Advanced Registered Nurse Practitioner

Nisqually Indian Tribe • Olympia, WA

6d

About The Position

The Nisqually Health and Wellness Center seeks an experienced and compassionate Advanced Registered Nurse Practitioner to provide primary health care services to eligible patients at the Nisqually Tribal Health Clinic. The role includes wellness exams and participation in, and supervision of, the Native Women's Wellness Program and its staff. The position is part of a collaborative, patient-centered primary care team and offers a predictable Monday–Friday schedule from 8 AM to 5 PM, with no weekends, after-hours shifts, or hospital call responsibilities. The description emphasizes supportive leadership, professional development, community engagement, and a balanced work environment.

The role has regular contact with or control over Indian Children and Vulnerable Adults. The job posting states that applicants with specified felonious offenses or two or more specified misdemeanor offenses under Federal, State, or Tribal law will not be considered. It also notes that individuals ever convicted of a sex offense are subject to Nisqually's sex offender registration requirements.

The position does not supervise. The successful candidate must hold current Washington State ARNP licensure without restrictions, maintain prescriptive authority and applicable CPR or BLS certification, and have a valid driver's license with eligibility for coverage under the Tribe's insurance policy.

Requirements

• Graduation from an accredited nurse practitioner program.
• Certification as an Advanced Registered Nurse Practitioner in the State of Washington.
• 2–5 years of experience working in patient care; a comparable amount of education and experience may be considered.
• Current Washington State license to practice without restrictions, maintained at all times.
• Must have and maintain prescriptive authority.
• Current CPR or Basic Life Support (BLS) certification, depending on license requirements, and must maintain it.
• Valid driver's license and eligibility for coverage under the Tribe's insurance policy.
• Knowledge of Health Department, Tribal, and related policies, procedures, and systems.
• Knowledge of current principles and practices of the health care delivery system.
• Knowledge of current applicable health evaluation, diagnosis, and treatment practices and procedures.
• Knowledge of standard clinical medical equipment.
• Knowledge of electronic health records, systems, and related applications.
• Ability to communicate effectively, orally and in writing, with patients, staff, and outside specialty providers.

Responsibilities

• Evaluate, diagnose, and treat acute and chronic health conditions of men, women, and children.
• Take medical histories and gather subjective and objective medical data.
• Perform physical examinations and review systems and current health and prevention indicators to diagnose and treat patients according to current standards of care.
• Perform excisions, biopsies, incision and drainage, laceration repairs, casting, and other minor office procedures in accordance with training.
• Develop and coordinate comprehensive plans of care for assigned patients in accordance with training and education.
• Educate patients and provide age-appropriate preventive health measures, including vaccinations and cancer screenings.
• Manage acute, episodic, and chronic conditions, and refer patients when a disease process exceeds the provider's education, training, or experience.
• Perform phone, in-person, and home visits, as well as emergency triage activities.
• Observe, record, and report patient conditions and reactions to medications and treatments.
• Order or perform and interpret laboratory, imaging, screening, and specialized tests, such as ECGs and audiograms.
• Initiate and expedite appropriate specialist consultations and referrals.
• Prescribe and administer medications and treatments as appropriate for patient care.
• Provide direct counseling to patients and families about medical conditions and treatments.
• Document progress notes and summaries in patient medical records, including assessments, treatment plans, prescribed medications, patient instructions, and referrals.
• Maintain patient records with up-to-date lists, flow sheets, and reminders.
• Complete forms for billing, data entry, and other reporting requirements using the current Electronic Health Record system.
• Perform client education and outreach to reach people eligible for services at the Nisqually Health Clinic.
• Perform women's wellness exams.
• Participate in the Native Women's Wellness Program and other grant services and activities; ensure accurate completion, tracking, and case management for program enrollees.
• Participate in professional development and community awareness activities.
• Supervise the Native Women's Wellness Program and its staff, as described in the general summary.

Benefits

• Competitive compensation and benefits.
• Predictable Monday–Friday schedule (8 AM–5 PM).
• No weekends or after-hours shifts.
• No hospital call responsibilities.
• Supportive leadership and collaborative culture.
• Patient-centered approach to care.
• Access to outdoor recreation in a beautiful Pacific Northwest location and a welcoming community.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level