Nurse (All Specialties)

Indian Health Service; Harlem (MT); On-site; USD 70,000 - 100,000; Full time

Job summary

The Indian Health Service (IHS) is seeking registered nurses to deliver compassionate care across pediatric, adolescent, adult and geriatric patients in Emergency Department, Obstetrics/Labor and Delivery, Operating Room and Med/Surg-Inpatient units. Roles involve evidence-based nursing, triage using ESI, and comprehensive patient management in a high-demand setting.

This position offers a chance to impact American Indian and Alaska Native health outcomes, with opportunities for professional

Qualifications

• U.S. citizenship is required.

Responsibilities

• ER: triage, stabilize and provide emergency care, monitor acutely ill patients.
• OB: obstetric care from labor to newborn discharge, birth-related care.
• OR: pre-, intra-, and post-operative nursing assessments and care; assist as scrub tech if needed.
• Med-Surg-Inpatient: coordinate care, administer meds, support patient education and safety.

Job description

Summary
At the Indian Health Service (IHS), Nurses do more than practice medicine-they change lives. Guided by our mission to raise the health of American Indian and Alaska Native people, you'll deliver compassionate care where it's needed most.

Summary
At the Indian Health Service (IHS), Nurses do more than practice medicine-they change lives. Guided by our mission to raise the health of American Indian and Alaska Native people, you'll deliver compassionate care where it's needed most.
Your expertise brings healing and hope across generations. Begin your journey with purpose - AND receive a recruitment/relocation sign-on bonus, if you are eligible.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Duties
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Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Registered Nurse Total Compensation | Pay (ihs.gov)
Not all locations may have immediate vacancies. The purpose of this position is to provide comprehensive care to pediatric, adolescent, adult and geriatric patients within the Indian Health Service within the Emergency Department, Obstetrics/Labor and Delivery, Operating Room, and Med/Surg-Inpatient.
ER Duties

• Assessing, planning, coordinating, implementing, and evaluating the delivery of skilled patient care in accordance with nursing standards and evidence-based practice.
• Performing triage using the Emergency Severity Index (ESI) system to determine patient acuity and prioritize treatment needs.
• Providing comprehensive emergency care to stable, unstable, and critically ill patients, including stabilization, resuscitation, and life-support interventions.
• Utilizing critical thinking skills to make complex clinical decisions and respond effectively to rapidly changing patient conditions.
  

OB Duties:

• Provides professional nursing care in the obstetrical unit for patients in labor and delivery, postpartum through discharge, and for newborns from birth to discharge.
• Develops, implements, and evaluates individualized patient care plans across the continuum of care including antepartum, intrapartum, postpartum, obstetrical triage, and newborn nursery services.
• Obtain and maintain certifications as required by hospital policy, such as Basic Life Support (BLS), Advanced Life Support (ACLS), and Neo-Natal Resuscitation Program (NRP), Fetal Monitoring.
  

OR Duties

• Assessing patient condition based on observation, physical examination, interview, physician diagnosis, laboratory data, and age-specific needs.
• Providing pre- and post-operative education, emotional support, and guidance to patients and families regarding procedures, recovery expectations, and self-care.
• Performing pre-, intra-, and post-operative assessments in PACU, Same-Day Surgery, and Pre-Admission units, ensuring safe patient transitions and timely documentation.
• Maintaining required certifications (e.g., ACLS, BLS, PALS) and demonstrating competency in advanced perioperative and procedural nursing skills.
• If needed will function as the primary scrub technician and be responsible for handling instrument, supplies, and equipment during all surgical procedures.
  

Med-Surg-Inpatient Duties

• Promoting evidence-based nursing practice through coordinating care focused on patient education, self-management, and overall satisfaction throughout the continuum of inpatient care.
• Administering medications and performing procedures in accordance with established policies and clinical standards.
• Participating in performance improvement, patient safety, and quality initiatives to enhance clinical effectiveness and efficiency.
  

Requirements
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Conditions of employment
Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959
This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy