The provider will conduct patient assessments and develop individualized treatment plans for individuals with substance use disorders. They will also manage maintenance medications, administer injectables, and collaborate with behavioral health teams.
Requirements overview
Candidates must hold an active, unrestricted Nurse Practitioner or Physician Assistant license and a DEA license. No prior experience in addiction medicine is required for this role.
Key skills
Addiction medicinePatient assessmentTreatment planningBuprenorphine managementInjectable medication administrationSubstance use disorder treatmentElectronic Medical RecordsPatient monitoringCollaborationClinical documentationCompassionate carePatient-centered care
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Ideal Option is one of the nation’s largest outpatient providers of evidence-based medication-assisted treatment for addiction to opioids, alcohol, methamphetamine, and other substances.
Founded in 2012 by two emergency medicine physicians, today Ideal Option operates more than 80 outpatient clinics in 9 states. Ideal Option’s mission is to provide underserved populations with low-barrier access to evidence-based addiction treatment – saving lives, healing families, and helping communities.
We currently have clinics in Alaska, Arkansas, Idaho, Maryland, Montana, New Mexico, North Dakota, Oregon, and Washington.
More than 70,000 individuals suffering from substance use disorder – a chronic, relapsing medical condition – have been treated by Ideal Option.
Over the past 10 years, opioid misuse has become a public health epidemic, killing around 140 Americans every day. Medication-assisted treatment is widely regarded by the scientific community as the most effective approach for opioid use disorder and alcohol use disorder.
Ideal Option’s providers work collaboratively with every patient to develop a treatment plan that is based on published research, best practices, and the unique needs of each patient.
Description
Nurse Practitioner or Physician Assistant – Addiction Medicine - Full-Time (W2)
Ideal Option PLLC
Location: Helena MT (100% on-site)
Schedule: 4x10-hour shifts (7:30 AM – 6:00 PM, Monday - Thursday)
Employment Type: Full-Time, 40 hours per week (W-2)
Compensation: $68 - $76/hr
Please note: We are not currently hiring for part-time, 1099/contract, or remote/hybrid positions.
About Ideal Option
Ideal Option is a national leader in outpatient addiction medicine, dedicated to helping individuals overcome substance use disorders with evidence-based, compassionate care. Since 2012, we’ve grown to 80+ clinics across 9 states, empowering thousands of patients each week to reclaim their lives, reunite with family, and rebuild their futures.
Position Overview
We’re seeking a passionate full-time, on-site Nurse Practitioner or Physician Assistant to join the Helena clinic team. In this role, you’ll provide life-changing care to patients throughout the continuum of recovery - from initial stabilization to long-term maintenance.
Responsibilities include:
Conduct new and established patient assessments, and develop individualized treatment plans for patients with substance use disorders, including opioids, alcohol, stimulants, and sedatives
Initiate and manage patients on buprenorphine and other maintenance medications for substance use disorders
Administer long-acting injectable medications (buprenorphine, naltrexone)
Monitor response to treatment, adjust medications, and review lab results
Collaborate with behavioral health and care coordination teams
Document appropriately in our EMR (eCW)
Deliver care both in-person and via telemedicine
What We Offer
Competitive pay and full benefits
Medical, dental, and vision insurance
Short- and long-term disability, life insurance, and Employee Assistance Program
Paid time off and holidays
401(k) retirement plan
Malpractice coverage
ASAM membership
UpToDate license
Reimbursement for Continuing Medical Education (CME) expenses
Join us in making a difference — one patient, one family, and one community at a time.
Requirements
Qualifications
Active, unrestricted Nurse Practitioner or Physician Assistant license
Active DEA license
Strong and efficient communication and documentation skills
Commitment to compassionate, patient-centered addiction care
No prior addiction medicine experience required!