Lead Registered Nurse

Great Plains Tribal Leaders Health Board; Rapid City (SD); On-site; USD 60,000 - 80,000; Full time

Job summary

Great Plains Tribal Leaders Health Board is seeking a Lead Registered Nurse to provide high-quality nursing care in Primary and Urgent Care settings. The role involves clinical leadership, patient assessments, and collaboration with healthcare providers, ensuring optimal patient outcomes. This position Requires RN licensure and a commitment to ongoing education in nursing practices.

Qualifications

• Licensed as a Registered Nurse by any US State or Territory.
• Three (3) years of nursing experience.
• Experience with American Indian populations preferred.

Responsibilities

• Provide nursing patient care in a Primary Care and Urgent Care setting.
• Develop care plans to improve patient health outcomes.
• Monitor departmental flow to ensure quality care.

Skills

Team leadership

Communication

Critical thinking

Organizational skills

Education

Bachelor’s degree in Nursing

Job description

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Great Plains Tribal Leaders Health Board provided pay range

This range is provided by Great Plains Tribal Leaders Health Board. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$38.85/hr - $48.56/hr

Job Summary

This position is responsible for providing nursing patient care in the Primary Care and Urgent Care setting, in collaboration with Medical Providers and other members of the care team. Monitors departmental flow to ensure quality care is provided the highest quality nursing care to Oyate Health Center (OHC) patients. This position assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual’s needs, using communications and available resources to promote quality, cost effective outcomes. Will provide clinical leadership to other healthcare staff ensuring the delivery of high-quality patient care.

Essential Functions

• Coaches the team in the selection and application of appropriate problem-solving methods and techniques, provides advice on work methods, practices and procedures and assist the team and/or individual member in identifying the parameters of a viable solution.
• Ability to work well in a team environment and collaborate with other healthcare professionals.
• Commitment to continuing education and professional development, including staying up to date on the latest practices in nursing care.
• Excellent communication and interpersonal skills, including the ability to build relationships with patients, families and other healthcare professionals.
• Strong leadership and management skills, including delegating tasks effectively and providing guidance and support to other nurses and healthcare staff by problem solving and utilizing critical thinking skills, including making decisions under pressure and adapting to changing patient needs.
• Strong organizational and time management skills, including prioritizing tasks and managing a heavy workload.
• Identify cases with potential for high-risk complications; act as an advocate for an individual's health care needs; Understand methods for assessing an individual's present level of physical/mental impairment; Assist individuals with the development of short-and-long-term health goals; Understand the psychological characteristics of wellness.
• Develop care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, minimize hospital and emergency room utilization, and are obtainable and concise with the patient needs and goals.
• Obtains the initial screening history on patients being seen in the clinic/urgent care; performs visual assessment, observation, obtains required vital signs, review of health care reminders and immunization status and appropriate physical assessment. Assess patient health and wellbeing within the following categories: obstetrics/gynecological, respiratory, cardiology, abdominal, urology, musculoskeletal, neurology and dermatology; assesses for chronic disease such as chronic back and shoulder pain, gastrointestinal problems, diabetes, and hypertension, and refers appropriately to the physician for further evaluation and care.
• Maintains awareness of comfort and safety needs of the patient; explains procedures and treatments to the patient to gain cooperation, understanding, and allay apprehension.
• Aids nursing staff and medical provider during treatment and examination of patient’s clinical condition recognizing serious situations while taking appropriate preplanned measures.
• Operates and monitors medical equipment such as suction apparatus, nasogastric suction, AED, adult and infant scales, vital sign machines, IV Pumps, EKG machine, and all other applicable medical equipment.
• Administers prescribed medications, including oral, topical, parenteral, intravenous, rectal, and through other administration routes, and assesses the patient's response to medication; Assesses a patient prior to medication administration or oxygen administration, and documents this assessment appropriately; Uses a systematic process to determine the efficacy of medication administration, and determines the appropriate action to take when medication administered are ineffective or have limited effectiveness.
• Administers oxygen therapy as appropriate, documenting the patient's response to oxygen therapy and the process of administration and takes appropriate action when oxygen therapy is ineffective or has limited effectiveness.
• Maintains accountability for delivery of quality nursing care; Communicates with medical providers, supervisor, and charge nurse to obtain diagnostic and therapeutic assistance and coordination of needs.
• Collects specimens and orders appropriate laboratory and x-ray studies as authorized by the medical provider.
• Records accurate, timely and appropriate information in the patient’s electronic health record; documents observations, nursing interventions, therapeutic measures administered and status of coordinated activities between nursing and other professional disciplines.
• Initiates a patient education plan according to the individualized needs of the patient, as prescribed by medical provider and/or OHC policy, including patient and family instruction; notifies patient of lab results and provides advice to patients per provider instruction.
• Assists with referrals and/or follow-up care based on results of laboratory and x-ray reports, and the mental health and well-being of the patient as recommended by the medical provider.
• Responds to life saving situations based upon nursing standards, policies, code procedures, and established protocol.
• Participates in quality improvement activities such as GPRA, PI, nursing audits/peer review, infection control, case management and nursing care conferences.
• Informs the nursing supervisor of personnel issues, clinical requirements, needs for additional equipment and supplies, reportable situations, and environmental improvements.
• Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).
• Will precept nursing student(s) at Oyate Health Center.
• Assists in new employee orientation for new nursing staff to ensure orientation is completed.
• Performs other related duties.
  
  

Professional Behavior

• Effectively plan, organize workload, and schedule time to meet the demands of the position.
• Work in a cooperative and professional manner with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize effective verbal and written communication skills.
• Advance personal educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation, and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crisis and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco, and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.
• Other duties as assigned by the Supervisor
  
  

Requirements

• Participates in Core Connections training and applies GPTLHB Core Connections concepts and practices in their work.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel, as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers, and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
  
  

Supervisory Controls

The supervisor sets the overall objectives and resources available. The employee and supervisor, in consultation, develop deadlines, projects, and work to be done.

The employee is considered an expert and is responsible for planning and carrying out the assignment, resolving most of the conflicts that arise, coordinating the work with others as necessary, and interpreting policy on their own initiative in terms of established objectives. In some assignments, the employee also determines the approach and methodology to be used. The employee keeps the supervisor informed of progress and potentially controversial matters.

Completed work is reviewed only from an overall standpoint in terms of feasibility, compatibility with other work, or effectiveness in meeting requirements or expected results.

Guidelines

Guidelines include state and federal laws and regulations, OHC policies and procedures, OHC Medical Staff Bylaws, professional standards of medical practice, medical standing orders, and Centers or Medicare and Medicaid Services Conditions of Participation manual. These guidelines are not applicable to every situation encountered and require independent judgment, selection, and interpretation in application.

Complexity

The work typically includes varied duties that require many different and unrelated processes and methods, such as those relating to well established aspects of an administrative or professional field. Decisions regarding what needs to be done include the assessment of unusual circumstances, variations in approach, and incomplete or conflicting data.

The work requires making many decisions concerning such things as interpretation of considerable data, planning of the work, or refinement of the methods and techniques to be used.

Scope And Effect

The work involves treating a variety of conventional problems, questions, or situations in conformance with established criteria. The work product or service affects the design or operation of systems, programs, or equipment; the adequacy of such; the social, physical, and economic well-being of people; or the social or economic well-being of the organization.

Personal Contacts

Contacts are typically with clinical providers, patients, employees, community resource agencies, patient family members, CDC, State Departments of Health, local Health Departments, Tribal Health programs, and the general public.

Purpose Of Contacts

Contacts are primarily for obtaining, furnishing, exchanging, and providing factual medical information.

Physical Demands

The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, books, or small parts; or driving an automobile. The employee must be able to read, write, speak, and hear.

Work Environment

The work involves moderate risks or discomforts that require special safety precautions, e.g., working around moving parts, carts, or machines; exposure to contagious diseases or irritant chemicals. Employees may be required to use protective clothing or gear, such as masks, gowns, coats, boots, goggles, gloves, or shields.

Supervisory And Management Responsibility

This is a non-supervisory position that may provide functional direction, guidance, and instruction to other employees when necessary. This position possesses authority to assign, coordinate, and review quality and quantity of work of other employees. Instructs employees in specific techniques or technical methods for accomplishing work assignments. The employee may perform the same type of work as other employees but may be responsible for performance of the more technically difficult, controversial, or sensitive work assigned to the unit or group.

Direct Reports

None.

Minimum Education & Experience Requirements

Bachelor’s degree and three (3) years’ experience.

Licensed as a Registered Nurse by any US State or Territory.

This is a professional and/or supervisory position that requires post-secondary education and/or considerable experience, or clinical degrees requiring a clinical rotation. Individuals must have applicable education and/or experience applying basic principles, concepts, and methodology of a professional or administrative occupation, and skill in applying this knowledge in carrying out elementary assignments, operations, or procedures, or experience perform assignments such as carrying out limited projects that involve use of specialized complicated techniques.

The GPTLHB is a tribal organization that follows tribal preference laws. Our policy is to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.

Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required .

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Public Health

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