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Legacy Health
Portland, Oregon

Nurse Practitioner - Child Abuse Specialist

Nurse PractitionerIncludes callIncludes weekendsFull-Time Full Practice Authority

Listed compensation

$57.75-$86.05/hr

Listing transparency4 of 6 stated

Ask the employer about the work setting and nights and shift pattern.

Employment & setting
Full-Time
Call expectations
Includes call
Weekends
Includes weekends
Posted 5mo ago

Job Description

Randall Children’s Hospital and the Child Abuse Response and Evaluation Services Northwest (CARES NW) in Portland, Oregon, are pleased to announce that we are recruiting for a full time child abuse nurse practitioner. The NP will join a well-developed inpatient and outpatient multidisciplinary consultation program for suspected child abuse and neglect.

This full time position offers excellent opportunities for inpatient and outpatient clinical child abuse practice, teaching, prevention work, and community involvement in multidisciplinary teams.

CARES NW is NCA accredited and is one of the oldest and largest outpatient child abuse assessment programs in the United States. It is a collaboration of 4 major health care systems and provides medical evaluation for over 1500 patients each year.

Randall Children’s Hospital (a 501(c) 3 organization) is a 175-bed new full-service hospital with Level 1 trauma designation, a full time pediatric Emergency Department, large inpatient acute care units, and a PICU and level 4 NICU.

The hospital has over 200 pediatric sub-specialty professionals in both medical and surgical areas including 24-hour Pediatric Hospitalist coverage. Randall Children’s Hospital is a teaching hospital, and part of Legacy Health which was just recognized by Forbes Magazine as one of the top mid-size hospitals in the US.

Portland lifestyle options have something for everyone, from the downtown “Pearl District” for those enjoying a trendy urban flair, to family-oriented communities, all within a short commuting distance to the hospital.

Portland boasts more bike paths per mile than any city in the US, and the largest city park in the nation. We are a short drive from the windsurfing capital of the world, and Pinot Noir wine country. The rugged beaches of the Pacific Ocean and the long skiing seasons of Mt Hood are within a 90-minute drive.

Legacy is committed to delivering comprehensive and family-centered care with compassion and excellence. As we consider qualified candidates, we are committed to building a culture that values diversity and is reflective of those we care for.

Responsibilities

  • Medical evaluations of children for suspected abuse and neglect.
  • Takes appropriate histories, performs physical examinations, takes photographs of physical findings, as indicated performs colposcopic evaluations, and obtains as indicated cultures, lab tests, and imaging studies.
  • Performs overall health screenings with referral and follow-up to appropriate providers.
  • Legally acceptable reports of evaluations.
  • Dictates, reviews and signs (or enters into the electronic medical record), detailed, legally acceptable reports of medical evaluations in a timely manner.
  • Reviews and corrects reports to ensure accuracy.
  • Includes diagnostic finding and treatment recommendations.
  • Assessments for suspected abuse.
  • Works in cooperation with other professionals in providing assessments for suspected abuse.

Makes all appropriate contacts with outside agency personnel either by phone, electronically, or in person to ensure understanding of relevant historic information and appropriate planning for the evaluation process.

Debriefs in a timely manner at the time of appointment with agency personnel and/or guardian to develop cooperative plan for follow-up on assessment and treatment.

  • Provision of quality services.
  • Participates in supervision, peer review, and quality assurance exercises.
  • Requests peer review on cases that pose diagnostic problems.
  • Telephone consultations to professionals in the community and state on medical aspects of suspected abuse.

May act as “examiner of the day”, responding to telephone calls and contracts from other professionals requesting information regarding specific cases of alleged abuse or to provide expertise on general abuse concerns.

Assists intake specialists (or Child Abuse Assessment Team- “CAAT”), to appropriately triage cases of alleged abuse.

Promotion of community awareness of child abuse issues through educational programs.

Promotes community partnerships and program development regarding child abuse. May train other professionals regarding medical evaluations of alleged child abuse victims and may develop associated educational materials.

  • May provide assistance and teaching at CARES Northwest Program for child abuse professionals.
  • Expert testimony when subpoenaed to depositions or trials on cases.
  • Integrates current research into court testimony and is available as a resource for other staff preparing for court.
  • Makes appropriate arrangements for court testimony.
  • Continuing education for child abuse examiners.
  • Attends professional training for child abuse examiners and reads relevant literature.
  • Takes initiative to research and share new information on this specialty.
  • Attends trainings and fully utilizes available consultations.
  • Seeks input from others on own work.
  • May participate in clinical research conducted at CARES Northwest.
  • Provides call coverage for child abuse consultations or examinations as necessary.

Shares telephone weekday and night coverage with other child abuse physicians. Available to respond to The Childrens Hospital at Legacy Emanuel during weekend call, as assigned.

Outpatient general pediatrics clinic time is potentially available if interest.

Qualifications

QUALIFICATIONS:

As a condition of hire and as requested throughout employment, Cares NW requires child abuse background checks which are conducted through the Department of Human Services (DHS) Background Check Unit (BCU).

This requires a signed release and authorization and the background check includes a search of DHS systems for any history of abuse or neglect of a child. If a record exists, the BCU will report the finding back to CARES NW and findings will be addressed in accordance with program policies.

Education

Appropriate state license and DEA certificate required upon starting date. Specialty training in child abuse preferred.

Experience

Minimum three (3) years clinical experience evaluating children for concerns of abuse.

Licensure

  • Licensure/Certification:
  • Appropriate state license and DEA certificate required upon starting date.
  • Active BLS from the American Heart Association.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Physical examinationClinical documentationMultidisciplinary collaborationPatient triageHealth screeningPediatric careCommunity educationCase managementElectronic medical recordsTrauma care

Child Abuse Pediatrics — Nurse Practitioner Career Context

Of the 40 active Nurse Practitioner listings this role was benchmarked against, 35% are remote, 43% have no call, 65% require no weekends.

The cost-of-living index for Oregon is 103.4 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$150k midpoint carries the purchasing power of roughly $145k in an average-cost state. 62.0% of Oregon clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Annual compensation range

Benefits & Perks26 jobs · 15 employers

401k / retirement match
88%
Sign-on bonus
42%
CME allowance
38% this job
Loan repayment
15% this job
Relocation assistance
8%

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Work-life snapshot

3.0/ 10
Listing-based score
  • Includes call
  • Includes weekends

Living in Portland

Typical 3-bedroom home value
$526k
Typical market rent
$1,732/mo
Residents’ average commute
24 min
Metro price indexU.S. average = 100
105.4
State income tax
Up to 9.9%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About Legacy Health

Hospitals and Health Care
Portland, OR
5,001-10,000 employees

Benefits & Perks

Health Insurance
Dental
Vision
Retirement
CME
Malpractice Coverage