Position Summary

Provides oversight of the daily management of the medical clinic operation. Develops and directs operational activities for the delivery of patient care in the medical clinic. Manages medical inventory; prepares and maintains annual medical clinic budget. Performs clinical duties as triage nurse, Clinic Nurse, Public Health Nurse and/or phlebotomist in clinic.

Our philosophy is built on the principles of integrity, fairness, collaboration, communication, and recognition for performance excellence. Meeting all performance standards leads to attracting and retaining a qualified workforce, provides opportunities for qualified team members, and contributes towards the ongoing success of the Pueblo of Sandia today and in the future.

Essential Duties and Responsibilities

1. Demonstrates knowledge of safe and appropriate patient care.
2. Performs patient care within the scope of professional preparation and licensure and under the guidance of Sandia Pueblo nursing policies and procedures.
3. Provides oversight of the daily management of the medical clinic operation in coordination with other clinic staff members.
4. Demonstrates knowledge of audit standards and ensures Pueblo of Sandia Health Center’s (PSHC’s) compliance with those standards.
5. Reviews nursing policies & procedures as needed for guidance. Develops, writes and implements policies as needed.
6. Manages patient flow and care concerns of primary care clinic as well as specialty clinics and services.
7. If not in standing orders, seeks guidance & direction from the attending physician as needed in the performance of day-to-day patient care.
8. Documents nursing care activities in accordance with Sandia Pueblo guidelines.
9. Performs patient call backs for scheduling follow-up appointments, inform patients (in person or by phone) of abnormal lab or test results as requested by medical providers. Provides follow-up education or information.
10. Prepares and maintains tribal budget for the medical clinic. Manages inventory to ensure adequate medical supplies while maintaining budgetary goals.
11. Under GPRA, ensures and reports on performance standards to the Medical Director and management team. Takes actions where needed to collect appropriate data.
12. Provides oversight, direction & management to clinic nurses as needed. Evaluates annually.
13. Utilizes good listening and communication skills to understand and respect patient concerns and wishes during the care planning process.
14. Maintains clear communication with the medical team members, other departments, Indian Health Service and outside providers as needed.
15. May serve as nurse case manager for limited patients if asked by Medical Director to do so.
16. Punctual and regular attendance is an essential responsibility for all team members and are expected to report to work based upon the assigned schedule each day in accordance with the Attendance Policy for Pueblo of Sandia.

Additional Responsibilities

1. Performs other job-related duties as assigned.
2. Creates an environment of teamwork though strong communication, mentoring, and providing guidance, support, and appreciation for team members contributions.

Key Performance Indicators

This position has Key Performance Indicators (KPI’s) identified as a measurement of success. KPI’s will be shared with all team members who work in this job title and feedback will be provided regarding the successful completion of the KPI’s as part of the performance review process.

Knowledge, Skills, and Abilities

1. Excellent human relations and oral/written communication skills.
2. Excellent organizational and time management skills.
3. Management experience in an outpatient clinic environment.
4. Must be a strong team player.
5. Must have strong analytical skills.
6. Personal computer skills
7. Ability to lead work teams.
8. Must have problem solving skills and ability to be flexible.
9. Must maintain a high degree of confidentiality via demonstrating the ability to respect and protect patient information in accordance with HIPAA law(s).
10. Must have good written and oral communication skills.
11. Ability to prepare and deliver oral and written reports.
12. Ability to travel and attend meetings, conferences and training seminars when applicable.
13. Ability to perform physical requirements of the position (see ‘Working Conditions’).
14. Ability to render basic First Aid and CPR.
15. Ability to learn new skills and information as needed.
16. Knowledge of tribal health concerns and available community resources.
17. Knowledge of PSHC policies and procedures.
18. Knowledge of safety regulations, standards and practices.
19. Skill in relating to patients and other staff.
20. Ability to recognize abnormal symptoms and/or identify problems in adults and children and report them to a provider on behalf of the patient as soon as possible.
21. Ability to advocate for the patient during medical and non-medical appointments.
22. Ability to demonstrate dependability, i.e. compliance with established work schedules.
23. Ability to work a flexible schedule with days, evenings, nights, weekends and holidays as needed.
24. Ability to read and write adequately to complete required documentation and interpret all written communication from PSHC Health Center supervisors or administrators.
25. Knowledge of the community or population to be served preferable or extensive multi-cultural experience.

Education and Experience

Required:

1. High School Diploma, GED certification or equivalent.
2. Bachelor of Science in Nursing from an accredited college or university and five (5) years of experience in Outpatient primary care clinic management and two (2) years in health care management.

Note: Relevant work experience or education may be substituted to satisfy education and/or work experience.

License/Certifications/Registrations

1. Current New Mexico RN Licensure
2. Current CPR and First Aid certifications
3. The following immunizations and titers are required prior to employment start date:

• Hepatitis B series or immune by titer
• Tdap
• MMR or immune by titer
• Annual TB test
• Annual Flu vaccination (seasonal)
• COVID booster (optional but encouraged)

1. Must be able to successfully pass a stringent background investigation and character investigation in compliance with PL 101.630.
2. Will require a pre-employment and random drug screening.

Physical Requirements/Working Conditions

The following selected physical activities are required to perform the essential functions of this position

Physical Requirement

Description

Balancing

Maintaining body equilibrium to prevent falling and walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

Crouching

Bending the body downward and forward by bending leg and spine.

Feeling

Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.

Finger Dexterity

Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.

Grasping

Applying pressure to an object with the fingers and palm.

Hearing

Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound.

Kneeling

Bending legs at knee to come to a rest on knee or knees.

Lifting

Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires substantial use of upper extremities and back muscles. (Up to 25 lbs.)

Pulling

Using upper extremities to exert force to draw, haul, or tug objects in a sustained motion. (Up to 25 lbs.)

Pushing

Using upper extremities to press against something with steady force to thrust forward, downward, or outward. (Up to 25 lbs.)

Reaching

Extending hand(s) and arm(s) in any direction.

Seeing

The ability to perceive the nature of objects by the eye.

Walking

Job requirements include, in the performance of duties, walking throughout the work area, on various work surfaces throughout internal or external locations.

Sitting

Particularly for sustained periods of time.

Standing

Particularly for sustained periods of time.

Stooping

Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full motion of the lower extremities and back muscles.

Talking

Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

List Working Conditions Required:

1. Work hours subject to change with short notice with possible overtime requirements; Director approval is required.
2. Work is performed primarily indoors.
3. Environment involves some exposure to physical risks which require following basic safety procedures.
4. Work environment involves some exposure to contagious diseases and or blood borne pathogens and may require use of personal protective equipment.
5. Subject to hazards which may cause personal bodily harm; smoke; diseases; cuts bruises, burns, common cold, influenza, dust, odors and elevated noise levels.
6. Tasks may be performed on uneven, inclined, hard and soft carpeted floors, cement structures and surfaces.