Refreshed MD is seeking an experienced Dermatology-trained Physician Assistant or Nurse Practitioner to join our growing, award-winning Portland practice. This role blends medical dermatology and aesthetic care, supporting patients across skin health, diagnosis and treatment of dermatologic conditions, and select cosmetic services.
You will practice with a high level of clinical autonomy while collaborating closely with our Medical Director/Found and broader care team. The ideal candidate values evidence-based medicine, thoughtful patient education, and delivering care that feels both clinically exceptional and deeply human. This is a flexible opportunity with a high growth potential. For the right candidate, the position may be tailored to 2-4 days per week [part or full time], aligned with the mutual goals of both the business and clinician. Compensation and benefits are prorated on days worked.
What You Will Do
Clinical Dermatology + Patient Care
Conduct comprehensive skin exams and diagnose common dermatologic conditions, such as acne, eczema, rosacea, dermatitis, fungal infections, hair and nail disorders.
Develop and implement individualized treatment plans within your scope of practice
Manage chronic dermatologic conditions and provide continuity of care through follow-ups and care coordination
Screen for skin cancers, including melanoma, basal cell carcinoma, and squamous cell carcinoma
Procedures + Treatments
Perform dermatologic procedures including shave and punch biopsies, excisions of benign lesions and lipomas, and liquid nitrogen/wart removal
Prescribe and manage dermatology-related medications, including topical and oral therapies
Collaborate with the Medical Director/Founder on more complex or out-of-scope cases; referring out as needed
Patient Education + Experiences
Educate patients on diagnoses, treatment options, skincare routines, sun protection, and long-term skin health
Guide patients through decision-making with clarity, warmth, and professionalism
Cultivate a calm, respectful, and welcoming patient experience aligned with Refreshed MD’s values
Sees education and recommendation as part of great care by confidently connecting patients to aesthetic options when appropriate, while keeping trust and clinical integrity at the center
Collaboration, Documentation, + Practice Standards
Document all patient care accurately and timely in our EMR system (Boulevard)
Order and interpret labs and diagnostic tests as clinically appropriate
Work collaboratively with Lead Nurse Injector, Advanced Esthetician, Wellness Director to recommend and suggest supportive treatments to meet skin goals
Participation in monthly team meetings, as well as help enhance existing standards Uphold HIPPA, OSHA, and all state and federal regulatory requirements
Requirements
Licensed PA or NR in Oregon
Minimum of 2 years of hands-on dermatology experience, with the ability to practice independently
Experience performing skin exams, biopsies, and managing common dermatologic conditions
Strong clinical judgement, organizational skills, and medical notes with attention to detail
Preference for working in a fast-paced, high-touch clinical environment
Excellent communication skills with a patient-first mindset
Commitment to ongoing CME and professional development
Preferred Qualifications:
3+ years of dermatology experience in an outpatient or private practice setting
Experience with cosmetic dermatology services (Botox, fillers, lasers, peels)
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