Careers

Pediatric Nurse Practitioner - School-Based Health Center (SBHC) Clinic

Primarily work out of the SBHC Clinic and provide medical care to the entire school-age tribal population.

Job Description:

The SBHC NP will primarily work out of the SBHC Clinic located on the grounds of the San Felipe Elementary and Middle School and provide medical care to the entire school-age tribal population.  NP will be responsible for treating acute and non-acute injuries and illnesses for students at San Felipe Elementary and Middle School and the Head Start program. Will also provide school sports physicals, school admission physicals, preprocedural physicals, and behavioral health support, including referrals and immunizations.  NP will assist in providing primary care services to other areas of the Health and Wellness Dept. when necessary to ensure that primary care is provided to individuals of all ages per department needs.

Duites:

• Prioritizes delivering direct primary medical care to children of San Felipe Elementary School, San Felipe Middle School, San Felipe Head Start program, and tribal patients ages 3-19 years of age receive care. 
• Develop therapeutic plans of care for prevention, management, and maintenance of optimum health for individuals.
• Collaborates and coordinates service delivery closely with the Indian Health Service medical providers serving the San Felipe Community.
• Assesses, diagnoses, treats, manages, evaluates, and monitors acute and chronic illnesses.
•  Administers prevention services and counsels psychologically challenged individuals.
• Orders, performs, interprets, evaluates, and reviews diagnostic tests and procedures.
• Prescribes and dispenses pharmaceuticals, evaluates outcomes, and dictates changes in therapeutics.
• Provides health education and counseling to promote positive health behaviors and self-care skills.
• Makes referrals to health care providers within and outside of the San Felipe Health Care system, Indian Health Service system, specialists, other clinics, and community agencies.
• Maintains client records in a systematic format approved by the Health Department. 
• Utilizes the approved documentation system of written or Electronic Health Records per the Health and Wellness Department criteria.
• Serves as a consultant and collaborator to and with the IHS health center team, clients, and community health professionals.
• Provides patient orders to Registered Nurses, Public Health Nurses, Certified Medical Assistants (CMAs), Licensed School Health Assistants (SHAs), and Community Health Representatives (CHRs).
• Participates as a preceptor and role model for Nurse Practitioner students.
• Assists and instructs other health care employees in the management of client care and programs within the Health and Wellness Dept.
• Develops, adjusts, and implements policies and procedures for the SBHC Clinic.
• Respond to Public health emergencies, testing, and care.
• May be involved in interviewing and selection of healthcare employees.
• May be assigned “on call: responsibility for Health Department clients/clinics.
• Ensures that client records are kept confidential, consistent with the Health and Wellness Dept. policies and procedures, and HIPAA standards.
• Monitors HIPAA compliance within the work environment.
• Monitors immunization compliance and assists with implementation of immunization programs and projects to ensure that tribal members receive updated, necessary vaccinations and document immunizations within a timely manner.
• Collaborates with other Health and Wellness programs to plan, set up, and deliver health care services necessary for community members.  
• Delivers care to patients using the clinical process of assessment, planning, implementation, and evaluation to effectively interact with patients, families, health team members, San Felipe Elementary School administration, and San Felipe Head Start administration.
• Performs chart audits to ensure that proper documentation is being carried out by staff.
• Ensure complete, accurate, and timely health records, including electronic health records (EHR), are maintained in a systematic format. 
• Complete referrals to various departments as needed and within policy timeframe.  Ensure follow-up to referral areas to promote consistency of care.
• Participate as a team member in daily, weekly, and monthly cleaning, disinfecting, and hygienic practices to ensure that the clinic is operating to the highest standards possible.
• Vaccine and Flu Clinic participation-administering shots, providing incentives, setting up, cleaning up, and documentation at facility walk-in or drive-up clinics within the Health and Wellness Dept.
• East Clinic Coverage- backup nursing assistance when needed for events, testing, oversight, and collaborative nursing efforts with the PHN and CHR program.
• Reproductive Health Sessions- organizing, setting up, preparing, and instructing on age-appropriate education sessions per the New Mexico Public Education Dept. curriculum. 
• Completion of monthly continuing education units (CEUs) per clinic policy to stay abreast of changing trends and technology.
• Instruct and educate staff on updated changes in practices and technology to support best care practices.
• Collaborative Meetings- when necessary, will participate in various departments. and program meetings to ensure collaboration of care. 
• Will utilize and provide incentives for services based on the school clinic's current practices to help promote healthy lifestyles and wellness practices.
• Willingness to float to other areas of the Health and Wellness Dept. when assigned, dependent upon skill level, to perform needed services.
• Willingness to assist in tasks that may be lower in skill level, including obtaining vital signs, triaging patients, front desk/clerical tasks, checking in patients, contacting parents, contacting teachers, and obtaining patient history and consents. 

Additional Responsibilities:

• Ability to apply multicultural sensitivity/awareness working in tribal communities
• The FNP must be willing to report back to work during an emergency situation, which includes, if needed, during inclement weather, mass casualty, internal disaster, natural disaster, man-made disaster, etc.
• May be assigned responsibilities for other areas of the Health and Wellness Departments to assist in community events and collaborative efforts
• Performs other duties as assigned
• Flexibility of site location as some services may require delivery within other areas of the San Felipe Pueblo

Qualifications:

Education-

• Master's or Doctorate Degree in Nursing (MSN or DNP) from an accredited college or university required

Experience/Basic Knowledge-

• Two (2) years NP experience strongly preferred
• Two (2) years of hospital, clinic, or clinical experience preferred
• Six (6) months of pediatric experience preferred
• Desire and enthusiasm to work with the pediatric population required

Required Licenses/Certifications- Must be Maintained Per Regulatory Body

• Current, valid, unrestricted license as a Registered Nurse and as an Advanced Practice Registered Nurse-Certified Nurse Practitioner in the state of New Mexico
• Current and valid nationally recognized Nurse Practitioner certification
• Current and valid Basic Life Support (BLS) certification
• Current and valid Pediatric Advanced Life Support (PALS) certification preferred
• Active Federal DEA license
• Active National Provider Identifier (NPI) number
• Active state Driver’s License

Physical Requirements-

• Ability to drive a car in all types of road conditions
• Lifting to assist patients in and out of vehicles
• Carrying up to 50lbs when necessary to set up equipment for special events, clinics, and teaching programs

Other Requirements-

• Must be able to pass a Bureau of Indian Education (BIE)/Bureau of Indian Affairs (BIA) federal background check
• This is in addition to the San Felipe Human Resources background check

Preferences -

• San Felipe Preference
• Veteran’s Preference

Working Conditions:

• Ability to work under emergent and disruptive conditions that require sound, rapid clinical assessment, clinical decision-making skills, and clinical judgment during care for the pediatric patient, including consultation/collaboration with other healthcare providers, use of clinical guidelines, and documentation of assessment, interventions, and patient response to treatment, changes in condition, and interventions/procedures.
• Ability to work in a variety of settings, including, but not limited to: office/clerical, SBHC, East Clinic, outdoor community settings, and home visits.
• May be exposed to communicable diseases, blood, and other bodily fluids. 

Additional Info:

Supervision and Guidelines:

Supervision- Reports to the School Health Center Office manager

Collaboration- San Felipe Medical Providers, San Felipe Mental Health Providers, San Felipe Pharmacy Providers, Health and Wellness Leadership, Clinic Nurses, Public Health Nurses, Diabetes Nurses, Nurse Assistants, School Health Assistants, and all personnel of the Indian Health Services to ensure consistent and collaborative care.

Guidelines- Per the personnel policy and department policies and procedures. 

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