Nurse Practitioner

Flatwater Group; Towaoc (CO); On-site; USD 70,000 - 73,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plan participation

Job summary

Flatwater, Inc. seeks a Full-time Outpatient Nurse Practitioner to provide direct primary care at the Ute Mountain Ute Health Center in Towaoc, CO, serving about 2,200 eligible tribal members.

The NP will perform assessments, order tests, manage medications, participate in the PCMH team, coordinate referrals, and ensure timely EHR documentation and compliance with IHS/UMUHC standards. This role offers federal benefits, a 40-hour work week, and opportunities for professional growth in a

Qualifications

• Graduation from an accredited Nurse Practitioner program (MSN or DNP).
• Minimum of three years of recent primary care NP experience (pediatric/adult).
• Must satisfy IHS and UMUHC credentialing/privileging requirements.

Responsibilities

• Deliver direct outpatient primary care across age groups including preventive services.
• Order and interpret diagnostic tests and imaging; manage treatments.
• Prescribe medications in compliance with laws and privileges.
• Collaborate with PCMH team and coordinate referrals and transfers.
• Document encounters in EHR within 24 hours and maintain chart accuracy.

Skills

Clinical Competency

Diagnostic Interpretation

EHR Operations

Interdisciplinary Collaboration

Cultural Sensitivity

Independent Medical Judgment

Education

NP degree (MSN or DNP)

Job description

Summary

Flatwater, Inc., a tribally owned company and a division of Ho-Chunk, Inc., is seeking a Full-time Outpatient Nurse Practitioner (NP). This position provides direct, non-personal primary healthcare services to pediatric, adult, and geriatric beneficiaries at the Ute Mountain Ute Health Center (UMUHC) in Towaoc, Colorado, serving a population of approximately 2,200 eligible beneficiaries of the Ute Mountain Ute Tribe and other eligible American Indian / Alaska Native individuals.

COMPENSATION & BENEFITSRange: $51 - $53 per hourComprehensive federal benefits package available to full-time employees, including health insurance, paid time off, and retirement plan participation.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Comprehensive Primary Care: Deliver direct outpatient primary care, including thorough health assessments, evaluations, clinical diagnoses, acute and chronic disease management, treatment planning, and preventive services for pediatric, adult, and geriatric patients.
• Diagnostic & Therapeutic Ordering: Order, interpret, and evaluate diagnostic imaging, laboratory tests, and clinical procedures consistent with scope of practice and credentialed privileges.
• Pharmacological Management: Prescribe medications and therapeutic interventions in strict compliance with applicable Federal and State laws, IHS policies, and credentialed privileges.
• Patient-Centered Medical Home (PCMH): Function as an active clinician member of the PCMH team, collaborating with physicians, nursing staff, behavioral health providers, pharmacists, public health nurses, and social services.
• Referrals & Care Coordination: Initiate specialty referrals and coordinate care continuity, including recommending Purchased/Referred Care (PRC) options to the Medical Director when external specialty consultation is required.
• Emergency Stabilization & Transfers: Coordinate emergency stabilization, higher-level care transfers, and continuity with outside healthcare facilities for critical patient cases.
• Clinic Access & Scheduling: Participate in scheduled outpatient clinics, same-day urgent care appointments, and walk-in patient care.
• EHR Documentation & Compliance: Document all patient encounters, clinical notes, and consults in the Government’s Electronic Health Record (EHR) within 24 hours of notification or service date and resolve chart deficiencies within 24 hours.
• Quality & Safety Participation: Participate actively in Quality Assurance (QA), Infection Prevention/Control, Patient Safety, accreditation reviews, and clinical quality improvement programs.
• Policy Compliance: Comply with all applicable IHS, UMUHC, and Medical Staff bylaws, rules, regulations, clinical practice standards, and occupational safety policies.

SKILLS AND QUALIFICATIONS

• Clinical Competency: Advanced clinical proficiency in diagnosing, treating, and managing acute and chronic health conditions across pediatric, adult, and geriatric patient populations.
• Diagnostic Interpretation: Demonstrated skill in ordering, reading, and synthesizing complex diagnostic data, laboratory studies, and imaging.
• EHR Operations: Practical skill in navigating electronic health record systems to complete clinical entries, chart reviews, orders, and referrals within 24 hours.
• Interdisciplinary Collaboration: Proven ability to work effectively within an interdisciplinary healthcare team and communicate respectfully with tribal community members and facility staff.
• Cultural Sensitivity: Understanding of American Indian / Alaska Native culture and community health priorities within a tribal health setting.
• Independent Medical Judgment: Ability to exercise independent clinical medical decision-making while adhering to professional medical standards.

EDUCATION & EXPERIENCE

• Education: Graduation from an accredited Nurse Practitioner educational program (Master's or Doctoral degree in Nursing).
• Clinical Experience: Minimum of three (3) years of recent clinical experience as a Nurse Practitioner providing primary care services to pediatric and adult patients.
• Credentialing & Privileging: Must satisfy all IHS and UMUHC credentialing and clinical privileging requirements prior to commencing direct patient care.

SUPERVISORY RESPONSIBILITY

Supervisory Status: None.

WORK ENVIRONMENT

• Primary Setting: Outpatient clinical environment at the Ute Mountain Ute Health Center in Towaoc, Colorado.
• Occupational Hazards: Potential exposure to infectious communicable diseases, blood, body fluids, bloodborne pathogens, hazardous chemicals, and standard clinical outpatient environment hazards.
• Safety Adherence: Strict compliance with occupational health regulations, infection control, and facility safety guidelines.

PHYSICAL DEMANDS

• Physical Activities: Ability to perform bending, lifting, pushing, pulling, standing, walking, and other physical activities required in outpatient clinical practice.
• Lifting Requirement: Capability to lift up to twenty (20) pounds.
• Stamina: Physical capability to complete an 8-hour workday within established clinic operating hours.
• Health Certification: Documentation of a physical examination completed within the preceding 12 months certifying physical fitness for duty.

ROLE AND LOCATION SPECIFIC FUNCTIONS

• Facility Location: Ute Mountain Ute Health Center (UMUHC), 232 Dusting Willow Street, Towaoc, CO 81334.
• Service Beneficiaries: Serving approximately 2,200 eligible tribal members of the Ute Mountain Ute Tribe and other eligible Native American beneficiaries.
• Service Model: Delivery of outpatient primary healthcare under the Albuquerque Area Indian Health Service infrastructure.

POSITION TYPE / EXPECTED HOURS OF WORK

• Duty Schedule: Monday through Friday, between 8:00 a.m. and 4:30 p.m. (excluding official Federal holidays).
• Meal Period: Daily unpaid 30-minute meal period.
• Period of Performance: One-year base period with four (4) 1-year option periods (up to 5 years total duration).
• Absence Notification: Prompt notification to the Chief Medical Officer or Chief Executive Officer for any unforeseen absence or illness.

TRAVEL REQUIREMENTS

• Duty Location: All routine clinical duties are performed on-site at UMUHC in Towaoc, CO.
• Travel Time: Travel time to and from the duty station is non-billable and the responsibility of the contractor.

CLEARANCE / LICENSE REQUIREMENTS

• Active State Licensure: Current, active, valid, and unrestricted Nurse Practitioner license issued by any U.S. State, Territory, or the District of Columbia.
• DEA Registration: Current, active DEA registration appropriate to the scope of practice.
• Specialty Certification: National certification as a Nurse Practitioner appropriate to clinical specialty.
• Life Support Certifications:
• Current Basic Life Support (BLS) certification.
• Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications if required by the Service Unit.
• Background Investigation & Security Clearances:
• Completion of federal background investigation forms (Declaration for Federal Employment, Addendum for Child Care Positions).
• Clearance under the Indian Child Protection and Family Violence Prevention Act.
• OPM background check clearance and HHS-590 badge issuance for facility access and IT systems credentials (PIV Smartcard).
• Occupational Health & Immunization Clearance:
• Immunization documentation for Tetanus, Measles, Mumps, Rubella (MMR), and Hepatitis B immunity/declination.
• Negative Tuberculosis (TB) screening (PPD or chest X-ray) completed within six (6) months prior to contract assignment.
• Physical examination certification completed within the preceding 12 months.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice

OUR VALUES:

Native American Owned & Proud | Accountable | Team Focused | Innovative | Visionary | Excellence

AAP/EEO Statement

Ho-Chunk, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. However, preference may be extended to persons of Indian descent in accordance with applicable laws.