Job Announcement

Position Title: Director of Nursing

Department: Medical

Supervised By: Chief Operating Officer

Location: Alpine/Campo

Status: Exempt

Posted: June 13, 2024

Closing Date: Until filled

Compensation: $91,664-$143,000/ Annually DOE

Grant: N/A

Hours: Full Time, Monday-Friday, 8:00AM-4:30PM.

GENERAL STATEMENT OF RESPONSIBILITIES:

Under the general supervision of the Chief Operating Officer, utilizes nursing knowledge and training in a variety of activities in the outpatient setting to ensure that patients receive quality and evidence-based care within the policies and procedures defined by SIHC.

SPECIFIC DUTIES AND RESPONSIBILITIES:

• Triages patients with acute medical problems to assess appropriate provision of timely, quality care.

• For certain defined patients, takes preliminary health history and assesses for clinical needs (risk and needs assessment), defining preventive and treatment needs according to established protocols.

• Provides supervision, training, and support to the Registered Nurses within the scope of clinic activities along with assisting in support and training.

• In collaboration with the supervising licensed Radiology Supervisor, assists with supervision, training, and support to the Radiology Technologist within the scope of clinic activities along with assisting in support and training.

• Provides supervision, training, and support to the Licensed Vocational Nurses within the scope of clinic activities along with assisting in support and training.

• Provides supervision, training, and support to the Special Diabetes Program for Indians (SDPI) staff within the scope of activities along with assisting in support and training.

• Provides supervision, training, and support to the the Lead Medical Assistant within the scope of clinic activities along with assisting in support and training.

• Provides supervision, training, and support Radiology Technologists within the scope of clinic activities along with assisting in support and training.

• Assists health care providers in a multi-disciplinary team environment to provide patient education, discharge instructions, and may assist providers with procedures as part of ensuring efficient and quality patient flow through the outpatient clinic environment.

• As part of a multi-disciplinary team, works closely with other team members in a collaborative and collegial environment to ensure good communication and optimal patient outcomes (e.g. front office staff, referrals staff, pharmacy, back office, health records, information technology, and quality management)

• Works closely with the Quality Department to determine the direction of surveillance activities and actively evaluate effectiveness of the Infection Prevention and Control plan annually.

• Conducts walkthrough clinic and organizational audits to include patient rooms and labs with team leads, reports to key management and assist in providing solutions to corrective action.

• Maintains professional knowledge and proficiency in skills through continuing education and staff meetings.

• Reviews patient medication profiles as part of authorizing certain refills within defined protocols and policies.

• Achieves specific vocational goals by maximizing use of the electronic health record, for the purposes of maintaining a comprehensive medical record, including documentation of all patient interactions; and also utilizes the EHR for access to resources as needed for patient care.

• Prepares patients and equipment for examinations, as indicated.

• Supervises subordinates in the escorting of patients into exam rooms, taking of vital signs & performing other nursing procedures.

• Supervises the obtaining of specimens necessary for laboratory testing ordered by physicians; labeling, preparation, storage, & forwarding of specimens to servicing laboratory appropriately.

• Supervises the performing of various Point of Care laboratory tests, including but not necessarily limited to blood glucose and hemoglobin determinations, urine pregnancy testing and dip stick tests, glycosylated hemoglobin, rapid antigen testing for communicable diseases.

• Participates in case management activities in a limited fashion:
  • For example, may be needed to initiate scheduling of referral appointments prior to patient’s departure when indicated for timely access to care. Attempts to maximize patient understanding of appointment dates, times, and special instructions.
  • Communicates with patients by mail for various purposes, including but not necessarily limited to notifying patients of laboratory results, facilitating follow up care, and promotion of attendance at the clinic by patients overdue for chronic care appointments.

• Ability to work a flexible schedule.

• Performs other duties within the scope of the Registered Nurse license as may be required.

QUALIFICATIONS:

Education/Experience: Must possess a current California Registered Nurse license. Must have minimum of one year experience in an ambulatory care environment. Must have knowledge and understanding of HIPAA in the ambulatory care setting, with absolute ability to maintain confidentiality according to standards. Must possess current CPR. ACLS and PALS must be obtained within the first four weeks of employment.

License: A valid California driver’s license is required at the time of appointment and must be maintained throughout employment. Applicant must be insurable under SIHC vehicle insurance policy at the time of hire and throughout employment.

Certifications and/or licenses appropriate to the positions required education and profession must also be valid and maintained.

Character: Applicants must have a reputation for honesty and trustworthiness. Must be responsible and able to exercise good judgment, accept administrative supervision, follow detail, including the ability to interact effectively and communicate with people in a professional and courteous manner. Must be highly confidential and work as a team with other staff. Must exhibit cultural and community awareness and sensitivity.

Physical and Personal Requirements: Normal clinic/office environment. Sit or stand for long periods of time. Reach, bend, climb, stoop, lift up to 25 lbs. repetitive hand movement; use and view PC. Reliable transportation and car insurance as required by the state. Travel as needed.

Compliance:Each employee plays a key role in creating a compliance culture at SIHC. Employees are expected to learn and comply with all SIHC policies and procedures. One must have the ability to understand the implications and complexities of all compliance policies. Participation in all compliance training is mandatory, and generally have a heightened awareness of policies and regulations that are specific to one’s department and position. All SIHC employees are expected to report violations or suspected violations of compliance policies or regulations.

Other: Applicants must successfully pass a pre-employment physical exam, tuberculin skin test or x-ray, and blood/urine/drug screening test. Health must be adequate to perform all duties of the position.

INDIAN PREFERENCE:

INDIAN PREFERENCE: In the filling of any SIHC job vacancy, preference may be given to qualified Native American Indians, pursuant to the Indian Preference Hiring Act, 25 USC 472, unless other laws require the filling of a vacancy without regard to Indian preference (e.g. Public Law (P.L.) 94-437, “Indian Health Care Improvement Act (IHCIA). To receive Indian preference for any SIHC position, the applicant must be enrolled, or be eligible for enrollment, as an American Indian with their Tribe, or must be certified as an American Indian from the designated Tribal Representative. Applicants claiming Indian preference must attach verification of their claim to the SIHC application, including Certification of form BIA-4432, which is available from the SIHC Human Resources Department. If verification is not or cannot be verified, the applicant will not receive Indian preference for purposes of the interview.