinician
• Provide Buprenorphine initiation education and follow up 
• Maintain effective, proactive, and superior follow-up communication with patients, providers and care team
• Maintain an accurate and updated medical record of individual patient progress during all clinical interactions
• Identify and provide crisis intervention, within scope of practice
• If applicable: facilitate placement for adjunctive or higher level of care; maintain contact with these placements to provide continuity of care and to streamline transitions of care 
• Obtain and review drug testing results and recommend further testing as appropriate, guided by clinical decision support tools

• Coordinate with multidisciplinary care teams via telehealth to guide treatment planning and delivery including the following functions; 
• Collaborate with pharmacies to facilitate medication refills and support patients with medication-related concerns
• Collaborate with outside providers and community care agencies to maintain accurate and timely data exchanges between all organizations and individuals involved in patient care
• Assist with the management of patient appointments with other care team members and referrals outside of Boulder
• Report patient change in status (e.g. high risk for returning to use) and potential support services to prescribing clinicians in a timely manner
• Provide patient updates and outcomes reports to the prescribing provider in alignment with Boulder Care goals

• Meetings (department, company-wide, ECHO, meetings with your manager)
• Maintain HIPAA and 42 CFR Part 2 compliance and all levels of required patient confidentiality
• Manage and maintain individual schedule of assigned patients
• Chart prep

• Bachelor's Degree in Nursing, preferred
• Preference given to candidates with 2+ years specialized nursing experience in outpatient substance use disorder treatment 
• Embrace a harm reduction philosophical approach to care
• Compassion, empathy, and deep dedication to patient care
• Excellent written and verbal communication 
• Extraordinary customer service skills, computer skills and record keeping
• Ability to handle multiple tasks simultaneously and prioritize based on severity of need, while working independently with minimal supervision
• Ability to achieve specified outcomes in collaboration with all members of the leadership team
• Demonstrates quality in clinical performance as evidenced by creativity in problem solving and interdisciplinary communications
• Ability to work collaboratively with medical staff including Clinicians, Care Advocates , Peers, Case Managers and colleagues in all aspects of care provision
• Experience in office-based nursing preferred
• Knowledge of Hepatitis C, HIV preferred
• Membership in a relevant professional nursing organization (e.g. International Nurses Society on Addiction) or specialty certification (e.g. CARN) preferred
• A dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
• Due to privacy protocols, we are unable to employ individuals who are or have previously been patients at Boulder Care

• 40 hours per week (salaried) 
• Shift Options: Monday-Friday 
  • 1pm - 9pm EST (10am - 6pm Pacific Time) 

• Pay range: $80,000 - $95,000 (determined by several factors including your relevant skills, education, and experience)

• Phone Interview: 30-minute phone
• Panel Interview: 60-minute video
• Final Interview (may be requested): 20-minute video
• Tentative start date: August 2026

• Health, Dental and Vision coverage through Cigna
• Short-Term Disability
• Mental Health Services
• 4 weeks of PTO accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (eligible after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties
• We also cover costs associated with licensing, credentialing, and malpractice

Our values

• Patients always come first
• Our opportunity is also our duty
• Move the industry forward, follow the data
• Facts to change minds, empathy to change hearts
• Turn bold ideas into even bolder action
• Strong individuals, stronger together
• Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply.