Nurse Practitioner

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

Position Summary:

Under general supervision, provides medical care and treatment to patients according to policies, procedures, protocol, and patient needs.

Scope of Work:

This position may be organizationally located in Tohono O'odham Nation Sells Hospital or in any TONHC health center. The incumbent works under the general supervision of the Clinical Director, who provides administrative oversight. Incumbent functions with considerable independence during patient care and works as the primary provider for medical care at the Tohono O'odham Nation Sells Hospital and any other TONHC health center where the supervising physician may be at a different location. The supervising physician periodically reviews the incumbent's work performance.

Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):

• Provide diagnostic, preventative, and therapeutic health services to patients.
• Interviews and examines patients, reviews past medical history, and requests and performs diagnostic tests and examinations.
• Diagnose and treat acute health care problems such as illness, infections, and injuries.
• Discriminates between normal and abnormal findings to recognize various stages of serious physical, emotional or mental problems.
• Provides direct medical care in the presence of illness or disability to maintain life, provide comfort, reduce distress and enhance coping ability.
• Participate with other professionals and agencies involved in providing health care and services, including immunizations, disease control, environmental health, and health education.
• Collaborate with the physician in the management of selected complex medical problems.
• Teaches patients and family members various ways to maintain and improve their health status.
• Provide preventive services to individuals, including guidance on nutrition, common illnesses, accident prevention, child growth and development, and child-rearing.
• Evaluates total health care needs of patients and develops or initiates plans to meet these needs.
• Ensures preparation of appropriate medical records for all patients seen to ensure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care.
• Routine duties include, even if rarely required, providing medical care and public health services to individuals eligible for services provided by TONHC in homes, schools, clinics, job sites, and other community locations within the TONHC service area.
• Serve in a teaching capacity to develop other health care workers such as nurse practitioner students, physician assistant students, and other care providers.
• Maintain knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops.
• Participates in a comprehensive Quality Improvement Program to meet accreditation standards of The Joint Commission.
• Performs other job-related duties as assigned and contributes to a team effort.

Knowledge, Skills, and Abilities:

• Knowledge of applicable federal, state, tribal laws, regulations, and requirements.
• Knowledge of legal regulations and requirements for confidentiality, specifically the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Knowledge of the economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.
• Skill in providing superior customer service to external and internal customers.
• Skill in respectful and compassionate intercultural communication.
• Ability to provide effective comprehensive health care for patients across a full range of clinical scenarios.
• Ability to work independently with a wide latitude to determine and pursue a course of treatment for patients.
• Ability to travel within and outside the boundaries of the Tohono O'odham Nation as necessary to carry out duties and responsibilities.
• Ability to carry out professional practice fully respectful of Tohono O'odham culture, customs, and traditions.
• Ability to cope adaptively in stressful situations.
• Ability to communicate efficiently and effectively verbally and in writing.
• Ability to exercise independent judgment.
• Ability to establish and maintain positive and effective working relationships with other employees and the general public.

Minimum Qualifications:

• Practitioner degree from the United States or a Canadian nurse practitioner school approved by a recognized accrediting body in the year of applicant's graduation.
• Two years of experience in medical care and treatment or an equivalent combination of training, education, and work experience demonstrating the ability to perform the duties of this position.

Licenses, Certifications, Special Requirements:

• Must possess certification by the American Academy of Nurse Practitioners (AANP), American Association of Critical-Care Nurses, American Midwifery Certification Board, American Nurses Credentialing Center, National Certification Corporation, or the Pediatric Nursing Certification Board.
• Must possess and maintain a permanent, complete, and unrestricted license as a Nurse Practitioner in a State, District of Columbia, Commonwealth of Puerto Rico, or a territory of the United States.
• Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
• May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
• If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
• Based on the department's needs, the incumbent(s) may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.