Family Nurse Practitioner

Tuolumne Me Wuk Indian Health Center Inc.•Tuolumne City, CA
•$182,416 - $273,624•Onsite

About The Position

The Nurse Practitioner is a licensed independent practitioner who assesses and diagnoses patients and provides healthcare services in accordance with state and national caregiving standards. The role is accountable for health promotion and maintenance, including pharmacologic and non-pharmacologic interventions, medication prescribing, health regimens, and lifestyle guidance to support recovery, prevent future health issues, and promote wellness. The position provides perioperative and primary care services, evaluates acute injuries and illnesses, delivers preventive care, and monitors treatment effectiveness. The Nurse Practitioner coordinates follow-up care and transitions between healthcare settings, collaborates with a multidisciplinary team, and consults with the Medi-Cal Director or Provider Practice Lead when cases exceed their scope. The role also provides patient, family, and community health education; supports staff development; participates in quality assurance; maintains licensure and continuing education; and helps update forms, protocols, and inventory. During specified public health or critical incidents, the Nurse Practitioner coordinates required notifications and reporting with relevant health and emergency authorities. The position is based at the Tuolumne Me-Wuk Indian Health Center’s clinical locations in Tuolumne, California. The schedule is Monday through Friday, 8 a.m. to 5 p.m. Travel is negligible. Employment is contingent upon successful completion of a pre-employment TB test, background check, and drug screening.

Requirements

  • Bachelor of Science in Nursing (BSN) and a master's or doctorate in nursing from an accredited program.
  • Active, unrestricted Nurse Practitioner (NP) license in California.
  • DEA registration and prescriptive authority in California.
  • Ability to interact respectfully and effectively with diverse tribal communities and demonstrate cultural sensitivity.
  • Successful completion of a pre-employment TB test, background check, and drug screening.
  • Ability to safely operate and drive a motor vehicle.
  • Ability to perform the physical requirements of the position, including prolonged walking, standing, and sitting; climbing stairs and step-stools; stooping, kneeling, crouching, balancing, and reaching; pushing, pulling, and lifting up to 30 pounds; raising objects overhead; operating a computer and phones; repetitive wrist, hand, and finger motions; tolerating outdoor heat and cold; and walking on uneven ground.
  • Good verbal and written communication skills, hearing, and talking ability.

Nice To Haves

  • At least 2 years of experience working with the Native American population in a healthcare setting is preferred.
  • Qualified Native American and Alaskan Native applicants receive preference under the Indian Preference Act and Public Law 93-638, with appropriate documentation; in-house postings also include Tribal Voting Members.

Responsibilities

  • Independently perform comprehensive histories and physical examinations for perioperative and primary care patients, assessing normal and abnormal findings.
  • Evaluate and treat acute injuries and illnesses, provide preventive healthcare services, and monitor the effectiveness of interventions.
  • Order and interpret diagnostic and therapeutic tests; prescribe medications; and implement treatment plans in compliance with standardized procedures, laws, regulations, and IHS guidelines.
  • Coordinate follow-up services, including laboratory work, imaging, specialist referrals, and appointment scheduling through the Medi-Cal Receptionist.
  • Manage admissions, transfers, and discharges and coordinate seamless transitions between healthcare settings in collaboration with a multidisciplinary team.
  • Consult with the Medi-Cal Director or Provider Practice Lead when cases exceed professional scope, and assist with updating clinic protocols as needed.
  • Educate patients and families about health promotion, risk management, and disease prevention.
  • Interface with community organizations to identify and connect individuals with needed resources.
  • Serve as a resource to staff in the Nurse Practitioner’s area of expertise.
  • Maintain licensure, pursue continuing education, participate in quality assurance initiatives, and ensure patient records adhere to QA guidelines.
  • Update Medi-Cal forms and clinic protocols, assist with inventory management, and participate in the Quality Assurance Committee.
  • For epidemics, poisonings, major accidents, and other critical incidents, notify and coordinate with the Department of Health Services, local health departments, and fire authorities as required; report incidents by telephone within 24 hours, provide written confirmation, and retain an incident report on file for one year.

Benefits

  • Medical, dental, and vision coverage.
  • 401(k) plan.
  • Indian Health Service Loan Forgiveness opportunities.
  • Competitive salaries and a work-life balance.
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