PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

Position Summary:

The incumbent serves in an ambulatory care setting and is responsible for managing services and nursing staff assigned to the department.

Scope of Work:

This position is located within the Tohono O'odham Nation Health Care Sells hospital and San Xavier, San Simon, or San Simon Health Center. The incumbent is responsible for supervising and managing the ambulatory care department and ambulatory care staff.

Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):

• General managerial duties with planning, organizing, directing, and evaluating a comprehensive ambulatory care program.
• Responsible for establishing and implementing long and short-term policies and programs for ambulatory and nursing care services.
• Monitors the nursing program plans and prepares routine reports based upon program plans.
• Ensure compliance with standards such as HIPAA, Privacy Act, Infection Control, and national accrediting bodies {TIC, CMS, OIG).
• Keeps abreast of changing developments, health care policies, directions or practices, and the changing health care needs of the population served.
• Responsible and accountable for maintaining a significant budget that includes ambulatory care and nursing personnel, FTEs, equipment, supply purchases, travel, and training.
• Responsible for carrying out the mission, vision, and goals of the Tohono O'odham Nation Health Care.
• Plans and adjusts work schedules and operations to meet organizational objectives, priorities, deadlines, and standards of care to deliver ambulatory and nursing services.
• Evaluates operations and services provided concerning patient flow, productivity, and care needs of the population served.
• Develop an orientation plan for each employee specific to their skills and needs of the unit and agency.
• Maintain competency file on each employee.
• Coordinates and assures that qualified staff are available as preceptors for new team members.
• Ensures that all staff members maintain 100% compliance with licensure requirements.
• Conducts meetings and conferences with ambulatory care and nursing staff to explain work requirements, methods, and procedures as needed.
• Give special instructions on complex or different activities and answers technical questions about work assignments.
• Informs employees about the policies, procedures, and goals of management-related work of the unit.
• Supervises employees who perform professional nursing care, medical assistant care, and patient registration duties and provides technical and supportive activities in an ambulatory care setting.
• Determines personnel needs and manages available resources to provide optimal patient care.
• Evaluates employees' performances; develop work improvement plans as needed, recommend training needs, and suggest awards/recognition.
• Resolves informal complaints of employees and refers those beyond the unit level to higher management.
• Responsible for furthering the Equal Employment Opportunity (EEO) goals by taking positive steps to assure the accomplishment of the affirmative action objectives and by adhering to non-discriminatory employee practices regarding race, color, religion, sex, national origin, age, or handicap.
• Works with other key nursing staff members responsible for participating in top management discussion, decisions, and policymaking and sharing accordingly in management decisions/actions.
• Participate with the supervisory nursing staff members to formulate policies, programs, and procedures related to nursing care and services and overall clinical services.
• Develop and implement plans and programs to improve or revise present programs services to meet the changing needs of the patient population.
• Participates in decisions, which affect the ability of TONHC to provide adequate patient care, thus affecting the life and wellbeing of patients.
• Provide recommendations relative to performance improvement, safety control, and infection control inspections.
• Works with tribal groups and university-based nursing programs to promote and understand the hospital programs.
• Works with a university-based nursing program to develop and strengthen the profession of nursing and individual nursing students (in-state and out of state).
• Participate in collaboration with the Nurse Executive Team to recruit and retain qualified and experienced professional nursing staff.
• Participates with the supervisory nursing staff in the formation of strategic planning that incorporates long-term and short-term goals.
• Rotates supervisory call-back duties within the Division of Hospital Nursing Branch as scheduled.
• Maintain clinical competence and expertise in a specialty area, provides skilled and comprehensive nursing care to the patients in the clinical/community setting. Closely observe patients for conditions that may require emergency measures. Exercises sound judgment in interpreting observations to the physician and initiates emergency measures.
• Prepare routine reports to the immediate supervisor.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge of Tohono O'odham culture, customs, and traditions.
• Knowledge of established and up-to-date nursing concepts, principles, practices, and procedures required to provide nursing care to potentially high-risk complicated patients.
• Knowledge of regulatory agencies' documentation requirements and ability to accurately and completely document clinical data.
• Knowledge of application and use of specialized equipment, including monitors.
• Knowledge of hospital policy and procedures relating to infection Control and Performance improvement.
• Knowledge of pharmacology of various medications and their therapeutic and adverse reactions.
• Knowledge of physical assessment, disease processes, and interventions.
• Knowledge of age-specific aspects of care.
• Knowledge of proper practice and procedures in emergency situations, including the implementation of life-saving procedures.
• Knowledge of human behavior to provide counseling, guidance, and health instruction to create and maintain a positive healing experience for patients and their families.
• Knowledge of basic management techniques to provide guidance and leadership to other nursing personnel and develop a flexible, individualized, and comprehensive management plan.
• Knowledge of various cultures, customs of different ethnic groups, and ability to incorporate and appreciate their healthcare delivery efforts.
• Knowledge of statistical and research methods and applying them as needed to identify and solve problems not susceptible to other methods.
• Strong leadership skills and abilities, including the ability to motivate people toward accomplishing organizational goals and objectives.
• Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).
• Knowledge of supervisory and managerial skills and applies skills assigned department.
• Knowledge of and skill in using personal computers, various software, RPMS database, and related computer equipment is required to maintain databases, prepare reports, and track program activities.
• Organizational skills.

Minimum Qualifications:

• Bachelor or higher degree from a professional nursing program approved by the legally designated State-accrediting agency at the time the program was completed by the applicant, and;
• One year Ambulatory Care experience in a clinical setting or urgent care setting, and;
• One year of supervisory experience.

Licenses, Certifications, Special Requirements:

• Applicants must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or the United States territory.
• Must have certifications in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED), and First Aid upon hire.
• Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
• May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
• If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
• Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as employment conditions.