Lead Mobile Nurse, Mobile Medical Unit

MEDICAL TEAMS INTERNATIONAL•Hermiston, OR

1d•$44 - $52

About The Position

The Lead Mobile Nurse contributes to Medical Teams International’s mission by providing high-quality, compassionate nursing care through the Rural Access Mobile Health Program (RAMP). The role provides direct nursing care and serves as the clinical lead for a mobile care team, overseeing day-to-day clinical operations, coordinating clinic workflows, supporting quality and regulatory compliance, and mentoring team members. The Lead Mobile Nurse is the primary clinical decision-maker during mobile clinic operations within established standing orders, organizational policies, and scope of practice, consulting with the Chief Medical Officer, Health Advisor, or designated medical providers as needed. The position provides preventive and public health nursing services in underserved rural and frontier communities across Eastern Oregon. Care includes health assessments, chronic disease screening, point-of-care testing, pediatric and adult immunizations, evidence-based health education, vaccine counseling, and care coordination. The role supports safe vaccine management and cold-chain practices, maintains accurate clinical documentation and reporting, and helps expand equitable access to preventive health services while building trusted community relationships. This is a full-time, 40-hour-per-week hourly position with frequent regional travel, occasional overnight stays, and a flexible schedule that may include occasional evenings and weekends. The position may also support emergency and disaster response deployments. It is designated safety-sensitive and requires successful completion of a pre-employment drug screen. The anticipated hiring range is $44.25–$52.00 per hour.

Requirements

Bachelor’s degree in Nursing (BSN).
Oregon RN license in good standing.
Active CPR/BLS certificate.
Valid driver’s license with a clean driving record.
At least 4 years of progressively responsible nursing experience in public health, primary care, community health, ambulatory care, emergency care, mobile healthcare, or a related clinical setting.
Experience working effectively as part of an interdisciplinary healthcare team.
Knowledge of clinical leadership, quality improvement, and regulatory requirements applicable to mobile and community-based healthcare.
Knowledge of evidence-based immunization practices, CDC/ACIP recommendations, vaccine administration, storage and handling, and vaccine safety.
Knowledge of chronic disease prevention, health promotion, motivational interviewing, patient education, infection prevention, and primary prevention and screening.
Knowledge of physical and mental health conditions across the lifespan, trauma-informed practice, and culturally responsive care.
Ability to coordinate interdisciplinary teams, delegate appropriately, mentor clinical staff, and manage competing priorities in dynamic clinical environments.
Ability to document clinically and use electronic health records, quality reporting systems, and data collection tools.
Ability to administer immunizations and perform point-of-care testing.
Written and verbal communication skills in English; moderate proficiency with Microsoft Office Suite and electronic health record systems.
Ability to work independently, learn quickly, remain organized and detail-oriented, and build and maintain a high-functioning team.
Ability to exercise sound clinical judgment and make clinical and operational decisions within established standing orders, policies, and scope of practice.
Ability to communicate compassionately and effectively with people from diverse backgrounds using culturally responsive, trauma-informed approaches and interpreters as appropriate.
Ability to work in mobile, community-based, rural, and resource-constrained settings and adapt to changing conditions while maintaining patient safety and quality of care.
Ability to respond to medical emergencies, including CPR, basic first aid, and use of emergency equipment within scope of practice.
Ability and willingness to support emergency and disaster response, including short-notice deployment to dynamic and potentially austere environments.
Ability to maintain confidentiality and handle protected health information in accordance with HIPAA and applicable policies.
Ability and willingness to travel throughout rural and frontier Eastern Oregon, work a flexible schedule including occasional evenings and weekends, and stay overnight occasionally as needed.
Successful completion of a pre-employment drug screen; this is a designated safety-sensitive position.
Commitment to Medical Teams International’s calling and core values and professional representation of the organization.
Willingness to comply with safeguarding expectations, background checks, police clearance, and professional reference checks.

Nice To Haves

Master’s degree in Public Health.
Care Coordination or Case Management certification.
Bilingual in English and Spanish.
Experience providing healthcare in rural, frontier, mobile, community-based, or other resource-constrained settings.
Experience as a charge nurse, clinical lead, preceptor, or team leader.
Experience coordinating immunization clinics or vaccine programs.
Experience supervising, mentoring, or providing clinical guidance to interdisciplinary healthcare teams.
Experience supporting emergency preparedness, disaster response, humanitarian response, emergency management, or other incident-based healthcare operations.

Responsibilities

Coordinate daily mobile clinic operations, staffing assignments, patient flow, and clinical workflows to support safe, efficient, high-quality care.
Provide clinical leadership, mentorship, orientation, coaching, and support to Mobile Nurses, Medical Assistants, Community Health Workers, volunteers, students, and other assigned personnel.
Serve as the primary clinical decision-maker during mobile clinic operations within standing orders, organizational policies, and scope of practice, consulting medical leadership as needed.
Provide nursing assessment, planning, direct nursing care, preventive health services, chronic disease screening, point-of-care testing, and pediatric and adult immunizations.
Use validated health screening tools and assess immunization status, vaccine eligibility, contraindications, and precautions; administer vaccines, monitor for adverse reactions, and provide post-vaccination education and follow-up.
Provide evidence-based education about immunizations, chronic disease prevention, and healthy lifestyles, using motivational interviewing and culturally responsive communication to support informed decisions and vaccine confidence.
Partner with patients and families to assess health needs, readiness for behavior change, and self-management goals, and provide individualized education and coaching.
Coordinate with Community Health Workers to connect patients with primary care, FQHCs, behavioral health, specialty care, public health services, and community resources.
Participate in community outreach events, school-based clinics, health fairs, and other mobile clinic activities with public health agencies, schools, community organizations, and tribal partners.
Support emergency and disaster response operations, including deployment and delivery of nursing assessment, triage, first aid, preventive and public health services, education, and care coordination within scope and response protocols.
Document patient care, immunizations, vaccine inventory, and other clinical information accurately and promptly in the electronic health record, Oregon ALERT IIS, and required reporting systems.
Promote compliance with organizational policies, standing orders, CDC/ACIP recommendations, OHA requirements, vaccine management and cold-chain protocols, infection prevention standards, documentation requirements, and applicable regulations.
Manage vaccine inventory, storage, transport, cold-chain monitoring, temperature documentation, and inventory reconciliation in accordance with organizational policy and VFC/VAP requirements.
Ensure mobile clinic readiness by verifying clinical equipment, medications, vaccines, emergency supplies, and documentation before clinic operations.
Support colleagues throughout the organization onsite or remotely and identify clinical, operational, and quality improvement opportunities; communicate concerns and participate in improvement efforts.
Serve as a preceptor or clinical resource for staff, students, volunteers, and team members, promoting safety, professionalism, and continuous learning.
Collaborate with patients, clients, staff, and community partners to identify and address systemic racism and other forms of bias that contribute to health disparities and homelessness.
Monitor and follow up with patients to ensure care needs are met and referrals are completed, using practice-unit resource guides and electronic care coordination platforms.
Promote safeguarding of participants and employees and comply with child and vulnerable-adult protection, protection from sexual exploitation, abuse and harassment, and harassment-free workplace policies.
Delegate responsibilities in accordance with scope of practice, competency, and organizational policy; use volunteers when appropriate.
Collaborate with US Programs leadership to provide domestic disaster surge support as needed and perform other duties as assigned.