Supervisory Clinical Nurse (Ambulatory)

• General managerial duties with planning, organizing, directing, and evaluating a comprehensive ambulatory care program.
• Responsible for establishing and implementing long and short-term policies and programs for ambulatory and nursing care services.
• Monitors the nursing program plans and prepares routine reports based upon program plans.
• Ensure compliance with standards such as HIPAA, Privacy Act, Infection Control, and national accrediting bodies {TIC, CMS, OIG).
• Keeps abreast of changing developments, health care policies, directions or practices, and the changing health care needs of the population served.
• Responsible and accountable for maintaining a significant budget that includes ambulatory care and nursing personnel, FTEs, equipment, supply purchases, travel, and training.
• Responsible for carrying out the mission, vision, and goals of the Tohono O'odham Nation Health Care.
• Plans and adjusts work schedules and operations to meet organizational objectives, priorities, deadlines, and standards of care to deliver ambulatory and nursing services.
• Evaluates operations and services provided concerning patient flow, productivity, and care needs of the population served.
• Develop an orientation plan for each employee specific to their skills and needs of the unit and agency.
• Maintain competency file on each employee.
• Coordinates and assures that qualified staff are available as preceptors for new team members.
• Ensures that all staff members maintain 100% compliance with licensure requirements.
• Conducts meetings and conferences with ambulatory care and nursing staff to explain work requirements, methods, and procedures as needed.
• Give special instructions on complex or different activities and answers technical questions about work assignments.
• Informs employees about the policies, procedures, and goals of management-related work of the unit.
• Supervises employees who perform professional nursing care, medical assistant care, and patient registration duties and provides technical and supportive activities in an ambulatory care setting.
• Determines personnel needs and manages available resources to provide optimal patient care.
• Evaluates employees' performances; develop work improvement plans as needed, recommend training needs, and suggest awards/recognition.
• Resolves informal complaints of employees and refers those beyond the unit level to higher management.
• Responsible for furthering the Equal Employment Opportunity (EEO) goals by taking positive steps to assure the accomplishment of the affirmative action objectives and by adhering to non-discriminatory employee practices regarding race, color, religion, sex, national origin, age, or handicap.
• Works with other key nursing staff members responsible for participating in top management discussion, decisions, and policymaking and sharing accordingly in management decisions/actions.
• Participate with the supervisory nursing staff members to formulate policies, programs, and procedures related to nursing care and services and overall clinical services.
• Develop and implement plans and programs to improve or revise present programs services to meet the changing needs of the patient population.
• Participates in decisions, which affect the ability of TONHC to provide adequate patient care, thus affecting the life and wellbeing of patients.
• Provide recommendations relative to performance improvement, safety control, and infection control inspections.
• Works with tribal groups and university-based nursing programs to promote and understand the hospital programs.
• Works with a university-based nursing program to develop and strengthen the profession of nursing and individual nursing students (in-state and out of state).
• Participate in collaboration with the Nurse Executive Team to recruit and retain qualified and experienced professional nursing staff.
• Participates with the supervisory nursing staff in the formation of strategic planning that incorporates long-term and short-term goals.
• Rotates supervisory call-back duties within the Division of Hospital Nursing Branch as scheduled.
• Maintain clinical competence and expertise in a specialty area, provides skilled and comprehensive nursing care to the patients in the clinical/community setting. Closely observe patients for conditions that may require emergency measures. Exercises sound judgment in interpreting observations to the physician and initiates emergency measures.
• Prepare routine reports to the immediate supervisor.
• Performs other duties as assigned.

• Knowledge of Tohono O'odham culture, customs, and traditions.
• Knowledge of established and up-to-date nursing concepts, principles, practices, and procedures required to provide nursing care to potentially high-risk complicated patients.
• Knowledge of regulatory agencies' documentation requirements and ability to accurately and completely document clinical data.
• Knowledge of application and use of specialized equipment, including monitors.
• Knowledge of hospital policy and procedures relating to infection Control and Performance improvement.
• Knowledge of pharmacology of various medications and their therapeutic and adverse reactions.
• Knowledge of physical assessment, disease processes, and interventions.
• Knowledge of age-specific aspects of care.
• Knowledge of proper practice and procedures in emergency situations, including the implementation of life-saving procedures.
• Knowledge of human behavior to provide counseling, guidance, and health instruction to create and maintain a positive healing experience for patients and their families.
• Knowledge of basic management techniques to provide guidance and leadership to other nursing personnel and develop a flexible, individualized, and comprehensive management plan.
• Knowledge of various cultures, customs of different ethnic groups, and ability to incorporate and appreciate their healthcare delivery efforts.
• Knowledge of statistical and research methods and applying them as needed to identify and solve problems not susceptible to other methods.
• Strong leadership skills and abilities, including the ability to motivate people toward accomplishing organizational goals and objectives.
• Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).
• Knowledge of supervisory and managerial skills and applies skills assigned department.
• Knowledge of and skill in using personal computers, various software, RPMS database, and related computer equipment is required to maintain databases, prepare reports, and track program activities.
• Organizational skills.

• Bachelor or higher degree from a professional nursing program approved by the legally designated State-accrediting agency at the time the program was completed by the applicant, and;
• One year Ambulatory Care experience in a clinical setting or urgent care setting, and;
• One year of supervisory experience.

• Applicants must have an active, current, and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or the United States territory.
• Must have certifications in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED), and First Aid upon hire.
• Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
• May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
• If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
• Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as employment conditions.

Tohono O'odham Nation Healthcare