Nursing Jobs in Tuba City, AZ

NP Full-time
Tuba City Regional Healthcare

Nurse Practitioner/Physician Assistant - Orthopedics - Echo Cliffs - $25K sign On Bonus

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Under the authority of a supervising orthopedic physician, incumbent provides basic care as a Nurse Practitioner or Physician Assistant for the Orthopedic Department’s ambulatory patients, emergency cases and individuals and families. The position is also designed to identify high priority goals for promotion for health and prevention of disease. Assists with other clinical and administrative activities as required. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science (MS) degree in Nursing or Bachelor’s degree in Physician Assistant Studies License/Certification: Must possess a valid, current, full, and unrestricted license to practice as a Nurse Practitioner or Physician Assistant in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico. Must possess a certificate from the National Commission for Certified Physician Assistants (NCCPA) or must possess a certificate from the American Association of Nurse Practitioners (AANP). Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Credentialing: Must be credentialed to serve on the Medical Staff (provide all related information as requested for credentialing process). Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others and excellent customer service skills Demonstrated ability in working with people from all levels of discipline Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The incumbent must have the ability to sit, stand, and walk for prolonged period of the workday, bend, crouch, twist, maintain balance and reach frequently and drive, climb and kneel occasionally. The incumbent must have the ability to lift, push and pull up to 24 lbs. frequently and up to over 100 lbs. occasionally. The incumbent must have the ability for far, near vision, depth perception, hearing norm speech, hearing overhead pages, keyboard, and telephone use for ¾ workday, seeing fine details, simple grasping, firm grasping and fine manipulation frequently and color vision occasionally. The incumbent must accept flexibility to meet units needs ¾ workday. Mental: The incumbent must have the ability to cope with high level of stress , concentrate and work in areas that are close and crowded for prolonged periods of the workday; make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience and adapt to shift work frequently. Environmental: The incumbent may be exposed to infectious disease for prolonged periods of workday, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous of moving equipment, unprotected heights, and loud noises occasionally. Responsibilities ESSENTIAL FUNCTIONS Functions under the supervision of an orthopedic physician in accordance with established policies and procedures. Interviews, assesses, and evaluates patients of all ages to determine their physical condition and type of medical services needed, and orders initial and post-operative diagnostic studies appropriate for the patient’s medical condition. Accurately records and reports facts, including evaluation and treatment of the whole care of the patient and allows all entries into the patient chart to be reviewed and signed by the supervising physician. Adheres to medical regimens to stabilize chronically ill persons; adjusts regimen within established protocols. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Consults and collaborates with other health care professionals at Tuba City to established health care plans and to review patient progress and response to therapy, including the use of written referrals to other clinic staff, Community Health Nurses, specialty clinics, schools, etc. Maintains reporting and record systems related to patient care and progress, and as required by TCRHCC and Navajo Area Indian Health Service (NAIHS). Teaches patients and family member’s ways to maintain or improve their health status. Carries out treatments and emergency or other procedures required; administers medication; observes and documents patient conditions, changes and reactions to medications and medical treatment. Supervises orthopedic patients involving the whole management of care requiring the application of principles based upon the biological, physical, and social sciences. Evaluates health care plans and has ability to recognize the need for assessment by the physician and other health professionals. Evaluates total health care needs of patients and develops plans to meet these needs. Administration of joint injections, trigger point injections, punch biopsy, stapling, wound closure and maintenance, casting and splinting, local and digital blocks, suturing, and assess for medication management of chronic and acute disease states. Teaches joint replacement classes and completes health history assessments for surgical procedures. Assists in the surgical suite when accompanied by the surgeon. Works on a regularly assigned, rotational or call back basis to provide continuity of medical services during evenings, nights, holidays, and weekends as needed per interdepartmental agreement. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Performs other duties as assigned.
RN Full-time
Tuba City Regional Healthcare

Clinical Nurse, Surgery/OR - $10,000 Sign On

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse provides care for the Perioperative Patient. The nursing process includes assessment, formulation of nursing diagnoses, planning interventions, and evaluation of interventions per patient outcomes. The Operating Room clinical nurse is expected to circulate in all specialty areas. These may include Orthopedics, ENT, GYN/OB, General, Ophthalmology, and Dental. Obtaining Scrubbing experience is highly encouraged. May have to work varied, odd hours when on call; and prepare for emergency cases on very short notice. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor’s Degree in Nursing License/Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association within six (6) months of hire National institutes of Health (NIH)-NIHSS-NIH stroke scale must be completed within 6 months of hire Certified Perioperative Nurse (CNOR) by the Competency and Credentialing Institute (CCI) must be completed within 1 year of hire Trauma Nurse core courses (TNCC) within two (2) years of hire Experience: One (1) year clinical nurse with prior operating room practical experience Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others; efficient team management skills Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Competency in circulating skills Complete Patient Sitter Competency Training (upon hire) Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Observe, interview, and assess surgery patients during perioperative phase. Initiate treatments, medications, emergency, and resuscitative measures based on evidence-based information, and appropriate utilization of physicians' pre- and post-op orders, standing orders and post anesthesia protocol. Utilize AORN Standards of Care to develop, implement, evaluate nursing plan of care for the peri-operative patient. Demonstrate knowledge and skills in dealing with expectant mother/baby care for C-sections. Record observations, nursing interventions, patient outcomes, and other data relevant to surgical patients. Operate and monitor specialized OR equipment. Operate autoclaves as needed. Monitor patients having surgical procedure under local anesthesia and moderate sedation by assessing cardiopulmonary, and hemodynamic status, level of consciousness and pain levels. Responsible for management of patients undergoing local anesthesia and moderate sedation under the direct supervision of the provider. Collaborate with members of the surgical and multidisciplinary teams in assessing, planning, and implementing surgical intervention in management of patient’s peri-operative health care. Notify Surgeon and/or Anesthesia provider in case of any abnormal diagnostic or physical findings in the patient. Communicate to the patient any ambulation/movement restrictions when applicable. Inform the patient that further education on ambulation/movement restrictions will be performed by Short Stay Surgery staff, or nursing unit RN’s. Functions as team leader and supervises on call team members when called in for emergencies. Monitor supplies and instruments to assure a sterile product is delivered to the sterile field. Correctly labels, handles, and processes all operative specimens. Participate on hospital committees as assigned. Participate in planning and conducting continuing education. Identify, initiate, and participate in nursing studies. Ensure quality patient care despite the situation encountered, be it routine or emergent. Perform scrub duties as necessary. Maintain supplies and monitor outdates. Take OR Call as assigned by immediate supervisor. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction . Performs other duties as assigned.
Surgical Tech Full-time
Tuba City Regional Healthcare

OR Surgical Technician - $3,000 Sign On

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is an established experienced position to obtain Surgical Technologist Certification. This position requires rotational scheduling and on-call (night, weekend, and holiday) coverage. Position requirement includes performing duties of a surgical technologist. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. The Technician assists with positioning, surgical prepping, and draping of the surgical patient. Other responsibilities include setting up an operating room before surgery and ensuring all needed equipment and instrumentation is available and in working condition for the scheduled surgical procedure. Surgical specialties include Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients. Qualifications NECESSARY QUALIFICATIONS Education: High School Diploma or GED Must have completed and provide documentation of at least one of the following: Completion of an approved Surgical Technician training program accredited by the Association of Surgical Technologist (AST) On the Job training in a clinical healthcare setting or military specialty Certification/Licensure: Must be certified within 6 months after 3-year qualification from the National Board of Surgical Technology and Surgical Assisting (NBSTSA 3yr) – or Surgical Technologist Certification (CST), or current certification from National Center for Competency Testing (NCCT-3yr 6240 hours) – Certified Tech in Surgery (TS-C) Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Experience: At least nine (9) months of current experience in the specialties of Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology/ENT, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Hand, Trauma, Urology, etc. for adult and pediatric patients. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences or tardies Excellent customer service abilities with effective listening and communication skills Knowledge, ability, and experience to ensure quality patient care during the operative procedure and is constantly on vigil for maintenance of the sterile field and equipment An understanding of the procedure being performed and anticipates the needs of the surgeon Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Physically demanding, high-stress environment; exposure to blood, sharp instruments and other devices, body fluids and tissue, communicable diseases, chemicals, radiation, and repetitive motions. Requires long periods of standing, walking, frequent lifting, bending, and positioning of patients. Requires standing for long periods of time with lead apron for procedures that require radiology support (12 to20 pounds). Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, etc.,, and in moving equipment and medical supplies. Must be able to work in small areas without contaminating him/herself and the surgical team. Must have the manual dexterity to handle and pass surgical instruments without causing injury to self and the surgical team. Must be able to lift a minimum of 50 pounds. Must be able to push/pull mobile equipment weighing up to 300 pounds. Mental: Communication often requires tact and sensitivity, especially when it is related to a stressful situation such as emergencies, death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to multi-task while being frequently interrupted. Concentrate for prolonged periods of time. Communicate in a concise, clear and respectful manner. Must accept a flexible schedule to meet unit needs. Environmental : May continually be exposed to infectious diseases, chemical agents, frequently to extremes in temperature or humidity, hazardous or moving equipment, loud noises and occasional exposure to dust, fumes, gases, and unprotected heights. Responsibilities ESSENTIAL FUNCTIONS Must successfully complete a surgical technologist didactic and clinical training. Completion of all clinical requirements and required exams, must be able to scrub all services, including Dental, Endoscopy, General Surgery, Oral & Maxillofacial Surgery, Orthopedic, Otolaryngology, Ophthalmology, Obstetrics, and Gynecology, Podiatry, Trauma, Urology Utilize Association of Surgical Technologists (AST) Standards of Practice to plan and implement care of the intra-operative patient. Maintain highest standards of sterile technique during procedures. Set up sterile table with instruments, equipment, supplies, and medications/solutions per procedure. Drape the sterile field (back table, mayo stand, OR table, etc.). Perform appropriate counts of sponges, needles, and instruments with circulator prior to the operation and before incision is closed. Scrub daily under registered nurse supervision for different advanced and complex types of surgeries. Scrub, gown, and glove for surgical procedures and gown and glove the surgeons and assistants. Ensure all necessary equipment is in good working order. Pass instruments, etc. to the surgeon during procedure. Prepare sterile dressings Clinical duties include the provision of patient care and support of individuals of all ages and their families. Accept and appropriately label all medications/solutions needed for surgical procedures per policy. Assist in terminal cleaning and preparing room for the next patient. Take initiative in reporting equipment in need of repairs and low levels of supplies. Take apart and reassemble any instrument or piece of equipment that needs attention and prepare instruments for terminal sterilization. Correct breaks in aseptic techniques by any person to provide optimum patient care. Monitor, inventory assigned service supplies and order as needed. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Perform other duties as assigned.
CNM Per Diem
Tuba City Regional Healthcare

Nurse Midwife, PER DIEM

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn. Rotating schedule between clinic and the hospital. Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate. Admits patients. Performs complete history and physical examinations on adults, teens, and newborns. Determines dosage and timing of medications, orders and/or administers medications. Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded. Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. First-Assistant in Cesarean Sections. Performs limited ultrasound. Represents midwives and/or the OB Department on various hospital committees. Accepts responsibility for departmental administrative projects. Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested. Night-shift rotation on the Labor & Delivery Unit is an essential part of this position. Qualifications NECESSARY QUALIFICATIONS Education: A Bachelor of Science degree from an accredited school of nursing License/Certification: Certified Nurse-Midwives must be Registered Nurses, hold current certification by the American Midwifery Certification Board (AMCB) and must have graduated from a nurse-midwifery education program accredited by the ACNM Accreditation for Midwifery Education (ACME). Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico. Certified Nurse-Midwives must be certificated by the American College of Nurse-Midwives (ACNM) or the American Midwifery Certification Board (AMCB) (formerly known as ACNM Certification Council, Inc.) and have graduated from a post-baccalaureate midwifery education program which is accredited by the ACNM Division of Accreditation. A Master's degree with a major in Midwifery or Public Health is strongly recommended. Experience: Will accept new graduates with a minimum of 2 years of experience in Labor and Delivery as a Registered Nurse Credentialing: Must be credentialed and privileged to serve on the TCRHCC Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Must be proficient with basic computer skills, including word-processing and e-mail. Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences. Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires prolonged standing, walking, maintaining balance, frequent sitting, bending, climbing, kneeling, crouching, twisting, and reaching. Must have ability of prolonged lifting, pushing, and pulling of patients up to 50lbs. Sensory requirements for position include prolonged ability of color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of both hand manipulation in prolonged simple and firm grasping, fine manipulation, and use of keyboards. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role. Mental: Must be able to perform well in crisis situations. Must be able to work well within a group. Must have prolonged ability of coping with high levels of stress, making decisions under high pressure, coping with anger/fear/hostility of others in a calm way, concentrating, handling high degree of flexibility, handling multiple priorities in stressful situation, working alone, demonstrating high degree of patience, adapting to shift work, and working in areas that are close and crowded. Environmental : May be exposed to infection diseases and loud noises for a prolonged period of time, and occasional exposure to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities Essential Functions Conducts spontaneous vaginal delivery without the use of forceps or vacuum. Determines methods and administers anesthesia such as local blocks , and arranges intrathecal analgesia and epidural anesthesia as indicated. Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer , and signs the completed birth certificate. Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment. Manages the care of patients during the postpartum period. Provides family planning education/services, and gynecological services, to women (including teens). Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services. Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fit s diaphragms, does pelvic examinations and Pap tests . Treats hemorrhage and shock. Collaborates in planning, and participates in, educational programs for patients, family, staff and community. Must be able to work a rotating full-time schedule, including nights and weekends. Must be able to perform well in crisis situation. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
CNM Full-time
Tuba City Regional Healthcare

Nurse Midwife - Sign-On Eligible

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Full scope group nurse-midwifery practice – gynecology (including contraception and menopause), antepartum, intrapartum, post-partum, initial newborn. Rotating schedule between clinic and the hospital. Collaborates with obstetrician/gynecologists and other providers, co-manages and/or refers as appropriate. Admits patients. Performs complete history and physical examinations on adults, teens, and newborns. Determines dosage and timing of medications, orders and/or administers medications. Utilizes fetal monitoring equipment including application of fetal scalp electrodes, IUPCs, and/or amnioinfusion, and interprets the meaning of the information recorded. Determines the content, orders and/or administers intravenous solutions and medications and performs other specialized procedures. First-Assistant in Cesarean Sections. Performs limited ultrasound. Represents midwives and/or the OB Department on various hospital committees. Accepts responsibility for departmental administrative projects. Performs other functions generally accepted as typical of a Certified Nurse-Midwife, as requested. Night-shift rotation on the Labor & Delivery Unit is an essential part of this position. Qualifications NECESSARY QUALIFICATIONS Education: A Bachelor of Science degree from an accredited school of nursing License/Certification: Certified Nurse-Midwives must be Registered Nurses, hold current certification by the American Midwifery Certification Board (AMCB) and must have graduated from a nurse-midwifery education program accredited by the ACNM Accreditation for Midwifery Education (ACME). Must possess and maintain a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico. Certified Nurse-Midwives must be certificated by the American College of Nurse-Midwives (ACNM) or the American Midwifery Certification Board (AMCB) (formerly known as ACNM Certification Council, Inc.) and have graduated from a post-baccalaureate midwifery education program which is accredited by the ACNM Division of Accreditation. A Master's degree with a major in Midwifery or Public Health is strongly recommended. Experience: Will accept new graduates with a minimum of 2 years of experience in Labor and Delivery as a Registered Nurse Credentialing: Must be credentialed and privileged to serve on the TCRHCC Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Must be proficient with basic computer skills, including word-processing and e-mail. Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences. Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires prolonged standing, walking, maintaining balance, frequent sitting, bending, climbing, kneeling, crouching, twisting, and reaching. Must have ability of prolonged lifting, pushing, and pulling of patients up to 50lbs. Sensory requirements for position include prolonged ability of color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of both hand manipulation in prolonged simple and firm grasping, fine manipulation, and use of keyboards. Round-the-clock coverage of patient care may cause physical and emotional stress unique to the role. Mental: Must be able to perform well in crisis situations. Must be able to work well within a group. Must have prolonged ability of coping with high levels of stress, making decisions under high pressure, coping with anger/fear/hostility of others in a calm way, concentrating, handling high degree of flexibility, handling multiple priorities in stressful situation, working alone, demonstrating high degree of patience, adapting to shift work, and working in areas that are close and crowded. Environmental : May be exposed to infection diseases and loud noises for a prolonged period of time, and occasional exposure to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities Essential Functions Conducts spontaneous vaginal delivery without the use of forceps or vacuum. Determines methods and administers anesthesia such as local blocks , and arranges intrathecal analgesia and epidural anesthesia as indicated. Performs episiotomy and does repair of episiotomy and/or lacerations, records the delivery in permanent record book or computer , and signs the completed birth certificate. Determines the need for ultrasound, non-stress tests, oxytocin challenge tests, interprets the results of the tests, and uses the results to plan and carry out a course of treatment. Manages the care of patients during the postpartum period. Provides family planning education/services, and gynecological services, to women (including teens). Assumes responsibility for the triage of common health problems presented by women (including teens) and for management, collaboration, co-management and/or referral to appropriate levels of health care services. Prescribes the full range of contraception including, but not limited to, birth control pills, emergency contraception/ “morning-after pills,” inserts intrauterine contraceptive devices and contraceptive implants, fit s diaphragms, does pelvic examinations and Pap tests . Treats hemorrhage and shock. Collaborates in planning, and participates in, educational programs for patients, family, staff and community. Must be able to work a rotating full-time schedule, including nights and weekends. Must be able to perform well in crisis situation. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
NP Psych Full-time
Tuba City Regional Healthcare

Nurse Practitioner, Mental Health Counselor, Echo Cliffs - $25K Sign On Bonus

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The incumbent will provide therapeutic mental health services to individuals, families, and groups. Treatment and assessment techniques will need to encompass a broad range of mental health concerns; including, but not limited to depression, mania, anxiety disorders, PTSD, psychosis, substance abuse, and suicidality. The incumbent will develop and implement therapeutic treatment plans in the clinical setting as well as conducting educational workshops and participating in outreach programs. Qualifications NECESSARY QUALIFICATIONS Education: Master’s Degree (M.A.) in areas of Psychology, Social Work, Counseling, Marriage and Family Therapy or related mental health field. Certification: Must be a licensed professional practicing in the field of Mental Health licensed by the Arizona Board of Behavioral Health Examiner’s or other states that allow transfer of credentialing to Arizona Experience: Completion of supervision hours required for independent licensure (typically 50-100 hours depending on the specific degree and state) Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences. Thorough knowledge of the psychological disorders as defined in the Diagnostic and Statistical Manual of the Mental Disorders (DSM-V). Ability to use computers and navigate the electronic medical record Able to respond appropriately in stressful situations Able to provide direct patient care in a kind, patient, and compassionate manner TCRHCC that the applicant can perform the essential functions of the job Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Must be able to sit at a desk for long periods of time. Some physical exertion such as long hours of standing and walking is required. Must have ability of prolonged driving. Sensory requirements for position include prolonged ability of near vision, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of continued use of keyboards. Mental: Child/Family Mental Health Psychiatric Nurse Practitioner must possess and demonstrate a broad knowledge of mental health treatment, functions and activities, effectively integrating mental health treatments with medical and community health activities. Must be able to prioritize and use good judgment. Incumbent must be able to coordinate a variety of issues while being frequently interrupted. Must have ability to continually cope with high level of stress, make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience, and work in areas that are close and crowded. Must be able to occasionally adapt to shift work and continually accept a flexible schedule to meet unit needs. Environmental : May continually be exposed to infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Provides diagnostic, treatment, and referral services for psychiatric patients. Conducts individual, family, and group psychotherapy using evidence-based modalities Coordinates services to patients with psychiatrist and other mental health personnel. Conducts intakes and administers diagnostic tests (if applicable) in order to identify behavioral and personality traits and documents results. Plans and administers therapeutic treatment such as behavior modification, social skills, anger management and stress management therapy to assist patients in controlling disorders and other problems. Provides crisis intervention services to clients with a wide variety of acute mental health problems, including suicide attempts, family conflicts, alcohol misuse, drug abuse, grief reactions, and trauma resulting from violence. Provides follow-up on patients who have recently been discharged from inpatient psychiatric facility and those with poor adherence to treatment plan. Maintains all appropriate client records according to professional and departmental policies. On-call coverage is provided on a schedule coordinated with the emergency room. Takes rotation along with rest of staff. Works closely with the Navajo Tribal Division of Social Services, law enforcement and other agencies to coordinate services for mental health patients who have serious family and other social problems. Refers patients to supportive services to supplement treatment and counseling when needed. Responsible for electronic health records data entry pertinent to patient service role. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction Performs other duties as assigned.
NP Outpatient Per Diem
Tuba City Regional Healthcare

Nurse Practitioner PER DIEM, Family Medicine

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Serves as nurse practitioner at the Tuba City Regional Health Care Corporation, Tuba City, Arizona, which involves performance of medical care services for patients in the Family Medicine outpatient clinic. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing or Doctor of Nursing Practice Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners Experience: Must have a minimum of 2 years of clinical experience as a Nurse Practitioner. Credentialing: Must meet additional requirements for credentialing and privileging for membership to the Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Ability to work effectively in a culturally diverse environment Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Must possess excellent communication and interpersonal skills to optimize the care of patients Excellent clinical skills and judgment Is seen as a staff member who is trustworthy Is a mentor to colleagues and other organizational staff Responds effectively to sensitive inquiries or complaints Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Must be able to frequently walk several hundred yards quickly, sit, stand, and reach, occasionally bend and kneel. Must also be able to write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Sensory requirements are near vision, hearing normal speech, telephone use, frequent depth perception, hearing overhead pages and occasional far vision, color vision and seeing fine details. Mental: Interaction with emotionally disturbed patients is common. Must be able to work evenings on a regular basis and handle the stresses of rural medicine. Must be able to continuously cope with high level of stress, make decisions under high pressure, concentrate, handle high degree of flexibility, demonstrate high degree of patience, adapt to shift work, frequently cope with anger, fear, hostility of others in a calm way, handle multiple priorities in stressful situation and occasionally work alone and work in areas that are close and crowded. Environmental : Work is performed in a clinic setting where exposure to infectious disease is common May have frequent exposure to chemical agents, occasional exposure to dust, fumes, gases, extremes in temperature or humidity, and loud noises. Responsibilities ESSENTIAL FUNCTIONS Provides comprehensive diagnostic, preventative, and therapeutic health care services to adult patients. Direct Patient Care Services Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and use of diagnostic instruments. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems. Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate. Documents visits in the Electronic Medical Record of patients including updating problem lists, medications, etc. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate. Works collaboratively with physicians in the management of complex medical problems as appropriate. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening. Educates patients and family members in ways to maintain or improve their health status. Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments. Responsible for prescribing medications including computation of doses. Performs other duties as assigned. Administrative Tasks Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services. Participates in performance improvement initiatives which may involve chart reviews. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency. Participates in hospital committees as assigned by supervisor. Participates in a teaching capacity in the development of other health care workers. Is responsible for electronic health records data entry pertinent to patient care. Provider may be assigned to work in clinics in different locations than their main assignment based on the needs of the organization i.e. Tuba City, Sacred Peaks, LeChee, Mobile Van, Bodaway Gap etc. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
NP Psych Full-time
Tuba City Regional Healthcare

Nurse Practitioner. Psychiatry, Echo Cliffs

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is responsible for overseeing the psychological service needs of individuals, families, groups, and the community at large. Also entails conducting formal and informal assessments, conducting clinical interviews, and developing treatment plans for patients with complex mental or emotional problems. Duties may include facilitating groups, conducting educational workshops, and participating in outreach programs. Candidate must adhere to evidence-based practice guidelines, professional standards, and Tribal, State, and Federal legal requirements. Work schedule consists of taking call on an assigned, rotating schedule that includes weekdays, weekends, nights and holidays. Qualifications NECESSARY QUALIFICATIONS Education: Must have Masters’ degree in Psychiatric Mental Health Licensure: Must have a valid, current and unrestricted license to practice as a Psychiatric Mental Health Nurse Practitioner in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico. Must maintain continuous valid license with documentation of continuing education credits submitted to the State Board of Nursing; must adhere to the professional, ethical, and legal guidelines outlined by the individual’s licensing body. Experience: Completion of education and supervision hours required for independent licensure. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of ethical violations Reliable and dependable; reports to work as scheduled without excessive absences Thorough knowledge of the psychological disorders as defined in the Diagnostic and Statistical Manual of the Mental Disorders (DSM-V). Ability to use computers and navigate the electronic medical record Able to respond appropriately in stressful situations Able to provide direct patient care in a kind, patient, and compassionate manner Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Must be able to sit at a desk for long periods of time. Some physical exertion such as long hours of standing and walking is required. Must have ability of prolonged driving. Sensory requirements for position include prolonged ability of near vision, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have ability of continued use of keyboards. Mental: Child/Family Mental Health Psychiatric Nurse Practitioner must possess and demonstrate a broad knowledge of mental health treatment, functions and activities, effectively integrating mental health treatments with medical and community health activities. Must be able to prioritize and use good judgment. Incumbent must be able to coordinate a variety of issues while being frequently interrupted. Must have ability to continually cope with high level of stress, make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, concentrate, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience, and work in areas that are close and crowded. Must be able to occasionally adapt to shift work and continually accept a flexible schedule to meet unit needs. Environmental : May continually be exposed to infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Depending on the credentials of the incumbent: Provides diagnostic, treatment, and referral services for psychiatric patients using evidence-based practices. Develops treatment plans including type, frequency, intensity, and duration of therapy in collaboration with the treatment team. Evaluates effectiveness of treatment, and modifies plan as needed. Makes appropriate psychotherapy referrals when indicated. Collaborates with all members of the mental health team. Provides clinical supervision. Directs, coordinates, and evaluates activities for non-licensed staff and student interns engaged in patient evaluation and treatment. Provides crisis intervention services to clients with a wide variety of acute mental health problems, including suicide attempts, family conflicts, alcohol misuse, drug abuse, grief reactions, and trauma resulting from violence. Provides follow-up on patients who have recently been discharged from inpatient psychiatric facility and those with poor adherence to treatment plan. Maintains all appropriate client records according to professional and departmental policies. On-call coverage is provided on a schedule coordinated with the emergency room. Takes rotation along with rest of staff. Works closely with the Navajo Tribal Division of Social Services, law enforcement and other agencies to coordinate services for mental health patients who have serious family and other social problems. Refers patients to supportive services to supplement treatment and counseling when needed. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Performs other duties as assigned.
NP Outpatient Full-time
Tuba City Regional Healthcare

Nurse Practitioner, Family Medicine. Echo Cliffs - $25K Sign On Bonus

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Serves as nurse practitioner at the Echo Cliffs Clinic, Bodaway, Arizona, which involves performance of medical care services for patients in the Family Medicine outpatient clinic. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing or Doctor of Nursing Practice Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners Experience: Must have a minimum of 2 years of Acute Care Nursing (RN) experience. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Ability to work effectively in a culturally diverse environment Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Must possess excellent communication and interpersonal skills to optimize the care of patients Excellent clinical skills and judgment Is seen as a staff member who is trustworthy Is a mentor to colleagues and other organizational staff Responds effectively to sensitive inquiries or complaints Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Must be able to frequently walk several hundred yards quickly, sit, stand, and reach, occasionally bend and kneel. Must also be able to write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Sensory requirements are near vision, hearing normal speech, telephone use, frequent depth perception, hearing overhead pages and occasional far vision, color vision and seeing fine details. Mental: Interaction with emotionally disturbed patients is common. Must be able to work evenings on a regular basis and handle the stresses of rural medicine. Must be able to continuously cope with high level of stress, make decisions under high pressure, concentrate, handle high degree of flexibility, demonstrate high degree of patience, adapt to shift work, frequently cope with anger, fear, hostility of others in a calm way, handle multiple priorities in stressful situation and occasionally work alone and work in areas that are close and crowded. Environmental: Work is performed in a clinic setting where exposure to infectious disease is common May have frequent exposure to chemical agents, occasional exposure to dust, fumes, gases, extremes in temperature or humidity, and loud noises. Responsibilities ESSENTIAL FUNCTIONS Provides comprehensive diagnostic, preventative, and therapeutic health care services to adult patients. Direct Patient Care Services Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and use of diagnostic instruments. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems. Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate. Documents visits in the Electronic Medical Record of patients including updating problem lists, medications, etc. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate. Works collaboratively with physicians in the management of complex medical problems as appropriate. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening. Educates patients and family members in ways to maintain or improve their health status. Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments. Responsible for prescribing medications including computation of doses. Performs other duties as assigned. Administrative Tasks Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services. Participates in performance improvement initiatives which may involve chart reviews. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency. Participates in hospital committees as assigned by supervisor. Participates in a teaching capacity in the development of other health care workers. Is responsible for electronic health records data entry pertinent to patient care. Provider may be assigned to work in clinics in different locations than their main assignment based on the needs of the organization i.e. Tuba City, Sacred Peaks, LeChee, Mobile Van, Bodaway Gap etc. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
NP Outpatient Full-time
Tuba City Regional Healthcare

Nurse Practitioner, Family Medicine, Echo Cliffs - $25K Sign On Bonus

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Serves as nurse practitioner at the Tuba City Regional Health Care Corporation, Tuba City, Arizona, which involves performance of medical care services for patients in the Family Medicine outpatient clinic. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing or Doctor of Nursing Practice Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners Experience: Must have a minimum of 2 years of clinical experience as a Nurse Practitioner. Credentialing: Must meet additional requirements for credentialing and privileging for membership to the Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Ability to work effectively in a culturally diverse environment Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Must possess excellent communication and interpersonal skills to optimize the care of patients Excellent clinical skills and judgment Is seen as a staff member who is trustworthy Is a mentor to colleagues and other organizational staff Responds effectively to sensitive inquiries or complaints Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Must be able to frequently walk several hundred yards quickly, sit, stand, and reach, occasionally bend and kneel. Must also be able to write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Sensory requirements are near vision, hearing normal speech, telephone use, frequent depth perception, hearing overhead pages and occasional far vision, color vision and seeing fine details. Mental: Interaction with emotionally disturbed patients is common. Must be able to work evenings on a regular basis and handle the stresses of rural medicine. Must be able to continuously cope with high level of stress, make decisions under high pressure, concentrate, handle high degree of flexibility, demonstrate high degree of patience, adapt to shift work, frequently cope with anger, fear, hostility of others in a calm way, handle multiple priorities in stressful situation and occasionally work alone and work in areas that are close and crowded. Environmental: Work is performed in a clinic setting where exposure to infectious disease is common May have frequent exposure to chemical agents, occasional exposure to dust, fumes, gases, extremes in temperature or humidity, and loud noises. Responsibilities ESSENTIAL FUNCTIONS Provides comprehensive diagnostic, preventative, and therapeutic health care services to adult patients. Direct Patient Care Services Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and use of diagnostic instruments. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems. Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate. Documents visits in the Electronic Medical Record of patients including updating problem lists, medications, etc. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate. Works collaboratively with physicians in the management of complex medical problems as appropriate. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening. Educates patients and family members in ways to maintain or improve their health status. Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments. Responsible for prescribing medications including computation of doses. Performs other duties as assigned. Administrative Tasks Participates in planning, instituting, evaluating, and revising program plans, assists in determining conditions, resources, and policies essential to delivery of health care services. Participates in performance improvement initiatives which may involve chart reviews. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency. Participates in hospital committees as assigned by supervisor. Participates in a teaching capacity in the development of other health care workers. Is responsible for electronic health records data entry pertinent to patient care. Provider may be assigned to work in clinics in different locations than their main assignment based on the needs of the organization i.e. Tuba City, Sacred Peaks, LeChee, Mobile Van, Bodaway Gap etc. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives Performs other duties as assigned.
RN Pediatric Full-time
Tuba City Regional Healthcare

Clinical Nurse, Pediatric Acute - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate’s or Bachelor’s Degree in Nursing License/Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association Complete Pediatric Trauma Care After Resuscitation (P-CAR) within 6 months of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed (within 6 months of hire) Patient Sitter Competency up on hire Experience: A minimum of one (1) year clinical nursing experience providing direct patient care to infants, children, and adults. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of disease entities in order to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possesses and employs an ability to communicate with patients and families during time of emotional and physical stress Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Develops individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Provides counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Interviews patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Carries out treatments and procedures per scope of practice. Maintains health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Participates in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Performs phlebotomy, intravenous cannulation, administers IV medications Acts as charge nurse for a group of patients or an entire unit when assigned. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Floats to other departments as required. Participates in orientating new employees. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Performs other duties as assigned.
RN ICU Full-time
Tuba City Regional Healthcare

Clinical Nurse, ICU - Rotational Shifts - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Intensive Care Unit (ICU) Clinical provides professional nursing care for acutely and critically ill patients in accordance with physician orders and established policies procedures, and philosophy. The ICU clinical nurse provides nursing services in a highly technical and ongoing monitoring environment. The ICU nurse provides nursing care to the patient, family and significant others accordance with the scope of a Registered Nurse (RN) as defined by the Arizona State Board of Nursing. Qualifications NECESSARY QUALIFICATIONS Education: Associate Degree in Nursing Certifications: Must have and maintain a current valid unrestricted Professional Nursing License (RN) to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association must be completed within six (6) months of hire. Trauma Care After Resuscitation (TCAR) must be completed within 6 months of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire Experience: Must have one (1) year critical care nursing experience or two (2) years of Nursing Experience in Adult Med/Surg Must have a successful completion of a Critical Care program within last 12 months, if none, prior Critical Care experience is required Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided Knowledge of disease entities to recognize complications and therapeutic interventions required Knowledge of assessment practices related to pain management and various treatment modalities of pain relief Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications Knowledge of infection control procedures and safety precautions Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS ICU nurse provides direct and individualized nursing care to acutely and critically ill patients based on the application of scientific and evidenced based nursing principles. Model exemplary interpersonal communication, leadership, critical thinking and decision-making. In addition to general nursing care, responsibilities of the ICU clinical nurse include: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Develop individualized patient care plans and participates in patient care planning which involves the assessment and evaluation of patient needs, periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members; consult and coordinate with providers and other members of the health care team to assess, plan, implement, and evaluate patient care plans carries out treatments and procedures per scope of practice. Provide counseling and education to patients and families or surrogates on preventive, curative and rehabilitative measures related to their health care needs. Serve as patient advocate by supporting the basic rights, values, and beliefs of the patient. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner, in the appropriate format and appropriate forms. Maintain a high level of expertise in critical care and proficiency in changing techniques and standards of practice in critical care nursing through continuing education, staff meetings, workshops and serving on nursing committees. Will attain knowledge and complete hospital accreditation standards and other regulatory requirements. Participate in the identification of clinical or operational performance improvement (PI) opportunities and in PI activities. Recognize adverse signs and symptoms, which are not always apparent, and to respond promptly in emergency situations including the implementation of life saving procedures. Participate in the development, implementation, and evaluation of standards of care, Quality Assurance, and Infection Control activities. Contribute to positive working relationships within the ICU team and other departments in the hospital. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as pulmonary artery pressures, and cardiac rhythms from cardiac monitors, ventilators, etc. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Accept responsibility delegated by the Supervisory Clinical Nurse or designee, when assigned as team leader, providing guidance, direction and training to ancillary nursing and other personnel. Serve as charge nurse for a group of patients or an entire unit when assigned. Float to other units as needed. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, and eye or face shield as required. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates). Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Perform other duties as assigned.
RN Full-time
Tuba City Regional Healthcare

Clinical Nurse, ACU - Night Shift - $10k Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing Experience One-year clinical experience working as a nurse in an acute or sub-acute facility. License and Certification A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must have and maintain current valid certifications of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Complete Patient Sitter Competency Training (Upon Hire) Complete Trauma Care After Resuscitation - TCAR within six months of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possesses and employs an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. May work and be exposed frequently to Infection Diseases. Will be working occasionally around other environmental conditions including: Chemical Agents; Dust, Fumes, Gases; Extremes in Temperature or Humidity; Hazardous or Moving Equipment; Unprotected Heights; loud noises; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Participate in orientating new employees. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Perform phlebotomy, intravenous cannulation, administers IV medications. Float to other clinics as required. Act as charge nurse for a group of patients or an entire unit when assigned. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates). Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction Perform other duties as assigned.
RN Full-time
Tuba City Regional Healthcare

Clinical Nurse, ACU - Day Shift - $10k Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing Experience One-year clinical experience working as a nurse in an acute or sub-acute facility. License and Certification A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must have and maintain current valid certifications of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Complete Patient Sitter Competency Training (Upon Hire) Complete Trauma Care After Resuscitation - TCAR within six months of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed within 6 months of hire Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possesses and employs an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. May work and be exposed frequently to Infection Diseases. Will be working occasionally around other environmental conditions including: Chemical Agents; Dust, Fumes, Gases; Extremes in Temperature or Humidity; Hazardous or Moving Equipment; Unprotected Heights; loud noises; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment. Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Participate in orientating new employees. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Perform phlebotomy, intravenous cannulation, administers IV medications. Float to other clinics as required. Act as charge nurse for a group of patients or an entire unit when assigned. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates). Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction Perform other duties as assigned.
RN OB/GYN Full-time
Tuba City Regional Healthcare

Clinical Nurse, OB/GYN - Rotational Shift - $10K Sign on

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Obstetric Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration of specific patient conditions and treatments, and ability to work independently in completing assignments. Assists physicians and midwives during examinations and procedures. Provides comprehensive, family centered nursing care to mothers and babies during antepartum, intrapartum and postpartum periods. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor Degree in Nursing License/Certification: Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Neonatal Resuscitation Program (NRP) from the American Heart Association AWHONN Intermediate EFM Certification required within six (6) months of hire AWHONN Advanced EFM Certification required within six (6) months of hire. National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale required within six (6) months of hire STABLE Certification within 1 year of hire Advanced Life Support in Obstetrics (ALSO) within 1 year of hire Experience: A minimum of at least one (1) year of OB nursing experience in antepartum, intrapartum, postpartum, nursery and Labor and Delivery. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided Knowledge of disease entities in order to recognize complications and therapeutic interventions required Knowledge of assessment practices related to pain management and various treatment modalities of pain relief Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications Knowledge of infection control procedures and safety precautions Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Will be working occasionally around fumes or airborne particles; toxic or caustic chemicals; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, CNM, other staff members to determine and evaluate the kind of health and physical care needed. Carry out treatments and procedures per scope of practice. When assigned as team leader, provides guidance, direction and training to ancillary nursing and other personnel. Maintain health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient and timely manner. Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provide counseling and teaching to patients and families or surrogates on preventative, curative and rehabilitative measures involved in health care. Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to organize the desired effects, side effects and complications on their use. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (Refer to the CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Perform other duties as assigned.
NP ER Full-time
Tuba City Regional Healthcare

Physician Assistant/Nurse Practitioner (0.75 FTE) - Emergency Medical

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position serves as a Physician Assistant (PA) or Nurse Practitioner (NP), which involves performance of medical care services for patients of all ages in the Emergency Department. Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition. Qualifications NECESSARY QUALIFICATIONS Education: Bachelor’s Degree in Nursing or Physician Assistant studies Experience: At least 2 years’ experience working in emergency department or urgent care setting. Comfort with the treatment and management urgent and emergency conditions from suturing to fracture reduction to sick patient with abdominal pain; sees 4 patients per hour continuously for 12-hour shift in Fast Track setting; and has a good command of ACEP Standards and clinical policies. Licensure/Certification: Must possess a valid, current, full and unrestricted license to practice as a nurse practitioner or physician assistant in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico. Must possess a certificate from the NCCPA (National Commission for Certified Physician Assistants) or the American Association of Nurse Practitioners. Credentialing: Must be credentialed and privileged to serve on the Medical Staff Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others; has the ability to work effectively in a culturally diverse environment Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Must possess excellent communication and interpersonal skills to optimize the care of patients Excellent clinical skills and judgment Is seen as a staff member who is trustworthy and willing to share information Is a mentor to colleagues and other organizational staff Responds effectively to sensitive inquiries or complaints Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. P hysical: Must have ability of prolonged walking and maintaining balance, ability to frequently stand, bend, kneel, crouch, maintain balance, reach, and occasionally sit, drive, and climb. Frequent ability to lift, push, and pull up to 34lbs is required, must also be able to occasionally lift, push, and pull over 100lbs as needed. Sensory requirements for position include prolonged ability of far, near, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and telephone use. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation and frequent use of keyboards. Mental: Must be able to perform evenings, nights, and weekends on a regular basis and handle the stresses of rural medicine with critically ill patients; must have high degree of judgment and leadership in coordinating emergency services. Must have ability to cope with high level of stress, make decisions under high pressure, concentrate, handle a high degree of flexibility handle multiple priorities in stressful situation, work alone, demonstrate high degree of patience, adapt to shift work, work in areas that are close and crowded, and frequently cope with anger/fear/hostility of others in a calm way, as well as occasionally managing altercations. Must accept a flexible schedule to meet unit needs. Environmental: May be exposed to infectious diseases for a prolonged amount of time, frequent exposure to loud noises, and occasional exposure to chemical agents, and hazardous or moving equipment. Responsibilities ESSENTIAL FUNCTIONS Provides comprehensive diagnostic, preventative, and therapeutic health care services to patients. Documents visits in the medical records of patients including updating problem lists. Secures a health and developmental history from the patient or parent, records findings and contributes in making critical evaluations. Performs or requests special screening and developmental tests and laboratory tests and reviews and interprets obvious results. Provides emergency services or crisis intervention in the absence of the physician. Review and evaluates the nursing and medical aspects of care, plans periodically, recognizing when there is a need for reassessment by the physician or other health professionals. Gives direct physical and psychological care in emergencies and in the presence of illness or disability in order to maintain life, provide comfort, reduce distress and enhance coping ability. Identifies and manages a full range of complex to general illnesses. Comfortable handling of basic trauma, suturing, fracture reduction, chest pain & abdominal pain work up. Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and diagnostic instruments. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems. Consults and collaborates with other health care professionals to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, schools, etc. Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens within established protocols. Makes decisions concerning medical care needs of patients consulting with physicians as appropriate. Works collaboratively with the physician in management of selected complex medical problems. Makes referrals for home visits when indicted to implement a care plan based on family needs. Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, child growth and development, substance abuse, exercise, and depression screening. Teaches patients and family member(s) ways to maintain or improve their health status. Carries out treatments and procedures, administers medications; observes and documents changes in patient’s condition, reactions to medications and treatments. Responsible for prescribing medications including computation of doses. Participates in planning, instituting, evaluating, and revision program plan, assist in determining conditions, resources, and policies essential to delivery of health care services. Participates in a teaching capacity in the development of other health care workers. Participates in performance improvement initiatives which may involve chart reviews, studies relevant to health care and nursing needs of patients. Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency. Handwriting must be legible and must be willing to use an Electronic Health Record. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Responsible for electronic health records data entry pertinent to patient service role. Performs other duties as assigned.
NP Full-time
Tuba City Regional Healthcare

Nurse Practitioner/Physician Assistant - Orthopedics

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Under the authority of a supervising orthopedic physician, incumbent provides basic care as a Nurse Practitioner or Physician Assistant for the Orthopedic Department’s ambulatory patients, emergency cases and individuals and families. The position is also designed to identify high priority goals for promotion for health and prevention of disease. Assists with other clinical and administrative activities as required. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science (MS) degree in Nursing or Bachelor’s degree in Physician Assistant Studies License/Certification: Must possess a valid, current, full, and unrestricted license to practice as a Nurse Practitioner or Physician Assistant in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico. Must possess a certificate from the National Commission for Certified Physician Assistants (NCCPA) or must possess a certificate from the American Association of Nurse Practitioners (AANP). Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association Credentialing: Must be credentialed to serve on the Medical Staff (provide all related information as requested for credentialing process). Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others and excellent customer service skills Demonstrated ability in working with people from all levels of discipline Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The incumbent must have the ability to sit, stand, and walk for prolonged period of the workday, bend, crouch, twist, maintain balance and reach frequently and drive, climb and kneel occasionally. The incumbent must have the ability to lift, push and pull up to 24 lbs. frequently and up to over 100 lbs. occasionally. The incumbent must have the ability for far, near vision, depth perception, hearing norm speech, hearing overhead pages, keyboard, and telephone use for ¾ workday, seeing fine details, simple grasping, firm grasping and fine manipulation frequently and color vision occasionally. The incumbent must accept flexibility to meet units needs ¾ workday. Mental: The incumbent must have the ability to cope with high level of stress , concentrate and work in areas that are close and crowded for prolonged periods of the workday; make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle a high degree of flexibility, handle multiple priorities in stressful situations, work alone, demonstrate high degree of patience and adapt to shift work frequently. Environmental: The incumbent may be exposed to infectious disease for prolonged periods of workday, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous of moving equipment, unprotected heights, and loud noises occasionally. Responsibilities ESSENTIAL FUNCTIONS Functions under the supervision of an orthopedic physician in accordance with established policies and procedures. Interviews, assesses, and evaluates patients of all ages to determine their physical condition and type of medical services needed, and orders initial and post-operative diagnostic studies appropriate for the patient’s medical condition. Accurately records and reports facts, including evaluation and treatment of the whole care of the patient and allows all entries into the patient chart to be reviewed and signed by the supervising physician. Adheres to medical regimens to stabilize chronically ill persons; adjusts regimen within established protocols. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems. Consults and collaborates with other health care professionals at Tuba City to established health care plans and to review patient progress and response to therapy, including the use of written referrals to other clinic staff, Community Health Nurses, specialty clinics, schools, etc. Maintains reporting and record systems related to patient care and progress, and as required by TCRHCC and Navajo Area Indian Health Service (NAIHS). Teaches patients and family member’s ways to maintain or improve their health status. Carries out treatments and emergency or other procedures required; administers medication; observes and documents patient conditions, changes and reactions to medications and medical treatment. Supervises orthopedic patients involving the whole management of care requiring the application of principles based upon the biological, physical, and social sciences. Evaluates health care plans and has ability to recognize the need for assessment by the physician and other health professionals. Evaluates total health care needs of patients and develops plans to meet these needs. Administration of joint injections, trigger point injections, punch biopsy, stapling, wound closure and maintenance, casting and splinting, local and digital blocks, suturing, and assess for medication management of chronic and acute disease states. Teaches joint replacement classes and completes health history assessments for surgical procedures. Assists in the surgical suite when accompanied by the surgeon. Works on a regularly assigned, rotational or call back basis to provide continuity of medical services during evenings, nights, holidays, and weekends as needed per interdepartmental agreement. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Completes all patient care documentation in the electronic health record entries accurately and in real-time. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Performs other duties as assigned.
RN PACU Full-time
Tuba City Regional Healthcare

Clinical Nurse - PACU

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY Responsible for providing nursing care to pre-operative and post-operative patients involving standardized procedures requiring knowledge and consideration of specific patient conditions and treatments. Provides nursing care in the various clinical areas, which require the full range of professional nursing proficiency from admission through discharge planning. This includes assessing the needs of patients with a wide variety of illnesses, administering medication, operating special equipment, and responding appropriately to emergency situations. Follows guidelines that include doctor’s orders, standards of care, nursing policies and procedures manuals, and hospital policies. Qualifications NECESSARY QUALIFICATIONS Education: Associate or Bachelor’s Degree in Nursing Licensure/Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must have and maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association Trauma Nurse Core Courses (TNCC) within 2 years of hire Experience: Minimum of one (1) year of experience within a critical care setting (PACU, ICU, or ED) Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of infection control procedures and safety precautions Knowledge of disease entities in order to recognize complications and therapeutic interventions required Knowledge of assessment practices related to pain management and various treatment modalities of pain relief Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications Possess and employs an ability to communicate with patients and families during time of emotional and physical stress Complete Patient Sitter Competency Training (upon hire) Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screening indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift to 50 lbs. frequently through entire shift. Must be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS Interviews, assesses, and observes surgery patients during post-operative phase. Initiates treatments, medications, emergency and resuscitative measures based on appropriate utilization of physicians' pre- and post-op orders, standing orders and post anesthesia protocol. Monitors patients having surgical procedure under local anesthesia by assessing cardiopulmonary, respiratory and hemodynamic status and pain levels. Responsible for independent management of patients undergoing local anesthesia. Records observations, nursing interventions, therapeutic measures, and other data relevant to surgical patients. Develops individualized patient care plans or participates in patient care planning which involves the assessment and evaluation of patient needs, a determination of the nursing procedures and practices to be included; and periodic evaluation of plans to ensure that intended results are being achieved. Carries out treatments and emergency or other procedures required; administers medications; observes and documents patient’s conditions, changes and reactions to medications and medical treatment. Utilizes the AORN Standards of Care to develop, implement, evaluate nursing plan of care for the post-operative patient. Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees. Provides counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Knowledge of normal growth, development and life cycle changes. This also includes knowledge of the physical, psychosocial and behavioral characteristics of the group for which care is provided. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications on their use. Ability to recognize adverse signs and symptoms which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in carrying out patient care. Responsible for electronic health records data entry pertinent to patient service role. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction. Performs other duties as assigned.
Surgical Tech Full-time
Tuba City Regional Healthcare

Mammography Tech (DH5010)

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is located in Radiology Services, Ancillary Care Division, of the Tuba City Regional Health Care Corporation (TCRHCC) in Tuba City, Arizona. TCRHCC is a 68-bed General and Surgical Hospital that serves as the primary health care facility for approximately 40,000 Indian beneficiaries of the Western Navajo Nation, Hopi and San Juan Southern Paiute Indian Reservations. The hospital provides inpatient and ambulatory care, emergency medical care and community health services (i.e., Environmental Health, Community Health Nursing, Social Services, Dental Services and Preventive Health). Other medical services include Anesthesiology, Pediatrics, Obstetrics/Gynecology, Optometry/Ophthalmology, Psychiatry, Family Medicine, Internal Medicine, Orthopedics, Radiology, Urology and Ear/Nose/Throat (ENT). The purpose of this position is to serve as a dual certified diagnostic Mammography technologist and Radiologic technologist assigned to perform screening and diagnostic digital mammography in both 2D Mammography and 3D Breast Tomosynthesis and Radiologic x-ray services as scheduled. Qualifications NECESSARY QUALIFICATIONS Education: High School Diploma or GED Must have successfully completed radiology training from an AMA approved School of Radiology Certification/Licensure: Must possess a current valid Arizona State License in Radiology (R) Must have a current ARRT Certification in Radiology with qualifications in Mammography (RT)(M). Must have and maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Experience: Must have two (2) years’ experience in mammography with two years as a Radiologic Technologist Must also have experience in performing special procedures to include stereotactic biopsy, ductograms, and needle localization procedures, have breast tomosynthesis training and have worked with a Radiologist in assisting with special procedures. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others and possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Must be able to work independently and be highly motivated, organized, and efficient Exceptional interpersonal communication skills; eager to cooperate with others Process-oriented; adroit with technology Ability to plan for & lead effective team meetings and training Self-motivated and able to work with little supervision; meet critical position deadlines Experience with Microsoft Outlook products and Exchange services, including calendar and email Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work requires ability to endure long periods of maintaining balance, frequent standing, walking, bending, kneeling, crouching, twisting, reaching, and must have ability to occasionally sit, drive, and climb. Position of patients who may be unconscious or disabled require considerable effort and working in awkward positions. Incumbent must have ability to frequently lift up to 75lbs and occasionally over 100lbs. Must be able to push and pull frequently over 100lbs and occasionally over a 100lbs. Heavy lifting of totally incapacitated patients is done only with the help of other employees available. Sensory requirements for position include ability for far, near, and color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages, and hearing over the telephone. The ability of both hand manipulation is required, must have ability of simple and firm grasping, fine manipulation, and use of keyboards. Individual is required to be available for emergency call back services and is required to be at the duty station as assigned even though he/she may have had to work all night long on emergency call back. Mental: The incumbent must perform all imaging procedures that are complex and intricate as the instrument selection factors must be tailored to each patient habitus correlated with anatomical areas of clinical concern. Diagnostic quality is markedly affected by the incumbent’s ability to maximally utilize equipment capabilities and to extrapolate relevant visual images on the screen to the recorded exam. Must have the ability to concentrate for a prolonged period of time, frequently handle a high degree of flexibility, and demonstrate a high degree of patience. Must occasionally cope with high levels of stress, make decisions under high pressure, cope with anger/fear/hostility of others in a calm way, manage altercations, handle multiple priorities in stressful situation, work alone, adapt to shift work, and work in areas that are close and crowded. Environmental: May frequently be exposed to hazardous or moving equipment. May also experience occasional exposure to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, and loud noises. Responsibilities ESSENTIAL FUNCTIONS The incumbent independently performs both mammography screening and diagnostic exams. Trains and critiques the work of another technologist, provides assistance when procedures require assistance or when so directed by the Chief of Radiology. Produces ionizing radiation within a safe permissible range as to achieve a quality Mammography and Radiologic, imaging processing. Provide proper patient protection in accordance with prescribed safety standards related to radiographic examination. Secure the confidence and cooperation of patients during examinations and procedures. Assists physicians and radiologists in administering opaque media for all contrast prescribed radiographic examination. As required by procedure or patient's condition monitors vital signs and notifies radiologists of any significant changes. Assists in performing emergency first aid if required and delegated areas of authority in the performance of routine and special procedures, involving various tomographic examinations. Incumbent will assist MSA in evaluating requests for critical and/or emergency procedures and changes the schedule to accommodate patients of a higher priority. Receives patients, explores methods or procedures, positions patients and makes the exposures necessary for requested examinations. Explain procedures to the patient, positions and transfers patients to table for examination. Independently performs standardized examinations, determines the appropriate thickness of cuts, and recognizes standard targeting techniques necessary to complete the examination. Confers with the Radiologist in order to establish the requirements of non-standardized examinations, appropriate targeting techniques, and/or other deviations required performing a complete examination. Maintains required daily logs of all patients, examinations performed, scans taken, etc., as well as general office work entering exams into the RIS, completion of paperwork, sending images to the PACS and/or TeleRadiology providers. Technologist will be responsible for electronic health records data entry pertinent to patient service role prior to duties as assigned or where it is appropriate to place As a Radiologic technologist, incumbent is responsible for review and evaluate developed x-rays or computed/digital generated information to determine if images are satisfactory for diagnostic purposes. Use radiation safety measures and protection device to comply with government regulations and to ensure safety of patients and staff. Explain procedures and observe patients to ensure safety and comfort during scan. Operate or oversee operation of radiologic digital imaging equipment to produce imaged of the body for diagnostic purposes. Position and immobilize patients on examining table. Positioning imaging equipment and adjusting controls to set exposure time and distance, according to specification of examination. Key commands and data into computer to document and specify image sequences, adjust transmitters and receivers or radiograph certain images. Monitor digital images and adjust density or contrast to improve picture quality. Coordinate work with clerical personnel and other technologist. Operate fluoroscope to aid physician to assist with special procedures such as upper and lower GI studies, arthrograms, VCUGs, HSGs, etc. Practices sterile technique and prevents cross-contamination in various examinations. Ensures that sterile supplies, contrast materials, catheters and other required equipment are present and laid out. Maintains patient records, x-ray file folders, check out files, quality assurance records, current operating policy manuals and other materials as necessary to insure adequate patient treatment and referral as necessary. Keeps repair and maintenance records of the Mammography/ x-ray unit. Procures stores and routes supplies for room preparation, recommends the procurement and necessity for maintenance and servicing of equipment. As a Mammographer: Plans and performs standardized and specialized views of mammography utilizing digital mammography equipment. Transmits images of breast to Synapse PACS for radiologist interpretation. Stores images of patient exams on discs for future reference for comparison. Prints hard copy films using laser imaging processor upon request. Conducts (operative) breast biopsy specimen examinations. Assists radiologist (or other qualified physician) in performance of needle localizations, cyst aspirations, needle biopsies, Stereotactic procedures, and other new mammographic procedures. Reviews images for positioning, compression, labeling artifact, and overall diagnostic quality. Determines the need for compression views, magnification views or other standard or specialized views as outlined in departmental policies. Assists the lead interpreting radiologist in developing and maintaining a mammography program which conforms to Food and Drug Administration (FDA) standards. Participates in the Mammography outcomes audit of all mammographic exams according to ACR/FDA/MQSA Standards. Assists with the follow-up of all patients with abnormal mammograms and in the medical outcome analysis audit program. Fully participate with the implementation of all quality assurance related issues of mammography by performing all mammographic quality control procedures. Performs and maintains the daily, monthly and quarterly QA/QC as required by the FDA/MQSA program for accreditation. Along the with lead interpreting physician participates in the annual FDA inspection process Performs general maintenance, the physical cleanliness by wiping spills and surfaces used for mammography, and mammography suite. This also includes ordering/restocking mammography supplies and maintaining an inventory of mammography supplies such as film, biopsy needles, biopsy trays, etc. Incumbent will be required to ‘ take call’ as part of the regular call/standby rotation and therefore per hospital policy must live within 20 minutes of the hospital. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction Performs other duties as assigned.
NP Full-time
Tuba City Regional Healthcare

RD/ Diabetes Case Manager - (DH1621)

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is responsible for providing inpatient and outpatient medical nutrition therapy appropriate to medical diagnoses; providing diabetes self-management education; and using public health approaches to prevent and treat obesity, diabetes, and complications of diabetes. Provides case management services for a sub-population of patients with diabetes, e.g. newly-diagnosed, patients who are pregnant, diabetes in youth, uncontrolled T2DM, etc. These services promote efficient and effective use of a variety of health resources by focusing on the whole patient to provide a seamless continuum of care. The goals are the provision of quality health care, decreased fragmentation of care, enhancement of a patient’s self-care and quality of life and cost containment. Incumbent also participates in weekend/holiday rotating on-call schedule to provide medical nutrition therapy for inpatients, with and without diabetes. Qualifications NECESSARY QUALIFICATIONS Education: Must have Bachelor’s Degree in Dietetics or for graduates 2023 and after must have a Master’s Degree in Nutrition, Public Health or related field. Experience: Must have a minimum of 6 months experience as a clinical dietitian in an inpatient or outpatient setting with experience in diabetes self-management. Certification: Must be a current Registered Dietitian in good standing with the Commission on Dietetic Registration (CDR) Must have a registered RD licensure from any state, if none, must obtain within (1) one monthof hire. Must have and maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others; cooperating effectively in teams for the benefit of patient care Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Effective verbal and written communication skills; exceptional communication and interpersonal skills are essential Ability to prioritize duties and work independently; must be self-motivated Experience with Microsoft Office and other computer applications Completion of an above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL & PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. PHYSICAL Incumbent must be able to sit at a desk for long periods of time, write legibly and use a computer terminal. The position requires the ability to frequently stand and walk. Other general physical abilities include the ability to occasionally bend, kneel, crouch, twist, maintain balance and reach. Incumbent has the sensory ability for hearing normal speech, hearing overhead page on loud speaker, talk over the telephone and in person with others. This position requires sensory ability for frequent use of far vision, near vision, and seeing fine details. It also requires occasional sensory ability for color vision and depth perception. The expectation is the position may occasionally lift, push and pull up to 24lbs. Incumbent will need to have the hand manipulation ability with prolonged use of keyboard; occasionally need for simple grasping, fine manipulation, and firm grasping. MENTAL Incumbent must be able to prioritize and use good judgment; coordinate a variety of issues while being frequently interrupted; assess data such as lab values and weights. This position requires the mental and emotional prolonged ability to handle a degree of flexibility and demonstrate high degree of patience. The incumbent will frequent need the ability to concentrate, handle multiple priorities in a stressful situation, work alone, and work in areas that are close and crowded. Incumbent must be able to occasionally accept flexible schedules to meet unit needs. ENVIRONMENTAL Incumbent may occasionally be exposed to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment . Responsibilities ESSENTIAL FUNCTIONS Provides inpatient and outpatient medical nutrition therapy and diabetes self-management education. Performs individual patient needs assessment to evaluate intervention priorities. Assesses patient needs, medical condition, lab values, nutrition and weight status, self-management abilities, psychosocial concerns, learning factors, mental and emotional health status, access to health care resources, and glycemic control. Provides appropriate level and frequency of care for patients and their families as identified in the individual assessment. Provides diabetes self-management education in both individual and group settings utilizing the IHS “Balancing Your Life with Diabetes” and Association of Diabetes Care & Education Specialist (ADCES) curricula, using ADCES-7 framework. Apply theoretical approaches such as motivational interviewing, stages of change theory, and empowerment theory to facilitate behavior change. Effectively communicates with patients and families in a culturally sensitive manner. Utilize a case management model to follow a specific sub-population of diabetes patients, e.g. newly diagnosed, adolescents, pregnant patients, high-risk patients, etc. Ensure patients receive recommended services and appropriate follow-up. Provides consultant services to the TCRHCC Dietary Department as needed, such as tray-line monitoring, menu updates, and in-service training. Provides inpatient medical nutrition therapy to patients with and without diabetes on a rotating weekend/holiday on-call schedule. Maintains current licensure, job-related competencies, and knowledge of evidence-based guidelines through active participation in continuing education, independent study, seminars, in-services, and dialogue with colleagues. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Performs other duties as assigned.
RN ER Full-time
Tuba City Regional Healthcare

Clinical Nurse - Emergency Services

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The Clinical Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families. Qualifications NECESSARY QUALIFICATIONS Education: Associate of Science Degree in Nursing or Bachelor of Science Degree in Nursing License/Certification : A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States. Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Pediatric Advanced Life Support (PALS) from the American Heart Association Neonatal Resuscitation Program (NRP) required within one (1) year of hire from American Heart Association Trauma Nurse Core Course (TNCC) required within one (1) year of hire Emergency Nurse Pediatric Course (ENPC) required within one (1) year of hire National Institutes of Health (NIH) – NIHSS – NIH Stroke Scale must be completed (within 6 months of hire) Emergency Severity Index Level 5 within 3 months of hire Complete Patient Sitter Competency Training (upon hire) Experience: Must have one (1) year registered nursing experience in an emergency department or critical care unit. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; report to work as scheduled Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial, and behavioral characteristics of the group for which care is provided. Knowledge of disease entities to recognize complications and therapeutic interventions required. Knowledge of assessment practices related to pain management and various treatment modalities of pain relief. Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications. Knowledge of infection control procedures and safety precautions. Possess and employ an ability to communicate with patients and families during time of emotional and physical stress Successful completion of and positive results form all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job. Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job. Submission of all required employment-related documents, application, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift to 50 lbs. frequently through entire shift. Must be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. Will be working occasionally around the following environmental conditions: wet, humid conditions (non-weather); work near moving mechanical parts; toxic or caustic chemicals; outdoor weather condition; extreme cold (non-weather); extreme heat (non-weather); risk of electrical shock; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Responsible for providing direct observation of patients as directed by the nursing plan of care and under the supervision of the nursing staff and/or nursing department supervisor. Responsible for assisting nursing staff to create, maintain and provide a safe environment Develop individualized patient care plans and periodic evaluation of plans to ensure that intended results are being achieved. Interview patients and family members and consults with attending physicians, other staff members to determine and evaluate the kind of health and physical care needed. Recognize adverse signs and symptoms, which are not always apparent and to react promptly in emergency situations including the implementation of life saving procedures. Carry out treatments and procedures per scope of practice. Maintains health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner. Provide counseling and teaching to patients and families or surrogates on preventive, curative and rehabilitative measures involved in health care. Make every effort to have positive working relationships with the ER staff and contribute to teamwork within the department. Monitor and initiate corrective action to maintain the environment of care including equipment and material resources Maintain professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serve on nursing committees, as requested. Understand and adhere to established compliance and quality assurance standards. Participate in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities/projects. Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. Delegate tasks and supervise the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards, when assigned as team leader; and provide guidance, direction and training to ancillary nursing and other personnel. Act as charge nurse for a group of patients or an entire unit when assigned. Responsible for electronic health records data entry pertinent to patient service role. Float to other units are needed. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction Perform other duties as assigned.
NP Oncology Part-time
Tuba City Regional Healthcare

Nurse Practitioner (0.50 FTE) - Oncology

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is a midlevel advanced practice professional who practices under the supervision of the physician to provide direct patient care, patient and family education, psychological support, and survivorship planning from the time of diagnosis throughout the continuum of cancer care. The scope of practice includes performing comprehensive assessments and physical examinations, ordering and interpreting diagnostic laboratory tests, performing invasive procedures, prescribing medications and treatments, ordering chemotherapy and biotherapy regimens, and conducting health screening and providing patient and family education. The incumbent will serve as an educator, consultant, and liaison to healthcare providers caring for the patients across the continuum of care, which includes inpatient and outpatient services. Qualifications NECESSARY QUALIFICATIONS Education: Master of Science in Nursing Licensure/Certification: Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico Certification by the American Association of Nurse Practitioners (AANP) Must maintain a current and valid Advanced Cardiac Life Support (ACLS) by the American Heart Association (AHA) Must maintain a current and valid Basic Life Support (BLS) certification by the American Heart Association (AHA) Must earn the credential of Advanced Oncology Certified Nurse Practitioner (AOCNP) from the Oncology Nursing Certification Corporation (ONCC) within one (1) year of hire date Credentialing: Must meet additional requirements for credentialing and privileging for membership to the Medical Staff Experience: Four (4) years of successful Nurse Practitioner evaluating and treating patients in adult primary care Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Strong networking and relationship skills with demonstrated ability to work with staff, physicians, patients, and the community Experience and knowledge in the management of the physiologic and psychological effects of illness and subsequent treatment Basic understanding of Medical Oncology, Radiation Oncology, Oncology Nursing, Oncology Social Work, Cancer Registry data collection, interpretation and reporting Ability to work effectively in a culturally diverse environment and support the specific populations served in Oncology Services High motivated, self-directed individual with a demonstrated understanding of nursing care in ambulatory service delivery Reliable and dependable; reports to work as scheduled without excessive absences Responds effectively to sensitive inquiries or complaints Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Incumbent must be able to frequently (1/2 day) sit, bend, and twist; prolonged (3/4 workday) ability to stand, walk, maintain balance, and reach: and occasionally (less ¼ day) drive, kneel, crouch, and climb. Incumbent will need to be able to to lift, push, and pull up to 10 lbs for prolonged periods is required, frequently up to 24 lbs; and occasionally over 100 lbs. Sensory requirements for the position include prolonged ability for near, color vision, depth perception, hearing normal speech, and telephone use. Other sensory requirements the Incumbent must be able to frequently have far vision, see fine details, and hear overhead pages on loudspeaker. The Incumbent will need to utilize the ability of hand manipulation consisting of prolonged use of keyboards and frequent us of simple, firm, and fine manipulation. Must have both hand manipulation of continuous simple and firm grasping, fine manipulation, and frequent use of keyboards. Mental: This position will need to have the ability to manage the emotions of the patients, families, and caregivers who are dealing with a cancer diagnosis. The Incumbent may need to be able to frequently adapt to shift work; work alone; handle multiple priorities in stressful situations; cope with anger/fear/hostility of others in a calm way; and make decisions while under high pressure. Incumbent must be able to handle the regularly stresses of rural medicine with critically ill patients; must have a high degree of judgment and leadership in coordinating service continuance of patient care needs. Incumbent will need the prolonged ability to cope with a high level of stress; concentrate; handle a high degree of flexibility; and demonstrate a high degree of patience. This position also requires occasionally be ability to work in areas that are close and crowded, and potential managing altercations. Environmental: This position may frequently be exposed to chemicals; and extremes in temperature and humidity. The Incumbent may occasionally be exposed to infectious diseases; dust, fumes, gases; hazardous moving equipment; unprotected heights; and loud noises. Responsibilities ESSENTIAL FUNCTIONS Performs comprehensive history and physical examinations on patients with cancer to assess normal and abnormal findings and identifies differential diagnoses on established and new patients. Interviews, assesses, and evaluates oncology and hematology patients receiving outpatient infusion and other therapies to determine their physical condition and orders initial diagnostic tests, collects specimens for routine laboratory tests, and performs screening and therapeutic procedures appropriate for the patient’s medical condition. Writes orders for administration of blood products and chemotherapy agents under the direction and supervision of attending physician. Orders consults for services such as physical therapy, occupational therapy, respiratory therapy, imaging studies, and nursing services; and writes referrals for consultations to radiation oncology, writes orders for vascular access device placement for chemotherapy, and arranges for procedures and biopsies with the surgery and interventional radiology services. Formulates an evidence-based treatment plan according to the interpretation and evaluation of all patient data. Collaborates with other healthcare team members involved in patient treatment to ensure continuity of care. Initiates arrangements for hospital admissions and discharges patients as indicated by clinical status. Manages the clinical course of patients with cancer with acute or chronic complaints and end-of-life and other health concerns. Performs core clinical practice competencies specific to the patient population, and promotes, directs, evaluates, and manages safe patient care for patients being treated in the chemotherapy infusion area, and provides patient teaching and coordinates counseling. Prescribes medications and administers orders as indicated by patients’ clinical status. Serves as a cancer pain management resource to the medical center in both outpatient and inpatient settings. Recognizes and initiates lifesaving procedures for oncologic emergencies and brings emergencies to the immediate attention of a physician. Participates in the tumor board and clinical research studies as determined by the needs of the program and participates in staff development and in-service education as requested. Promotes and participates in the delivery of patient and family education on the cancer diagnosis, treatment, expected outcomes, and end-of-life issues such as do-not-resuscitate orders, healthcare proxies, and advance directives; and assists in the completion of patients’ disability and insurance forms as needed. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. Performs other duties as assigned.
CRNA Full-time
Tuba City Regional Healthcare

CRNA-Nurse Anesthetist

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position is located in the Anesthesia Department of Tuba City Regional Health Care Corporation (TCRHCC) and is a full professional member of the Operating Room (OR) team providing anesthesiology services. Qualifications NECESSARY QUALIFICATIONS Education: Associate’s or Bachelor’s degree from an accredited school of nursing. Completion of a Nurse Anesthetist training program sponsored or approved by the American Association of Nurse Anesthetists (AANA) License/Certification: Must possess a valid, current, full and unrestricted license to practice as a nurse in any state within the United States, District of Columbia or the Commonwealth of Puerto Rico Certification by the AANA (American Association of Nurse Anesthetists) Must maintain a current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association for direct hires Pediatric Advanced Life Support (PALS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association Must obtain Advanced Trauma Life Support (ATLS) prior to taking trauma call Experience: Knowledge of professional nursing and of the pharmacological properties and physiological effects of anesthetic drugs used in complex surgery Independent ability to administer all anesthetics and to detect unfavorable reactions; to administer and manage new drugs and to recover the patient from any side effects Skill in preparing reports of results in the use of new drugs. Frequently new techniques, information, and criteria are established from these reports. Knowledge of OR methods, equipment, and procedures Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to coordinate anesthesia activities with the total operating room team Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC. MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The Anesthetist must endure long periods of sitting, and standing while confined to a small area, frequent walking, occasional driving, bending, climbing, kneeling, crouching, twisting, maintaining balance and reaching. Must remain alert and make rapid and accurate decisions during periods of fatigue and anxiety induced by extended high risk surgery. Must be able to lift, push, and pull 10lbs frequently as well as occasionally equipment weighing over 100lbs. Must have ability of far, near, and color vision, depth perception, seeing fine details, hearing normal speech and overhead pages, and occasional telephone use. Must have hand manipulation of frequent simple grasping and fine manipulation and occasional firm grasping and use of keyboards. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize, use good judgment and be able to coordinate a variety of issues while being frequently interrupted. Must have ability to frequently cope with high levels of stress, make decisions under high pressure, handle high degree of flexibility, handle multiple priorities in stressful situation, occasionally cope with anger/fear/hostility of others in a calm way, manage altercations, concentrate, work alone, demonstrate high degree of patience, adapt to shift work, and work in areas that are close and crowded. Environmental: Works in an area where there is repeatedly long exposure to anesthetic agents which may cause a risk of abortions, birth defects in the children of anesthetist, and possible cancer. There is also the risk of exposure to radiation and infection. May frequently be exposed to chemical agents, dust, fumes, gases, and loud noises with occasional exposure to infectious disease, extremes in temperature or humidity, hazardous or moving equipment, and unprotected heights. Responsibilities ESSENTIAL FUNCTIONS Answers to the Chief of Anesthesia and follows all pertinent policies and procedures. Abide by all Medical Staff Bylaws and Rules & Regulations including meeting attendance, educational and quality assurance and process improvement activities. The purpose of the work is to provide full range of anesthetic management in an operating room and post operative setting. The Nurse Anesthetist is an on-site consultant and expert in anesthesiology. Contact with patients, their families, physicians and surgeons, pharmacist, quality assurance staff, nursing staff, and other hospital personnel must reveal excellent interpersonal skill. Contact with patients establishes rapport and health history. Contact is also made with the patient’s family to elicit information, provide emotional support, and ensure cooperation. Contact with surgeons and other hospital personnel are to exchange information and provide consultation before, during, and after surgery. The Anesthetist at TCRHCC is responsible for administering anesthesia for all types of surgical procedures. Patients range from the neonate (currently not less than 1 year) to the centurian. The acuity of our patients covers a wide range from the healthy to the gravely ill. The Anesthetist must be proficient in diagnosing the degree of illness and anesthesia related risks, in order to properly select techniques and agents. Reviews patient’s charts for pertinent information such as lab, EKG’s, x-ray, allergies, and history and physical examination, and previous anesthetics with related complications. Interviews patients and family members if available. Explains anesthesia procedures, discusses risks involved, and what to expect post anesthesia. Employs the services of interpreters when necessary. The Anesthetist administers anesthetic by inhalation, endotracheal intubation, regional, intravenous or topically. Induces anesthesia to the proper state and manages throughout surgery. Determines need for and administers parenteral fluids, including plasma and blood. Administers medications as required and monitors the patient during surgery by maintaining hemodynamics and preventing overdose. Diagnosis problems such as cardiac failure, respiratory insufficiency, fluid and electrolyte imbalance, and corrects same. Provides acute pain management services to obstetrical and other patients as consulted. Gives immediate post operative care to patients for the extent of time required to ensure clear airway and freedom from the possibility of shock or other adverse reactions. Recommends new drugs to the Pharmacy Committee for anesthesia. Administers and evaluates actions of new drugs. Manages actions of new drugs once they are administered. Implements results of new anesthesia methods and techniques after receiving approval from medical committee. Responsible for all techniques, drugs, and equipment used in the administration of anesthesia to all patients undergoing any and all forms of surgical and/or diagnostic procedures. Assumes responsibility for care, sanitation, and inspection for proper functioning of all equipment used in performance of work, enforcing rules and safety with respect to anesthetics or gases such as grounding of patient and venting of gases during surgery. Attempts to maintain a quiet orderly induction and emergence. Responds to medical emergencies such as codes or intubation in the ICU, ER, or any other location in the hospital as availability permits. Responsible for electronic health records data entry pertinent to patient service role. Ensure Proper PPE is always used while on duty. Face surgical mask is to be worn in all hospital areas. Proper handwashing is required. If water is not available use hand sanitizer. Social distancing will be practiced by department. Proper PPE is used inside assigned Clinics or Unit. NIOSH-approved N95 mask filtering face piece respirator or higher, is available, this included eye or face masks shield, gloves, and isolation gown. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Complete provided training. Performs other duties as assigned.
RN Utilization Review Full-time
Tuba City Regional Healthcare

Case Review Registered Nurse

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY This position facilitates the analysis of medical staff quality and performance data for the organization through coordination of information including data collection, analysis and trending of required medical staff quality and peer review activities, and other select clinical outcome measurements. This position serves as assisting the medical staff with practitioner specific quality monitoring and reporting. This position manages issues that are brought up regarding the quality of practice by providers, evaluates and investigates quality issues. Responsible for managing Ongoing Professional Practice Evaluations/Focused Professional Practice Evaluations. Supporting the Peer Review Committee and other Quality related projects. This Registered Nurses will be evaluating the quality and appropriateness of care provided by their peers, aiming to improve patient safety and practice standards through a non-punitive, continuous learning process. The role of the Case Review RN is to establish, promote and monitor seamless care for TCRHCC patients. Qualifications NECESSARY QUALIFICATIONS Education: Bachelor’s degree in nursing and Master’s Degree in Business Administration or other Master’s degree in healthcare. License: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Experience: Five (5) years of supervisory experience in discharge planning, case management, or utilization review in an acute-care health care setting or related healthcare clinical leadership Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Accessing community resources for patient referrals Elimination of potential conflicts of interest including professional, organizational, and/or personal bias inherent to review programs performed or supported with internal review. Providing a systematic and scalable approach ensuring review criteria and results are accurate, reliable which reduces risk by identifying trends and potential issues of clinical staff performance, deficiencies, and errors. Knowledge of diagnosis related groups (DRG) and documentation requirements Positive working relationships with others Possession of high ethical standards and no history of complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to sense varying skill levels and direct instruction accordingly Detail oriented, well organized, and applies critical thinking, reasoning, deduction, and inference skills Knowledge of report writing, graphical analysis, and working with computer spreadsheets and database programs Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Physical: The work involves prolonged periods of sitting in an office setting operating a personal computer, walking throughout the hospital to obtain and review medical records, and standing while inquiring with providers and clinical staff. The Incumbent may occasionally need to drive, bend, climb, kneel, crouch, twist, maintain balance, and reach. There may be times of distant travel for ongoing and advanced training. Occasional travel to the satellite health centers for on-site reviews. The Incumbent will frequently need to be able to lift, pull, and push up to 10 pounds. This position requires the sensory ability for frequent use of far vision, near vision, color vision, depth perception, seeing fine details, hearing normal speech, telephone use, and hearing overhead pages over a loudspeaker. The incumbent must be able to utilize hand manipulation to do simple grasping and use of keyboard for prolonged time during work day. The position requires frequent firm grasping and fine manipulation. Mental: The work requires the ability to deal relatively independently with the interrelated elements that affect data analyzing and reporting, to resolve complications and controversial matters. This position requires the mental & emotional requirement ability to cope with high levels of stress; make decisions under high pressure; copy with anger/fear/hostility of others in a calm way; manage altercations; concentrate; handle a high degree of flexibility; handle multiple priorities in a stressful situation; work alone; demonstrate a high degree of patience; and work in areas that are close and crowded. May occasionally be required to adapt to shift work. Environmental: The incumbent may be exposed to the following environmental situations: Infectious Diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises. Responsibilities ESSENTIAL FUNCTIONS: Reviews patient records and clinical documentation to assess the appropriateness and necessity of healthcare services, ensuring quality and cost-effectiveness of care Resolves informal/formal complaints and grievances within jurisdiction and refers appropriately to a higher level of management if needed. As appropriate, refers instances of inappropriate patient care, discharge delays, and so on to the Risk Manager and /or Clinical Division. Review patient records, thoroughly examine patient charts, clinical documentation, and billing information to assess the appropriateness and necessity of services provided. Perform chart reviews to identify quality, timeliness, and appropriateness of patient care. Refer cases as appropriate to physician advisors for review and determination. Requires experience in performance improvement methodologies; quality measurement; and data analysis using statistical principles. Prior experience in hospital or clinical management preferred. Requires computer knowledge. Windows application: Skilled in the use of select Microsoft Office Applications, e.g. Word; Excel and PowerPoint or other database management applications. Requires strong written and verbal communication skills and the ability to work effectively with all levels of the organization and with members of the medical staff. Requires strong public speaking skills and the ability to deliver effective presentations and education to large groups of physicians and staff. Requires ability to prioritize multiple projects and the flexibility to accommodate changing priorities. Effectively communicates and coordinates processes to assure the continuity of patient care to outside providers and promote patient advocacy among Navajo Area Indian Health Services/Service Units, and Federal and State entities. Develops and implements policies and procedures regarding case management eligibility, alternate resource programs, referral/notification process, interdepartmental relationship and responsibilities; promote patient access to the appropriate level of care, prevent over or under utilization of resources, maximize the use of alternate resources, and supports continuity of care. Assists with review, research, and decision of first level appeal process with Purchase Referred Care Provides clinical expertise, skills, and behaviors appropriate to the population(s), served, and based on specific criteria and/or age-specific considerations. Supports, educates, and oversees the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation enhancement guidelines for selected patient populations. Collaborates with the Physician Advisor or designee in leading and facilitating the Utilization Review Committee, develops and interprets reports (i.e. statistical, financial, trends), provides data for the PI Committee and submits reports, as required, on outcomes, clinical quality documentation and insurance medical necessity criteria. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer Performs other assigned duties as needed
RN Educator Full-time
Tuba City Regional Healthcare

Clinical Nurse Educator - Staff Development

Tuba City Regional Healthcare Tuba City, AZ
Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The clinical nurse educator is a registered nurse who has demonstrated competent clinical experience in the acute care setting. This position operates independently with limited oversite of the Staff Development Director. The applicant’s practice will align with the roles of the association for Nursing Professional Development’s (NPD) scope and standards of practice: Learning facilitator, change agent, mentor, leader, champion for scientific inquiry, partner for practice transitions, and advocate for NPD specialty. The clinical nurse educator will utilize the nursing process to assess practice gaps, identify learning needs, facilitate positive learning environments, and evaluate outcomes to ensure high quality clinical practice for optimal patient care outcomes. Areas of responsibility will include staff onboarding & orientation, competency management, department specific educational training, AHA life safety compliance management, implementation of evidence-based practice (EBP) & research, staff role development offerings, mentorship, support of health programs student placements, and other educational support duties and requests. The clinical nurse educator will work in partnership and be a member of various committees such as unit practice councils, risk management, quality improvement, ethics, and infection prevention. Qualifications NECESSARY QUALIFICATIONS: Education: Bachelors Degree in Nursing from an accredited school of nursing Certification: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States and maintained throughout current employment. Must maintain current valid certification of the following throughout employment: Basic Life Support (BLS) from the American Heart Association Advanced Cardiac Life Support (ACLS) from the American Heart Association ANCC Nursing Professional Development (NPD) specialty certification, if none must complete certification review course within six (6) months and attain the ANCC NPD certification within one (1) year of hire. Experience: Three (3) years of acute care nursing practice such as ICU, PCU, ER, or PACU/post-op recovery At least one (1) year of experience in clinical education and staff professional development within the past two (2) years One (1) year of verifiable experience providing staff orientation, involvement in educational program presentations or on the job training of educating clinical staff. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Provides mastery of critical thinking skills and ability to prioritize demands for clinical education & training. Coordinates and collaborates with departments to implement educational programs that promotes a climate which supports positive learning environments and open communication Instructs/teaches content and/or assignments for staff development with focus on safe clinical practice and document outcomes of educational initiatives and programs Implements clinical orientation of new personnel and evaluates competencies and areas which may require educational support Promotes and role-models the mission, values, visions and strategic goals of TCRHCC in all interactions with customers and patients. Treats people with dignity, professionalism and kindness. Demonstrates excellent internal and external customer service skills such as friendly greeting, making eye contact, listening attentively, responding in a timely manner, showing respect and empathy and acting as a role model for staff and peers. Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC These are not skills and abilities of the role, they are requirements for hiring and should be moved from ‘skills and abilities’ section MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: Work requires prolonged periods of standing; walking; talking or hearing; sitting watching, observing, concentrating on computer monitors and equipment; use of hands to finger, handle, feel; bending, stooping, kneeling, crouching; reaching with hands and arms; and, taste or smell. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies. Must be able to lift up to 50 lbs. frequently through entire shift. Most be able to move, pull/push, lift, maneuver more than 100 lbs. when caring for patients and must be able to use proper body mechanics and lifting equipment when available. Must be able to discern when working with over a hundred pounds when, how, and who to ask for assistance to protect and prevent self-injury. Must have the ability to hear and recognize alarms on equipment; client calls; instructions from physicians/department staff; and, hear overhead pages through loudspeaker. This position requires vision required to see close; distant; colored; peripheral; and depth perception. Must be able to adjust visual focus as needed. to ask for assistance. This position requires the ability to perform repetitive motion actions in both feet; and, hands including prolonged grasping of simple/light action; intermittent grasping of firm/heavy action; and prolonged ability of fine dexterity. Mental: Contacts often require tact and sensitivity as those related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Must be able to work with the attitude of team building with other staff; collaborate with multiple departments and job positions. Must be willing to assist when able and as needed with other team players. Environmental: Required to work prolong periods of time in an environment of toxic or caustic chemicals. May work and be exposed frequently to Infection Diseases. Will be working occasionally around other environmental conditions including: Chemical Agents; Dust, Fumes, Gases; Extremes in Temperature or Humidity; Hazardous or Moving Equipment; Unprotected Heights; loud noises; risk of radiation; vibration; and, risk of electric shock. Typical environmental noise level is moderate. As with any area of a Health care setting, must be able to work around and with infectious diseases. Responsibilities ESSENTIAL FUNCTIONS: Must have the ability to work independently. Ensure a high level of quality and safety in the clinical and educational setting at all times. Assists in developing educational objectives to meet educational needs and regulatory requirements as defined by the units, departments, division and hospital. Schedules and coordinates education sessions to meet staff needs. Prepares reports and maintains records, educational records for orientation, mandatory programs, in-service and continuing education programs, etc. Serves as a resource/educational consultant to assign personnel and unit staff. Identifies, plans and implements cross-training strategies for orientation, training and education. Develops, maintains a written progressive orientation plan that incorporates health care standards, Joint Commission guidelines and corporate requirements for clinical staff. Collaborates with the Unit Directors. Meets with orienteers at regular intervals to evaluate the units’ orientation programs. Develops, implements, maintains a preceptor training program to provide supervision, support and teaching orienteers. Reviews and interprets unit policies and procedures with orienteers and other staff, if needed. Assists in gathering, reviewing, creating action plans and monitoring patient and clinical practice, quality and safety measures data in collaboration with the Unit Directors. Must excel at communication, identify and offer solutions for educational needs, well organized, focused and show empathy. Must exhibit traits that area in accordance with the organization’s Code of Conduct and Standards of Behavior, with special focus in the skill of caring; showing compassion and understanding for the nurses and patients who are at the receiving end of the care and instructions. Collaborates, networks and researches subject matter to refine and enhance clinical practice to meet current accreditation standards and evidence-based practice standards. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering face piece respirator or higher, if available), and eye or face shield. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates) Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction. All other tasks/duties as assigned.