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Through growth and change, the Gila River Health Care remains committed to provide quality medical care to meet the health needs of the community.

JOB SUMMARY: Provides health care services through delivery of professional nursing care appropriate to patients population and condition in consideration of the diverse physical, emotional, spiritual and socio-economic needs and beliefs of families and the community in accordance with all Tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Current State of Arizona RN license; American Heart Association BLS, PALS certificate within 30 days of hire 2. 1 year previous nursing experience with ability to perform more advanced clinical skills preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Provides population appropriate nursing care to the episodic, urgent, emergent, acute and/or chronically ill in a clinic setting 2. Performs assessment, triage, intervention, treatment, evaluation and referral as appropriate 3. Administers patient treatments as ordered including maintenance injections; initiates and monitors IV therapy and Non stress tests; assesses patient reactions and performs interventions as appropriate for patient safety 4. Performs ongoing patient/family assessment and identifies variances from diagnosis 5. Maintains and updates patient´s medical records through concise, accurate and timely documentation 6. Works collaboratively with patient care team and family members to establish and implement plan of care to ensure coordination of activities and ongoing communication of patient health status 7. Participates in patient care rounds and patient care conferences as appropriate 8. Continually assesses and evaluates patient´s health status and response to care, teaching and discharge plan 9. Shares observations and assessment outcomes with health care team and family to ensure communication and understanding of patient health status, progress and ongoing needs 10. As primary nursing care provider, supervises patient care activities of assigned team members, delegates activities appropriate to knowledge, skill and competency; provides timely feedback and review of care delivery to ensure maintenance of patient safety, infection control procedures and therapeutic environment 11. Maintains professional and technical competency through regular participation in a variety of educational programs and in-services, reviews relevant professional publications and materials 12. Develops and maintains good working and professional relationships with other health care team members and providers to facilitate open and cooperative communication 13. Assists ambulate patient to and from other clinic areas 14. Actively participates/assists during urgent care situations as directed; initiates and administers CPR as appropriate 15. Provides orientation to the clinic and hospital systems and processes to patients and family members 16. Contributes to the team/units efforts by completing required activities within established parameters to ensure compliance with all applicable medication, storage and documentation standards, regulations and requirements 17. Reviews and reinforces with patient/family ongoing education of basic technical procedures, activities and safety necessary for daily living 18. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 19. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor 20. Participates in orientation, preceptorship, mentoring new employees and students -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : DayRef Code: GRHC 09-225

JOB SUMMARY: Provides assistance to physician in the diagnosis and treatment of patients as directed and supervised in accordance with all Tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Graduation from an Accredited Physician Assistant or Nurse Practitioner Program 2. Current license to practice as a Physician Assistant by the Arizona State Board of Medical Examiners/Nursing 3. Current and valid State of Arizona drivers license ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Secures health and developmental history from patient or parent; records findings, assessment/evaluation of condition in medical records 2. Performs complete physical examination of patient and present pertinent data to physician 3. Collects and assists interpret reports from diagnostic and laboratory tests, radiographic procedures and clinical studies 4. Determines tentative diagnosis, orders tests and recommends medication prescription to physician 5. Provides counsel to patient and family on health and disease 6. Performs various therapeutic and minor surgical procedures including, but not limited to: sutures minor wounds, applies and removes casts 7. Provides follow up care to patients; assists in referral to various internal and external facilities 8. Advises patients concerning diet, hygiene, normal growth and development and methods for prevention of disease 9. Compiles and records detailed narrative case evaluations 10. Provides statistical summaries of services provided 11. Maintains knowledge and proficiency in medical practices through continuing education, staff meetings and workshop participation 12. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 13. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : DayRef Code: GRHC 09-219

Through growth and change, the Gila River Health Care remains committed to provide quality medical care to meet the health needs of the community.

JOB SUMMARY: Provides health care services through delivery of professional nursing care appropriate to patients age and condition as documented in the nursing and medical plans of care and in consideration of the diverse physical, emotional, spiritual and socio-economic needs and beliefs of families and the community in accordance with all Tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Current State of Arizona RN license; American Heart Association BLS certification within 30 days of hire 2. Must have at least 1- 2 years previous nursing experience with ability to perform more advanced clinical skills associated with renal dialysis; Hemodialysis certification preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Completes nursing assessment of patients condition consistent with age and condition including physical, psychological, social, developmental and educational needs 2. Determines initial level of compliance with treatment plan in accordance with hospital policy and unit guidelines 3. Performs ongoing patient/family assessment and identifies variances from diagnosis 4. Maintains and updates patients medical records through concise, accurate and timely documentation 5. Works collaboratively with patient care team and family members to establish and implement plan of care to ensure coordination of activities and ongoing communication of patient health status 6. Participates in patient care rounds and patient care conferences as appropriate 7. Continually assesses and evaluates patients health status and response to care, teaching and discharge plan 8. Shares observations and assessment outcomes with health care team and family to ensure communication and understanding of patient health status, progress and ongoing needs 9. As primary nursing care provider, supervises patient care activities of assigned team members, delegates activities appropriate to knowledge, skill and competency; provides timely feedback and review of care delivery to ensure maintenance of patient safety, infection control procedures and therapeutic environment 10. Maintains professional and technical competency through regular participation in a variety of educational programs and in-services, reviews relevant professional publications and materials 11. Develops and maintains good working and professional relationships with other health care team members and providers to facilitate open and cooperative communication 12. Provides orientation to the unit and hospital systems and processes to patients and family members to ensure familiarity with unit policies and requirements 13. Contributes to the team/units efforts by completing required activities within established parameters to ensure compliance with all applicable medication, storage and documentation standards, regulations and requirements 14. Reviews and reinforces with patient/family ongoing education of basic technical procedures, activities and safety necessary for daily living 15. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 16. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : DayRef Code: GRHC 09-224

JOB SUMMARY: Provides health care services through delivery of professional nursing care appropriate to patients population and condition in consideration of the diverse physical, emotional, spiritual and socio-economic needs and beliefs of families and the community in accordance with all Tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Current State of Arizona RN license; American Heart Association BLS, PALS certificate within 30 days of hire 2. 1 year previous nursing experience with ability to perform more advanced clinical skills preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Provides population appropriate nursing care to the episodic, urgent, emergent, acute and/or chronically ill in a clinic setting 2. Performs assessment, triage, intervention, treatment, evaluation and referral as appropriate 3. Administers patient treatments as ordered including maintenance injections; initiates and monitors IV therapy and Non stress tests; assesses patient reactions and performs interventions as appropriate for patient safety 4. Performs ongoing patient/family assessment and identifies variances from diagnosis 5. Maintains and updates patients medical records through concise, accurate and timely documentation 6. Works collaboratively with patient care team and family members to establish and implement plan of care to ensure coordination of activities and ongoing communication of patient health status 7. Participates in patient care rounds and patient care conferences as appropriate 8. Continually assesses and evaluates patients health status and response to care, teaching and discharge plan 9. Shares observations and assessment outcomes with health care team and family to ensure communication and understanding of patient health status, progress and ongoing needs 10. As primary nursing care provider, supervises patient care activities of assigned team members, delegates activities appropriate to knowledge, skill and competency; provides timely feedback and review of care delivery to ensure maintenance of patient safety, infection control procedures and therapeutic environment 11. Maintains professional and technical competency through regular participation in a variety of educational programs and in-services, reviews relevant professional publications and materials 12. Develops and maintains good working and professional relationships with other health care team members and providers to facilitate open and cooperative communication 13. Assists ambulate patient to and from other clinic areas 14. Actively participates/assists during urgent care situations as directed; initiates and administers CPR as appropriate 15. Provides orientation to the clinic and hospital systems and processes to patients and family members 16. Contributes to the team/units efforts by completing required activities within established parameters to ensure compliance with all applicable medication, storage and documentation standards, regulations and requirements 17. Reviews and reinforces with patient/family ongoing education of basic technical procedures, activities and safety necessary for daily living 18. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 19. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor 20. Participates in orientation, preceptorship, mentoring new employees and students -------------------------------------------------------------------------------- Additional InformationPosition Type : TemporaryShift : DayRef Code: GRHC 09-209ABC

Through growth and change, the Gila River Health Care remains committed to provide quality medical care to meet the health needs of the community.

JOB SUMMARY: Assesses the physical, psychosocial needs of the patient and implement a plan of care through diagnostic, preventative and therapeutic services responsive to the diverse needs of the individual, the families and the community in accordance with all Tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Masters degree in Nursing preferably with an emphasis womens health care, national certification preferred 2. Current State of Arizona RN license; American Heart Association BLS certification within 30 days of hire 3. Current license to practice as a Nurse Practitioner and state authority for advanced practice including possession of prescription and dispensing privileges 4. Must have at least 3-5 years previous Public Health or community health experience 5. Current and valid State of Arizona drivers license 1. Performs various diagnostic, preventive and/or therapeutic procedures and/or orders special screenings and developmental or laboratory tests to diagnose conditions; interprets results and takes appropriate action 2. Serves as a direct link between the client, family, school, medical providers, community service agencies and other applicable services/resources to provide for health needs of patient or clients 3. Secures health and developmental history from patient or parent; records findings, assessment/evaluation of condition to discriminate between normal and abnormal findings 4. Performs emergency services and/or crisis intervention in absence of physician up to and including life saving procedures to ensure stabilization of patient for transport 5. Provides age appropriate care and services for emergent, urgent, acute or chronically ill patients; adjusts treatment within established standing orders; refers patient to other health care providers as appropriate 6. Works collaboratively and cooperatively with other professionals and agencies to coordinate care and services to include immunizations and disease contact, environmental health and health education 7. Works collaboratively with Director and medical staff in management of complex medical problems 8. Participates in planning, instituting, evaluating and revising medical program plans; assists in determining conditions, resources and policies for efficient delivery of health services 9. Participates in and conducts studies relevant to health care needs of patients 10. Serves in a teaching capacity to facilitate the ongoing development of other health care workers 11. Maintains records and reports on patients, program activities and status associated with the program operations, quality assurance and outcome measures 12. Teaches patient and family members ways to maintain or improve health status; conducts home visits as indicated to provide care based on reproductive health care needs 13. Maintains records and reports on patients, program activities and status for use in assessment of program operation, quality assurance, billing and related actions 14. Collects data, completes and submits required program documentation to ensure compliance with Title X guidelines and standards 15. Works closely and cooperatively with other health care providers and outside as needed to ensure timely communication of issues/concerns and coordination of care 16. Maintains knowledge and proficiency in medical practices through continuing education, staff meetings and workshop participation 17. Maintains close contact with patient through home, school health office visits, phone and/or written documents to monitor progress and suitability of environment 18. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 19. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor 20. Assists in developing administrative and clinical policies and procedures including monitoring and participating in QA activities -------------------------------------------------------------------------------- Additional InformationPosition Type : TemporaryShift : Day

JOB SUMMARY: Provides health care services through delivery of professional nursing care appropriate to patients age and condition in an emergency care setting in consideration of the diverse physical, emotional, spiritual and socio-economic needs and beliefs of families and the community in accordance with all tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Current State of Arizona RN license; American Heart Association BLS certification within 30 days of hire and ACLS within six months of hire 2. Must have at least 1- 2 years previous nursing experience in an emergency care setting with ability to perform more advanced clinical skills ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Completes nursing assessment of assigned patients condition consistent with age and condition including physical, psychological, social, developmental and educational needs 2. Determines initial level of compliance with treatment plan in accordance with hospital policy and unit guidelines 3. Performs nursing crisis intervention, stabilization, triage and emergency procedures to patients in varying health and physical states 4. Performs patient/family assessment and identifies variances from diagnosis 5. Maintains and updates patients medical records through concise, accurate and timely documentation 6. Works collaboratively with patient care team and family members to establish and implement plan of care to ensure coordination of activities and ongoing communication of patient health status 7. Assesses and evaluates patients health status and response to care, teaching and discharge plan 8. Shares observations and assessment outcomes with health care team and family to ensure communication and understanding of patient health status, progress and ongoing needs 9. As primary nursing care provider, supervises patient care activities of assigned team members, delegates activities appropriate to knowledge, skill and competency; provides timely feedback and review of care delivery to ensure maintenance of patient safety, infection control procedures and therapeutic environment 10. Maintains professional and technical competency through regular participation in a variety of educational programs and in-services, reviews relevant professional publications and materials 11. Develops and maintains good working and professional relationships with other health care team members and providers to facilitate open and cooperative communication 12. Contributes to the team/units efforts by completing required activities within established parameters to ensure compliance with all applicable medication, storage and documentation standards, regulations and requirements 13. Reviews and reinforces with patient/family ongoing education of basic technical procedures, activities and safety necessary for daily living 14. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 15. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : NightRef Code: GRHC 09-201 ABCD

Through growth and change, the Gila River Health Care remains committed to provide quality medical care to meet the health needs of the community.

JOB SUMMARY: Provides health care services to children in the Early Education and Intervention Program, Head Start and schools associated within the Gila River Indian Community in consideration of the diverse physical, emotional, spiritual and socio-economic needs and beliefs of families and the community in accordance with all tribal, state, federal and licensing standards and guidelines MINIMUM QUALIFICATIONS: 1. Current State of Arizona RN license; American Heart Association BLS certification within 30 days of hire 2. Must have at least 2 years previous Public Health, Community Health, Pediatric or primary health care experience with school age children and/or school nursing program; current and valid State of Arizona driver’s license ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Provides age appropriate nursing care to the episodic, urgent, emergent, acute and/or chronically ill or injured student in a school setting 2. Performs assessment, triage, intervention, treatment, evaluation and referral as appropriate 3. Maintains and updates student health records through concise, accurate and timely documentation 4. Provides health services to children with special health care needs, including, but not limited to: chronic illnesses and disabilities to ensure integration of an individualized health care plan with educational plan 5. Assesses student’s health status, identifies health problems effecting educational progress and develops plan appropriate for school setting 6. Identifies, removes, minimizes and/or manages health issues of students to ensure students remain in school 7. Provides safe and effective direct health services and/or facilitates performance of special health care procedures required 8. Participates in student/family/teacher conferences; provides information and education regarding health issues to provide for understanding and facilitation of student’s educational needs 9. Provides mandated screening and immunization monitoring, health education and access to primary health care 10. Develops and maintains good working and professional relationships with school personnel and board members to facilitate open and cooperative communication 11. Promotes healthy and safe school environment by implementation of performing safety drills and environmental inspections 12. Serves as a direct link between students, families, schools, medical providers, community services agencies and other agencies 13. Participates in planning, instituting, evaluating and revising medical program plans; assists determine conditions, resources and policies for efficient delivery of health services 14. Maintains records and reports on patients, program activities and status associated with the program operations, quality assurance and outcome measures 15. Works closely and cooperatively with other health care providers and outside agencies including, but not limited to: Child Protective Services, RHBA, Tribal Social Services and OPD as needed to ensure timely communication of issues/concerns and coordination of care 16. Actively participates in the implementation and evaluation of annual health fairs, vision/hearing checks, immunization clinics and wellness screening programs 17. Implements and evaluates immunization program status to ensure compliance with all regulations and requirements 18. Maintains close contact with patient through home, school health office visits, phone and/or written to monitor progress and suitability of environment 19. Participates in departmental orientation, on the job training and quality assurance programs/initiatives 20. Participates in a variety of department and hospital educational programs to maintain current skills and competency levels; identifies and discusses performance or training needs with Supervisor -------------------------------------------------------------------------------- Additional InformationPosition Type : Full TimeShift : DayRef Code: GRHC 09-004