Position Purpose: This dual role combines direct patient care as a Nurse Practitioner or Physician Assistant in an outpatient primary care setting with a leadership position overseeing Aviva Health’s Advanced Practice Provider (APP) Residency Program. The clinician provides high-quality, patient-centered care to a diverse, rural population, while also dedicating time to the educational development, support, and supervision of APP residents. Who We Are: Aviva Health is a dynamic and mission-driven federally qualified health center (FQHC). Committed to providing comprehensive and compassionate healthcare services, Aviva Health offers a holistic approach to care, addressing patients' medical, behavioral health, dental, and social service needs. As a vital healthcare resource in the community, Aviva Health fosters a collaborative and supportive work environment where dedicated healthcare professionals have the opportunity to make a meaningful impact on the lives of individuals and families. Join us at Aviva Health and be part of a team that is dedicated to making a difference in the lives of our patients and the community we serve. Benefits: * Sign-on bonus * Relocation assistance * Full family medical, dental, and vision insurance paid by Aviva * Retirement matching by company * Long term disability and AD&D insurance * Paid time off and holidays * FTCA Malpractice insurance is fully paid for by company * Cell phone reimbursement  * Tuition reimbursement program * No on-call after hours, weekends, or holidays * CME hours and reimbursement * Federal and State loan repayment programs depending on eligibility.  * Reimbursement of your professional membership dues and licensure renewals * Work-life balance as a Blue Zones participant Clinical Responsibilities: * Provide comprehensive outpatient primary care to underserved populations including low-income, rural, homeless, and otherwise marginalized individuals. * Perform patient assessment, diagnosis, and treatment of acute and chronic conditions across the lifespan. * Order and interpret diagnostic tests, prescribe medications, and develop individualized treatment plans. * Delivery of care consistent with Aviva Health policies, procedures, and quality standards, emphasizing prevention and health promotion. * Document encounters in a timely and accurate manner in the electronic health record. * Respond to medical questions and provide patient education regarding medications, health conditions, and preventive care. * Collaborate with an interdisciplinary care team including medical assistants, nurses, behavioral health, pharmacy, and dental teams. * Participate in staff meetings, continuing education, and maintain required licensure and certifications. * Uphold Aviva Health’s mission, vision, and values in all patient and staff interactions.   APP Residency Program Director Responsibilities: * Provide clinical and educational leadership for the APP Residency Program, ensuring alignment with program goals, learning objectives, and regulatory standards. * Supervise clinical work of APP residents during precepted sessions, providing mentorship, real-time feedback, and support. * Be present and available in the POD/clinical area during precepted time to support resident learning and patient care. * Offer guidance on patient care, documentation, clinical reasoning, interprofessional collaboration, and professionalism. * Participate in resident recruitment, orientation, scheduling, and formal evaluations. * Assist in curriculum development, including input on didactics, specialty rotations, and competency assessments. * Use diverse teaching strategies such as impromptu case discussions, Q&A, reflective feedback, and evidence-based reasoning. * Model integrated care and encourage residents' involvement in team-based care, meetings, and collaborative practice. * Participate in program improvement, quality assurance, and occasional grant or reporting-related activities. Qualifications: * Licensed Nurse Practitioner (NP) or Physician Assistant (PA) in the state of Oregon. * DEA certification and BLS required. * Minimum of 5 years clinical experience; experience in education or precepting strongly preferred. * Demonstrated commitment to underserved populations and team-based care. * Strong interpersonal, communication, mentoring, and organizational skills. * Ability to work independently and collaboratively in a fast-paced environment. * Knowledge of or interest in postgraduate APP training programs preferred. Join us at Aviva Health and be part of a team that strives to make a difference in the lives of our patients!   Aviva Health is an Equal Opportunity Employer We are committed to fostering a diverse and inclusive workplace where all qualified applicants receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Aviva Health is a Drug-Free Workplace To ensure a safe and secure environment for our employees and patients, Aviva Health maintains a drug-free workplace. All employment offers are contingent upon passing a drug screening and a criminal background check. Compliance with these policies is required throughout employment.