JOBS AT PORTLAND STREET MEDICINE
At Portland Street Medicine, we offer our houseless neighbors accessible whole-person care to improve and support health, and to bridge a gap in trust between people and systems. Powered by a corps of 150 volunteers and a small staff, PSM meets the growing medical and health needs of those experiencing homelessness in Portland. Through regular and ongoing care on the streets of Portland, we strive to engage with our patients – building capacity to navigate the web of services they need to achieve their goals.
Current Openings:
Clinical Care Director
Job Title: Clinical Program Director
Reports To: Executive Director
Dotted Line Supervision: Medical Director
Supervises: Peer Supervisor and Clinical Volunteers
Location: Field-based (outreach in the community) and administrative office
Schedule: 32 hours/week. May involve some evenings, weekends, and on-call time required.
Benefits: 100% employer-paid health and dental insurance, generous PTO, 3% retirement match, professional development fund
Position Summary
Clinical Care Director – Make an Impact Where It Matters
Join Portland Street Medicine in a newly created role where your clinical skills make a real difference. As Clinical Care Director, you’ll provide street-based care, mentor peers, guide volunteers, and shape a growing program that prioritizes trauma-informed, high-quality care. You’ll lead with autonomy, flexibility, and purpose in a mission-driven organization that values both excellence and humanity.
This is a role that grows with you. Responsibilities will evolve as the program expands and the needs of the unhoused community shift. You’ll balance hands-on patient care with supervision, program leadership, and quality oversight—building systems, improving workflows, and seeing the tangible impact of your work every day. It’s an opportunity to combine clinical expertise, leadership, and mentorship in a role you help define.
About Portland Street Medicine Portland Street Medicine is a community-rooted nonprofit built on the belief that healthcare is a human right and healing begins with trust. Our small staff and wide network of volunteers bring medical care, peer support, and human connection directly to people living outside. Guided by trauma-informed practices, harm reduction, and the wisdom of lived experience, we focus on relationships as much as treatment—because consistency, compassion, and dignity are essential to health.
Position Overview
The Clinical Program Director leads and delivers street-based healthcare at Portland Street Medicine (PSM), blending direct patient care with program leadership. This licensed provider (MD, DO, NP, or PA) is responsible for overseeing all clinical services, ensuring consistent, trauma-informed, and low-barrier care, and promoting a culture of quality, safety, and accountability. This role oversees the volunteer clinical workforce and supervises the Peer Supervisor (who manages the Peer Support Specialist and Peer Resource Navigator).
This role requires someone who is as comfortable managing complex cases in the field as they are mentoring peers, guiding volunteers, and supporting the clinical operations of Portland Street Medicine. The Clinical Program Director ensures consistent, trauma-informed, and low-barrier care across all services, and helps shape PSM’s clinical standards, training, and data systems. The Clinical Program Director works closely with the Executive Director and Medical Director to set clinical standards, develop training, and guide continuous improvement initiatives across PSM’s programs.
Because this is a new role, responsibilities are expected to evolve as the position grows, programs develop, and the needs of the unhoused community shift.
Key Responsibilities
Leadership & Supervision
Provide direct street-based care via individual visits and on general rounds
Serve as clinical lead for care planning, coordination, and complex case management
Supervise the Peer Supervisor and support oversight of the Peer Program
Oversee and support the work of clinical volunteers and help build a strong, trauma-informed volunteer culture
Participate in patient care team meetings and ensure consistent care quality
Program Oversight & Development
Ensure consistent clinical protocols and workflows across the organization
Lead continuous quality improvement initiatives and inform clinical policy decisions
Work in partnership with the Executive Director and Medical Director to support clinical program development, staff training, and medical partnerships
Risk, Quality, & Compliance
Oversee clinical risk management and ensure compliance with local, state, and federal regulations
Lead quality assurance and continuous improvement initiatives across clinical services
Develop, implement, and monitor clinical policies, protocols, and safety standards
Identify and mitigate risks in field-based and administrative settings
Systems & Documentation
Support the use and improvement of the Electronic Health Record (EHR) system
Ensure high-quality clinical documentation and data collection
Collaborate with staff to evaluate, refine, and streamline care delivery workflows
Comfort and familiarity with Microsoft Office and cloud-based collaboration tools (e.g., SharePoint, Teams)
Required Qualifications
MD, DO, PA, or NP licensed in Oregon
Preferred Qualifications
At least 2 years’ experience providing medical care to unhoused or highly marginalized populations
Experience supervising clinical or interdisciplinary teams
Demonstrated commitment to harm reduction, trauma-informed care, and health equity
Strong communication skills and ability to lead with humility and collaboration
Comfort working in field-based, nontraditional settings
Ability to manage and navigate EHR systems and Microsoft tools with ease
Experience working with peer support programs
Knowledge of regional safety net services and systems of care
Training in soft tissue management, MAT, wound care, or similar street medicine practices
Job Types: Full-time, Part-time
Pay: $65.00 - $75.00 per hour
Expected hours: 32 per week
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance
Work Location: In person
PSM’s BACKGROUND Check Policy
As a medical organization and nonprofit, Portland Street Medicine conducts background checks with the ultimate goal of keeping our patients safe.
As an organization that seeks to incorporate people with lived experiences of homelessness and poverty at every level of our organization, we also recognize that background checks may present a barrier for volunteers and staff with lived experience – and thus, could damage our ability to perform our work in the community. We recognize the criminal justice system is filled with deep inequities, and that homelessness is still criminalized throughout the United States. Background checks, when conducted in a more restrictive way, would restrict those best able to do the work of PSM from being a part of our organization. PSM has a strong “business necessity” to both perform background checks and to welcome volunteers and staff with lived experience who may have criminal records precisely because of those experiences.
For details on our full policy, please follow this link: PSM Background Check Policy
