Advanced Practice Provider-MEIHSS

• Manage a panel of patients with acute and chronic health conditions, using evidence-based practices to promote health and prevent disease either independently or in collaboration with the primary care provider.
• Provide technical supervision to nursing staff and serve as clinical resource on matters of patient care, medication administration, and nursing standards.
• Prescribe pharmacologic and non-pharmacologic therapies in accordance with licensure and program scope, adjusting plans as needed to support optimal patient outcomes.
• Order and interpret diagnostic studies, laboratory tests, and assessments; initiate referrals or specialty consults as clinically indicated.
• Conduct patient education, caregiver training, and community outreach related to chronic disease management, end-of-life care, and wellness promotion.
• Perform home visits selectively for complex patients, care escalations, or quality reviews, maintaining presence and understanding of field realities.
• Participate in triage of client needs and high-risk events, providing case consultation and contributing to interdisciplinary problem solving.
• Collaborate with APS (tribal and state), the tribal medical clinic, behavioral health, and social services to ensure safe, integrated care delivery.
• Lead or assist in resolving conflicts involving clients, caregivers, or clinical staff using clear communication and mediation skills.
• Conduct internal investigations related to patient complaints or staff performance concerns, ensuring objectivity, documentation, and follow-up.
• Participate in audits, incident reviews, and program evaluations to uphold continuous quality improvement and organizational accountability.
• Ensure compliance with all relevant policies and regulatory requirements including HIPAA, WAC (Washington Administrative Code), Medicare/Medicaid standards, and tribal codes.
• Support and enforce performance management processes including disciplinary documentation, progressive correction, and formal feedback loops.
• Attend regular team meetings and provide agenda items or training topics; contribute to the clinical education of new and current staff.
• Serve as a liaison with the Elders Program and contribute to culturally relevant health planning.
• Maintain appropriate licensure, DEA registration, certifications, and continuing education in accordance with professional standards.
• Document all clinical activity and administrative action in the electronic health record or designated system of record.
• Protect patient confidentiality and uphold ethical practices in all aspects of professional behavior.
• Support program goals and community-based priorities, assisting with both office and outreach initiatives when appropriate.
• Participate in organizational planning, budget discussions, and interdisciplinary leadership meetings to advance MEIHSS service delivery.
• Because of the Tribe's commitment to community service and the well-being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

• Graduation from an accredited graduate-level program with a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP).
• Current Washington State license as an Advanced Registered Nurse Practitioner (ARNP).
• National board certification as a Family Nurse Practitioner (FNP) by ANCC, AANP, or equivalent.
• Three to five (3–5) years of experience in primary care or family medicine.
• At least one to two (1–2) years of experience working with geriatric populations.
• Current CPR and BLS certifications.
• Valid Washington State driver’s license.

• Previous experience in a tribal health care environment.
• Background in psychiatric, behavioral health, or mental health services.
• Experience in conflict resolution, de-escalation strategies, and investigative processes.
• Understanding of trauma-informed care principles and culturally responsive healthcare.
• HR or healthcare administration experience is preferred but not required.
• Experience supervising or training other clinicians is highly desirable.

• Clinical skills for hands-on evaluation and treatment of symptoms and disease processes in a family practice and home-based care environment.
• Patient assessment skills including collection of subjective/objective data, diagnostic reasoning, and treatment planning.
• Strong written and verbal communication skills, including documentation in EMRs and patient education.
• Time management and organizational skills to prioritize multiple responsibilities and delegate tasks effectively.
• Problem-solving and decision-making abilities involving assessment, planning, implementation, and evaluation.
• Teamwork and collaboration across clinical and administrative disciplines.
• Conflict resolution, de-escalation, and facilitation of sensitive conversations with patients, families, and staff.

• Ability to evaluate, manage, and treat patients with a wide range of chronic and acute conditions.
• Capacity to conduct fall risk assessments, depression screenings, wound care, nutritional evaluations, and wellness exams.
• Skill in teaching clients, caregivers, and staff using appropriate educational models and communication styles.
• Ability to manage internal investigations and staff issues while maintaining professionalism, confidentiality, and fairness.
• Comfort working in high-stress, emotionally complex environments while upholding empathy and cultural sensitivity.
• Competency in EMR systems and compliance documentation for Medicare, Medicaid, and tribal health programs.

• Deep understanding of geriatric care, including common concerns such as cognitive decline, falls, pressure injuries, polypharmacy, and frailty.
• Knowledge of chronic illnesses including diabetes, cardiovascular disease, COPD, and hypertension.
• Familiarity with pharmacologic and non-pharmacologic interventions, including immunizations and medication management.
• Awareness of HIPAA, WAC, tribal policies, and federal healthcare regulations.
• Insight into home healthcare reimbursement models, charting requirements, and interdisciplinary care coordination.

Muckleshoot Indian Tribe