We care about your working environment, especially during this pandemic. We commit to a healthy work/home balance and understand that the conditions of serving stigmatized patient populations are more than challenging right now. As a nonprofit, we are mission-focused on improving individual and community public health. We want you to feel fulfilled as a staff member, not burn out. Please see our positions listed below.

Operations Manager (Walla Walla)

Posted August 25, 2021

The Operations Manager is responsible for managing the systems, processes, and administration that keep Blue Mountain Heart to Heart’s enterprise operations running smoothly. This position also provides key support to our financial operations, as well as serving as a liaison to the Board of Directors. The Operations Manager reports to the Executive Director.

We are looking for a systems-thinker who can help us build, maintain, and improve our agency-wide operations and internal processes. This team member will have outstanding organization and communication skills, and a background in administrative and operations support. This is a full time, salaried position. 

Primary Responsibilities 

Human Resource Coordination

  • Maintain and keep secure staff performance reviews, corrective actions, awards, and other notices to the personnel files as appropriate
  • Support supervisors in conducting timely performance reviews of direct reports, as described in the personnel policy
  • Serve as the point-of-contact for complaints or grievances, or questions relating to human resources
  • Stay up to date on state and federal requirements for hiring, onboarding, timekeeping, and separation
  • Serve as the point-of-contact for health insurance brokers, retirement account representatives, and potential outside partners who offer employee benefits to agency staff, advocating for staff interests in those agreements
  • Ensure agency is operating in a transparent, equal, accessible, anti-racist, inclusive, and supportive fashion with regard to its staff support and working environment
  • Train staff as needed to help ensure a healthy working environment

Office and Technology Management 

  • Manage activities essential to the daily operations of the agency, including purchasing, inventory, scheduling, and service request processing
  • Provide phone reception for general inquiries
  • Open, distribute, and/or respond to non-program-related incoming mail, faxes, and general email
  • Coordinate maintenance of office and office equipmen 
  • Supports staff with administrative and technology requests, and provide training as necessary for new systems 
  • Develop office operations and systems as needed, or improve upon existing systems for greater efficiency and functioning, with input from the Executive Director
  • Maintain and order general office supplies, equipment, technology, and stationary
  • Oversee vendor contracts and relations, maintenance of, and purchasing and ordering supplies for photocopier, mail machine, telephone systems, including all mobile accounts, desktop and laptop computers, including network management
  • Research new tools and applications for team and organizational use

Finance Support 

  • Process accounts payable to ensure timely payment of vendors, grantees, and contractors
  • Assist Bookkeeper in preparing weekly deposits
  • Prepare for and assist with annual audits from funders
  • Prepare for and assist with annual budget preparation with Bookkeeper and Executive Director
  • Assist with monthly leave tracking
  • Manage agency financial reporting expansion to clinical billing for fee-for-service activities
  • Assist Executive Director with annual fundraising activities and donor management

Qualifications: Skills and Experience 

  • Ideal candidates will have a demonstrated understanding and experience working on issues related to racial, LGTBQ+, gender, economic, and reproductive justice, and working in communities comprised of diverse people 
  • At least three years of experience with administrative and operations support
  • Proficiency using Microsoft Word, Excel, Outlook, and Adobe Acrobat, and other office software 
  • Experience with databases and financial systems
  • Experience providing training and support for operations
  • Strong interpersonal skills with the ability to collaborate and work as part of a team, and exceptional communication skills
  • Ability to think creatively and analytically to develop and improve systems, processes, and procedures
  • Outstanding organizational skills, attention to detail, and the ability to manage multiple deadlines and priorities
  • A commitment to providing quality stewardship to all agency clients and stakeholders, and the ability to develop a positive working relationship with staff, volunteers, board members, donors, and community supporters


  • Timely reporting to work
  • Clear written and oral communication with supervisor, coworkers, contract holders, and other stakeholders
  • “No surprises” communication
  • Active engagement at work and commitment to a healthy working environment
  • Initiative taking in continuing education and project-specific training

To apply, email Everett Maroon at with a cover letter and a resume. Deadline September 25, 2021. BMHTH is an equal opportunity employer.

Nurse Case Manager (Kennewick)

Posted August 20, 2021

The Health Support Teams (HST) Nurse Case Manager provides skilled nursing services to patients living with substance use disorder (SUD) and their significant support systems. Assessment, intake/admission, evaluation, triage, teaching, medication induction and stabilizations, and monitoring of patients in office based opioid treatment program. Collaborates with HST team members and outside referral sites, works with internal and outside providers on unstable patients, with other addiction and mental health programs and primary care providers in assisting patients and supporting their referral needs.

General Responsibilities:

1. Strong communication and customer service skills, both in person, over the phone and via electronic methods.

2. Able to problem solve using critical thinking skills, clinical judgment abilities, visionary capabilities, creativity, patience, and flexibility.

3. Recognized as clinically proficient; successful in managing complex situations; ability to perform triage functions, take substance abuse and medical history.

4. Assessment and monitoring of patients in the induction, stabilization, and maintenance phases of treatment.

5. Use of the Washington State Prescription Drug Monitoring Program database

6. Ongoing review and revision of patient’s plan of care with the HST team as needed to address patient needs and issues.

7. Ongoing management of patients in the HST program.

8. Assessment of signs and symptoms of opioid withdrawal using the COW (Clinical Opioid Withdrawal) Scale if appropriate to the patient.

9. Ongoing education and support of patients in all phases of treatment including nursing visits scheduled and random, urine toxicology screens, routine labs and as needed, medication teaching, monitoring, pill counts, observed dosing, and medication refills.

10. Follow State and Federal guidelines in providing care to patients with SUD in collaboration with licensed, prescribing physicians and pharmacies.

11. Collect pertinent data using appropriate assessment techniques.

12. Linkage to other community services including addiction, mental health and primary care as needed.

13. Has the ability to assess, document, and implement actions required meeting patient/family needs.

14. Able to communicate effectively and professionally with healthcare team (i.e., Physicians, Healthcare Providers, and Healthcare Professionals).

15. Able to work with families and groups as is required to provide supportive services.

16. Able to relate to and work with ill and disabled patients of all ages, non-English speaking patients, emotionally distressed patients and families and with hospital personnel within the facility.

17. Able to be flexible, reliable, and accountable.

18. Able to cope with varying and unpredictable situations tactfully with personnel, patients, family members, visitors, and the general public.

19. Knowledge of interdisciplinary team concepts.

20. Demonstrates leadership ability and has experience and willingness to lead change.

Care Management Tasks, Duties and Responsibilities:

1. Analyzes data related to patient population and develops a plan of action. Monitors progress over time and initiates changes as needed.

2. Utilizes the Kareo EMR Team functionality to become part of the care team for identified patient populations.

3. Assists in the management of HST patients following established protocols and systems for disease management in collaboration with providers.

4. Communicates with a multidisciplinary team (physicians, nurses, therapists, social workers, etc.) as needed to assist with disease management.

5. Utilizes patient communications strategies, e.g., motivational interviewing. Involves the patient in developing a plan of care, goals or other specific measures pertinent to their health condition.

6. Assesses patient activation and readiness for change and collaborates with patient to develop self-management goals.

7. Participates in confidence level assessments or surveys of patients to improve disease management care delivery processes.

8. Actively participates in all leadership team activities.

9. Acts as a liaison between clinics, other hospital departments, and ACN

entities, and community resources, as needed.

10. Provides clinical expertise to back office staff on pertinent patient care issues.

11. Serves as an educational resource and provides consultation.

12. Assists with regulatory readiness and staff compliance (The Joint Commission, DOH, OSHA,


13. Maintains job specific certifications.


Current Washington State Registered Nurse license. Addiction experience is preferred.


Current BLS certification in CPR

Certification in related specialty areas is preferred. BSN preferred.

Two years of recent clinical experience as an RN working in a clinic/outpatient setting preferred.

Previous care management experience preferred.

Demonstrate knowledge and understanding of information technology preferred.


  • Timely reporting to work
  • Clear written and oral communication with supervisor, coworkers, clients, and contract holders
  • Regular contact with clients as part of a longer-term plan for their empowerment
  • On-time, accurate, and complete paperwork support for clients in the form of case notes, applications for services, and paper file requirements
  • “No surprises” communication
  • Active engagement in client issues and needs
  • Initiative taking in continuing education and project-specific training

To apply, email Everett Maroon at with a cover letter and a resume. Job open until filled. BMHTH is an equal opportunity employer.

Field-Based Mental Health Counselor (Walla Walla)

Posted June 2, 2021

We have seen many successes with our law enforcement-assisted diversion (LEAD) program that launched in January 2021. Along with our partner in the effort, Comprehensive Healthcare, we now carry a caseload of 87 individuals across four case managers. BMHTH’s low-barrier buprenorphine program (a.k.a. “Meds First”) has also done very well, inducting nearly 300 people onto Suboxone since June 2019. This mental health position will be partly co-located at our SSP in Walla Walla, and partly meeting clients in the field. Energetic, team players with a passion for trauma-informed therapies will love this position. More details follow.


  • Meet clients where they are (e.g., bus transfer station, shelter program, SSP site)
  • Assess clients through detailed conversations, interviews, and observations to determine the appropriate testing or examination
  • Diagnose the client’s mental and emotional disorders
  • Create effective treatment plans that include counseling, medication, or other services
  • Work with your client; develop goals that align with case managers’ goals for that client
  • Regularly discuss the treatment plan with your clients to identify changing needs
  • Educate appropriate coping mechanisms to help clients through tough situations or ongoing trauma
  • Record the client’s progress and change treatment plans when needed
  • Regularly confer with in-house and partner clinical and case management staff to ensure all services are brought to bear for the clients’ interests


  • Timely reporting to work
  • Clear written and oral communication with supervisor, coworkers, clients, and contract holders
  • On-time, accurate, and complete paperwork support for clients, BMH2H, and its contract holders
  • “No surprises” communication
  • Trauma-informed practices and communication with coworkers and clients
  • Active engagement at work to enhance program delivery and provide quality services


  • Degree in psychology, social work, or psychiatry
  • Able to make professional evaluations, decisions, and recommendation for treatment planning and implementation
  • Active practitioner license, active driver’s license 
  • 3 years of experience in counseling or mental health services 
  • Working knowledge of legal guidelines stipulating psychiatric admission requirements
  • Able to work independently and as a positive member of a team 
  • Able to establish and maintain effective working relationships with mentally or emotionally disabled persons and their families 
  • Excellent written and verbal communication skills
  • Comfortable treating both routine and serious mental health illness 
  • Strong computer literacy skills

To apply, email Everett Maroon at with a cover letter and a resume. Job open until filled. BMHTH is an equal opportunity employer.

Nurse, Walla Walla County Jail

Posted July 31, 2021


  • Administer medication as prescribed by the BMHTH provider, including administration of buprenorphine
  • Provide daily, direct patient care, making referrals to provider as needed
  • Work closely with on-site non-medical Case Manager
  • Refer to external partners as appropriate, in consultation with BMHTH provider (e.g., serious mental illness, emergency care, imaging or surgical procedures)
  • Chart patient progress, incorporating goals and work of BMHTH non-medical Case Manager
  • Plan along with other BMHTH staff for post-release support of patient
  • Provide naloxone to all releasing inmate patients who have OUD/SUD
  • Rotate among BMHTH staff for on-call hours (typically one week per month)


  • Timely reporting to work
  • Clear written and oral communication with supervisor, coworkers, clients, and contract holders
  • Thoughtful contact with clients as part of a longer-term plan for their empowerment
  • On-time, accurate, and complete paperwork support for clients in the form of case notes, medication management, and paper file requirements
  • “No surprises” communication with team and supervisor
  • Active engagement in client issues and needs
  • Initiative taking in continuing education and project-specific training for professional development


  • Active RN license required; bachelor’s degree preferred
  • Bilingual candidates preferred

To apply, email Everett Maroon at with a cover letter and a resume. Job open until filled. BMHTH is an equal opportunity employer.

X-Waived Prescriber, Low-Barrier Buprenorphine Program (Kennewick, part-time)

Posted September 8, 2021

Two days a week prescribing buprenorphine as appropriate for walk-in and scheduled appointments at both of our Kennewick-area offices. Prescriber will work with a team that includes a nurse case manager, a care navigator/social worker, and a peer counselor. New expansion of low-barrier service includes contingency management for polysubstance users. Must be patient-oriented and understand the mission of the low-barrier program.

Active X-waiver to prescribe buprenorphine required. We can work with providers who are limited to 100 patients. Some tele-health can be used but clinical evaluation does often need to happen in person.

To apply, email Everett Maroon at with a cover letter and resume. BMHTH is an equal opportunity employer.























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Blue Mountain Heart to Heart is a 501(c)3 nonprofit headquartered in Walla Walla, WA. We are an Equal Opportunity Employer, and our statement of nondiscrimination reads: Eligibility for employment and advancement or promotion and entitlement to benefits accruing there from shall be without regard to race, sex, age, color, creed, religion, sexual orientation, gender identity or expression, national origin, or disability.

Contact Us About Job Listings

5 West Alder St
Walla Walla, WA 99362
Everett Maroon, BMH2H Executive Director
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