Nurse (All Specialties)

Indian Health Service; Browning (MT); On-site; USD 75,000 - 110,000; Full time

Job summary

Indian Health Service (IHS) seeks qualified nursing professionals to deliver comprehensive patient care across Emergency Department, Obstetrics, Operating Room, and Med/Surg inpatient units. The role emphasizes compassionate, evidence-based care for American Indian and Alaska Native patients.

Providers will perform triage, stabilization, and post‑operative/obstetric care while maintaining required certifications and participating in performance improvement and patient safety initiatives. U.S.

Qualifications

• Current, active, full, and unrestricted nursing license from a U.S. state, DC, Puerto Rico, or other U.S. territory.
• Passed the National Council Licensure Examination (NCLEX).
• At least one year of specialized experience at a grade level at or above the next lower federal level, in ER, OB, OR, or Med/Surg-Inpatient.

Responsibilities

• Emergency Department duties: assess, plan, coordinate, implement and evaluate patient care; triage using ESI; provide comprehensive emergency care including stabilization and life-support.
• Obstetrics duties: provide professional nursing care from labor through postpartum discharge; implement care plans across antepartum, intrapartum, postpartum, triage, and newborn care; maintain BLS/ACLS/NRP and fetal monitoring certifications.
• Operating Room duties: assess patient condition; provide pre- and post-operative education; perform perioperative assessments; maintain ACLS/BLS/PALS; serve as primary scrub when needed.

Skills

Nursing license

Critical thinking

Patient care coordination

Emergency care

Education

Bachelor's degree in Nursing

Diploma or Associate Degree in Nursing

Job description

Role Summary

At the Indian Health Service (IHS), nurses provide comprehensive patient care across multiple clinical settings, including the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg inpatient units. The role emphasizes compassionate, evidence‑based care to American Indian and Alaska Native patients.

Key Responsibilities

Emergency Department (ER) Duties

• Assess, plan, coordinate, implement, and evaluate skilled patient care in line with nursing standards and evidence‑based practice.
• Perform triage using the Emergency Severity Index (ESI) to determine acuity and prioritize treatment.
• Provide comprehensive emergency care to stable, unstable, and critically ill patients, including stabilization, resuscitation, and life‑support interventions.
• Use critical thinking to make complex clinical decisions and respond effectively to rapidly changing patient conditions.

Obstetrics (OB) Duties

• Provide professional nursing care in the obstetrical unit for patients from labor and delivery through postpartum discharge and for newborns up to discharge.
• Develop, implement, and evaluate individualized care plans across antepartum, intrapartum, postpartum, obstetrical triage, and newborn nursery services.
• Maintain required certifications such as Basic Life Support (BLS), Advanced Life Support (ACLS), Neo‑Natal Resuscitation Program (NRP), and Fetal Monitoring.

Operating Room (OR) Duties

• Assess patient condition based on observation, examination, interview, diagnosis, and laboratory data.
• Provide pre‑ and post‑operative education and support, discuss procedures, recovery expectations, and self‑care with patients and families.
• Perform pre‑, intra‑, and post‑operative assessments in PACU, Same‑Day Surgery, and Pre‑Admission units.
• Maintain required certifications (ACLS, BLS, PALS) and demonstrate competency in advanced perioperative nursing skills.
• Function as primary scrub technician when required, handling instruments, supplies, and equipment during surgical procedures.

Med/Surg‑Inpatient Duties

• Coordinate care focused on patient education, self‑management, and overall satisfaction throughout inpatient care.
• Administer medications and perform procedures per established policies and clinical standards.
• Participate in performance improvement, patient safety, and quality initiatives to enhance clinical effectiveness.

Qualifications

• Current, active, full, and unrestricted nurse license from a U.S. state, DC, Puerto Rico, or other U.S. territory.
• Passed the National Council Licensure Examination.
• At least one year of specialized experience at a grade level at or above the next lower federal level, in the private or public sector, in one of the following areas: ER, OB, OR, or Med/Surg‑Inpatient.
• Experience must include performing duties listed under the respective specialty sections.

Educational Requirements

• Graduate or higher‑level degree, bachelor’s, associate, or diploma from an accredited professional nursing program.
• Foreign nursing graduates must provide official certification from the Commission on Graduates of Foreign Nursing Schools.

Background Investigation & Security

Successful completion of a federal background investigation is required. Applicants must complete all required background investigation forms promptly upon receipt to avoid processing delays.

Other Employment Conditions

• U.S. citizenship required.
• Selective Service registration required for males born after December 31, 1959.
• Employment may involve rotating shifts, on‑call hours, and standby duties.
• Direct deposit is required for payroll.

Financial Suitability

Applicants must demonstrate financial responsibility and satisfy all legal financial obligations. Significant delinquent financial obligations may render a candidate unsuitable for employment.