Ideal Option P logo
Ideal Option P
Lewiston, Idaho

ARNP or PA-C - Addiction Medicine Provider

Nurse PractitionerFull-Time Full Practice Authority

Listed compensation

$68-$74/hr

The week · per this posting · Monday – Thursday

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago · Verified live

Job Description

  • Description
  • Nurse Practitioner or Physician Assistant – Addiction Medicine - Full-Time (W2)
  • Ideal Option PLLC
  • Location: Lewiston, ID (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-$74/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 Lewiston 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

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!

Join us in making a difference — one patient, one family, and one community at a time.

Requirements

Qualifications:

  • Active, Unrestricted Nurse Practitioner License
  • Active DEA License

Key Responsibilities

The provider will conduct patient assessments, develop individualized treatment plans, and manage medications for individuals with substance use disorders. They will also collaborate with behavioral health teams and maintain accurate documentation in the EMR.

Key Skills

Patient assessmentTreatment planningBuprenorphine managementInjectable medication administrationMedication managementElectronic Medical RecordsCollaborationPatient-centered careSubstance use disorder treatment

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates ARNP or PA-C - Addiction Medicine Provider at Ideal Option P a 7.1 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Addiction Medicine (NP) — ranked against 214 active Addiction Medicine (NP) listings on WeekdayDoc.

Addiction Medicine — Nurse Practitioner Career Context

Ideal Option P holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 76/100, 11 active listings.

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 32% are remote, 56% have no call, 72% require no weekends.

The cost-of-living index for Idaho is 95.5 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$148k midpoint carries the purchasing power of roughly $155k in an average-cost state. 58.2% of Idaho clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

31 matches · ranked by pay

Salary Distribution31 jobs · 25 employers

10
<$145k
3
$145k-160k
12
$160k-175k
3
$175k-190k
3
$190k+

Annual compensation range

Benefits & Perks26 jobs · 25 employers

401k / retirement match
81% this job
CME allowance
58% this job
Sign-on bonus
46%
Loan repayment
15%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

Child and Adolescent Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Zionsville, Indiana

$192k-$230k
#2

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · South Bend, Indiana

$192k-$230k
#3

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)

$106k-$216k
#4

Telehealth Nurse Practitioner

$156k-$187k
+ 29 more · ranked by pay

Work-life snapshot

median 6.3this job 7.1
Better work-life than 80% of Addiction Medicine (NP) listings

Listing-based score, 0–10, across 214 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Lewiston

Typical 3-bedroom home value
$389k
Typical market rent
$1,671/mo
Residents’ average commute
15 min
Metro price indexU.S. average = 100
91.2
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Lewiston, ID-WA metro prices. Housing figures are city-level.

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

Ideal Option P logo

About Ideal Option P

Medical Practices
Kennewick, Washington
201-500 employees

Benefits & Perks

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