Lead Mobile Nurse, Mobile Medical Unit

Medical Teams International•Hermiston, OR

About The Position

The Lead Mobile Nurse contributes to Medical Teams International’s mission by delivering compassionate, high-quality nursing care through its Rural Access Mobile Health Program (RAMP). Serving rural and frontier communities across Eastern Oregon, the role combines direct patient care with clinical leadership for a mobile care team. The Lead Mobile Nurse coordinates clinic operations, provides day-to-day clinical oversight, supports quality and regulatory compliance, mentors team members, and serves as the primary clinical decision-maker during mobile clinic operations in collaboration with the Chief Medical Officer and program leadership. The position provides preventive and public health nursing services, including health assessments, chronic disease screenings, point-of-care testing, pediatric and adult immunizations, evidence-based health education, vaccine counseling, and care coordination. It uses clinical judgment to determine appropriate follow-up, referrals, and connections to community resources. The role also supports vaccine safety and cold-chain practices, accurate documentation and reporting, and equitable access to preventive health services while fostering trusted community relationships. This is a full-time, 40-hour-per-week, hourly, grant-funded position initially offered for a fixed term of two years. Continued employment beyond the initial term depends on funding availability. The position requires frequent regional travel, occasional overnight stays, and a flexible schedule that may include occasional evenings and weekends. It is designated safety-sensitive and requires successful completion of a pre-employment drug screen. The role may also support emergency and disaster response deployments, including work in dynamic or austere settings.

Requirements

Bachelor’s degree in Nursing (BSN).
Current Oregon RN license in good standing.
Active CPR/BLS certificate.
Valid driver’s license and 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, healthcare regulatory requirements, evidence-based immunization practices, CDC/ACIP recommendations, vaccine administration and storage, vaccine safety, chronic disease prevention, health promotion, motivational interviewing, patient education, infection prevention, and lifespan physical and mental health conditions.
Skills in coordinating interdisciplinary teams, appropriate delegation, mentoring clinical staff, managing competing priorities, clinical documentation, EHR use, quality reporting, data collection, immunization administration, and point-of-care testing.
Written and verbal communication skills in English; moderate proficiency with Microsoft Office Suite and electronic health record systems.
Ability to provide clinical leadership, sound clinical judgment, and appropriate independent decisions within established standing orders, policies, and scope of practice.
Ability to communicate effectively and build trusting relationships with diverse patients, families, and partners using culturally responsive and trauma-informed approaches, and interpreters as appropriate.
Ability to work independently and collaboratively in mobile, community-based, rural, and resource-constrained settings; adapt to changing conditions and manage competing priorities while maintaining patient safety and care quality.
Ability to respond to medical emergencies, including CPR, basic first aid, and operation of emergency equipment within scope of practice.
Willingness to support emergency and disaster response, including short-notice deployment to affected communities and work in 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, with frequent regional travel of up to 2–4 hours per week and occasional overnight stays, and to work a flexible schedule including occasional evenings and weekends.
Ability to work collaboratively and represent the organization professionally.
Successful completion of a pre-employment drug screen for this safety-sensitive position.
Hepatitis B vaccination series is required.
Candidates are subject to background checks, police clearance, and professional reference checks.

Nice To Haves

Master’s degree in Public Health.
Care coordination or case management certification.
Bilingual 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 clinical operations for assigned mobile clinic teams, including staffing assignments, patient flow, and clinical workflows.
Provide day-to-day clinical leadership, mentorship, orientation, coaching, and support to nurses, medical assistants, community health workers, volunteers, students, and other assigned clinical personnel.
Serve as the primary clinical decision-maker during mobile clinic operations within standing orders, organizational policies, and scope of practice, consulting designated medical providers as needed.
Provide nursing assessment, care planning, direct nursing care, preventive services, chronic disease screening, point-of-care testing, and immunizations at mobile clinics.
Assess immunization status and vaccine eligibility, administer vaccines, monitor for adverse reactions, and provide post-vaccination education and follow-up.
Provide evidence-based health education on immunizations, chronic disease prevention, and healthy lifestyles; use 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 and other clinic staff to connect patients with primary care, FQHCs, behavioral health, specialty care, public health services, and community resources; track referrals and follow up on care needs.
Participate in 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 provision 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 required clinical information accurately and promptly in the EHR, Oregon ALERT IIS, and other reporting systems.
Ensure 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.
Support vaccine inventory management, storage, transport, cold-chain monitoring, temperature documentation, and inventory reconciliation in accordance with organizational policy and VFC/VAP requirements.
Verify mobile clinic readiness, including clinical equipment, medications, vaccines, emergency supplies, and documentation.
Maintain accountability to the clinic team and RAMP program, supporting colleagues on site or remotely as needed.
Identify clinical, operational, and quality improvement opportunities; communicate concerns to program leadership; and participate in quality assurance, performance improvement, and process improvements.
Serve as a preceptor or clinical resource for staff, students, volunteers, and team members, promoting safety, professionalism, and continuous learning.
Collaborate with patients, staff, and community partners to identify and address systemic racism and other compounding biases that contribute to health disparities and homelessness.
Promote safeguarding of program participants and employees; remain alert to safeguarding risks and follow relevant policies and codes of conduct.
Delegate responsibilities in accordance with scope of practice, competency, and organizational policy; use volunteers when appropriate.
Collaborate with U.S. Programs leadership to provide surge support during domestic disasters as needed.
Perform other duties as assigned.