Location & Practice Overview

The position is posted for Sacramento, California, and is structured as a fully remote advanced-practice role within a virtual addiction treatment program serving patients throughout the state.

Listed Location Sacramento, CA
Practice Setting Fully remote clinical practice
Care Model Virtual outpatient addiction treatment platform
Geographic Scope Statewide California patient coverage

Responsibilities

  • Perform initial clinical evaluations of patients presenting for substance use disorder treatment.
  • Prescribe and monitor medications for opioid use disorder and alcohol use disorder.
  • Conduct individual video consultations and co-facilitate shared medical appointments.
  • Formulate and revise treatment plans, educate patients on medications and care options, and arrange referrals when additional services are indicated.
  • Document clinical encounters, medication decisions, and relevant findings in the electronic medical record while protecting patient confidentiality.

Clinical decisions are made in collaboration with a physician to support coordinated patient care.

Qualifications & Requirements

Applicants must satisfy the following mandatory criteria established by the employer.

State License
Active California NP or PA license in good standing
Experience
At least one year as a Nurse Practitioner or Physician Assistant and at least one year in addiction medicine
Prescribing Credentials
Active DEA registration and demonstrated experience prescribing medications for substance use disorders
Certification
Current Basic Life Support (BLS)
Additional Expectations
Prior application of harm-reduction principles, proficiency with Google Drive, spreadsheets, video conferencing and secure email, and willingness to obtain licenses in additional states

Compensation & Benefits

Annual pay is listed as $140,000–$150,000. Confirmed benefits include the following.

  • Five weeks of PTO (including the employee’s birthday, two mental health days, and two floating holidays) plus eleven paid holidays
  • Medical, dental, prescription-drug, and vision insurance options
  • Twelve weeks of paid parental leave after one year of employment
  • 401(k) plan with a 4% employer match, healthcare and dependent-care FSAs, and HSA availability
  • Employee assistance program, professional development allowance, and internal mobility opportunities

Schedule & Work Environment

Shift Pattern Four 10-hour shifts per week
Daily Hours 8:00 a.m. – 6:00 p.m. Pacific Time
Work Arrangement Fully remote until further notice
Work Mode Independent remote practice with physician collaboration

Patient Population & Clinical Setting

The clinician serves adults who seek treatment for substance use disorders through a virtual platform. Patients connect from their own locations and receive support from a multidisciplinary team that includes therapists, recovery coaches, and care navigators.

Age Group Adults
Presenting Concerns Opioid, alcohol, and kratom use disorders
Encounter Type Virtual individual visits and shared medical appointments
Team Context Coordinated care with therapists, recovery coaches, and care navigators

Clinical Focus & Key Services

The professional core of the role is evidence-based medication treatment for substance use disorders delivered through a harm-reduction framework.

Primary Clinical Focus Medications for opioid use disorder (MOUD) and alcohol use disorder (MAUD)
Assessment Scope Comprehensive evaluation of substance use disorders
Treatment Philosophy Harm-reduction, patient-centered approaches
Service Delivery Medication management within a virtual care model

Role Highlights

These features distinguish the position from many conventional advanced-practice roles in addiction medicine.

  • Dedicated specialization in substance use disorder medication treatment rather than mixed primary-care or general behavioral-health panels
  • Structured combination of individual consultations and shared medical appointments within a single clinical workflow
  • Integration into a virtual multidisciplinary team that includes therapists, recovery coaches, and care navigators
  • Explicit expectation of multi-state licensure growth aligned with expanding platform coverage

About Workit Health

Workit Health is a virtual addiction treatment organization founded in 2015 by Robin McIntosh and Lisa McLaughlin, both women in long-term recovery. The company operates a fully virtual platform for substance use disorder care and is headquartered in Ann Arbor, Michigan, with a California address in Walnut Creek. Clinical teams comprise physicians, nurse practitioners, physician assistants, therapists, recovery coaches, and care navigators.

Year Founded 2015
Headquarters Ann Arbor, Michigan
Organizational Focus Virtual substance use disorder treatment
California Address Walnut Creek (administrative presence)

Frequently Asked Questions

Is a California license sufficient to begin work?
Yes. An active California NP or PA license is required at hire. The role also requires willingness to obtain additional state licenses as coverage needs change.
Are any in-person clinic sessions required?
No. All patient care is delivered through the telehealth platform; the position is fully remote until further notice.
How is physician collaboration structured?
The clinician works with a physician on patient assessments, treatment planning, and overall care coordination while retaining independent clinical judgment within the remote setting.
What confidentiality rules apply beyond HIPAA?
Documentation and communication must also comply with 42 CFR Part 2, which governs the privacy of substance use disorder treatment records.
How frequently are shared medical appointments part of the schedule?
Shared medical appointments are a regular component of the clinical workload and are co-facilitated alongside individual video consultations.
Which digital tools are required for daily work?
Clinicians must be comfortable with Google Drive, spreadsheets, electronic documentation systems, video conferencing, and secure email.

Nurse Practitioner / Physician Assistant – Addiction Medicine | Sacramento, CA

Advanced-practice clinicians working in virtual addiction medicine manage medication treatment for opioid and alcohol use disorders within a structured telehealth framework. The Nurse Practitioner or Physician Assistant role emphasizes MOUD and MAUD prescribing, ongoing clinical monitoring, and harm-reduction principles while collaborating with physicians and a multidisciplinary support team. Patients receive care through a combination of individual video visits and shared medical appointments, allowing clinicians to address both medication needs and coordinated recovery support. In Sacramento, CA, this fully remote model enables statewide coverage without an in-person clinic footprint, requiring strong independent judgment, accurate documentation under substance-use privacy rules, and comfort with digital clinical tools. The position is designed for providers who already possess addiction medicine experience and prefer a focused substance-use panel rather than a mixed primary-care or general behavioral-health caseload.

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