*POSITION PURPOSE *

The Nurse Practitioner provides diagnostic, preventative, and therapeutic health services to patients and family members at the Bois Forte and Vermilion Clinics; with the ability to function as an independent practitioner. The Bois Forte Health & Human Services and IHS goal is to raise Indian Health status to the highest possible level.

*Essential Duties, functions, & Responsibilities*

* Secure a health and developmental history from the patient or parent and perform a detailed physical exam; records findings and makes critical evaluations. Performs or requests special screening and developmental tests and diagnostic tests and procedure and interprets the results.
* Discriminate between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Make decisions concerning medical care needs of patients which may involve various treatment modalities, prescribed medications, consultation, and referral when appropriate.
* Provide direct and independent medical care in the presence of illness or disability in order to maintain life, provide comfort, reduce distress, and enhance coping ability.
* Provide surveillance or medical practices applied to stabilize chronically ill persons; adjust treatments within established standing orders recognizing when to refer the patient to the physician or other health team members.
* Provide Medical Services during regular business hours.
* Provide the greatest scope of services possible and refers out the least number of patients as possible.
* Assess healthcare plans and provides comprehensive and therapeutic medical care to patients in a family practice facility.
* Order and/or perform screening and diagnostic tests and procedures (lab studies, x-rays, electrocardiograms, referrals, etc.)
* Teach and counsel patients and family on disease prevention and health maintenance techniques. Promote responsible behavior and implement plans to further enhance patient/family understanding of medical problems.
* Collaborate with other health professionals to develop treatment protocols, standards of practice and policies.
* Participate in ongoing quality improvement activities, including audits, chart review, development of review criteria, development of plans for improving performance and evaluations of effectiveness of actions in improving performance.
* Serve as consultant and provide technical assistance to other health care providers and staff.
* Attend meetings as directed by supervisor.
* As an employee of the Bois Forte Reservation, will follow the Bois Forte Procurement Policy and any other applicable procurement requirements when obtaining goods and/or services for the Bois Forte Band of Chippewa.
* Other duties as assigned by supervisor.

*MINIMUM MANDATORY QUALIFICATIONS*

Experience:

· One (1) year experience as a Nurse Practitioner; or, 6 months of experience as a Nurse Practitioner combined with a minimum of 3 years previous nursing experience.

Education:

· Graduation from an accredited Registered Nursing program and graduation from an accredited Family Nurse Practitioner program.

License/Certification: · Maintain compliance with the Minnesota Board of Medical Practice requirement for State Licensure. · Certified as a Nurse Practitioner. · DEA licensure. · CPR certificate. Mandatory Knowledge, Skills, Abilities and Other Qualifications:

· Knowledge of established concepts, principles and practices related to Nurse Practitioner training, with full consideration of mental, emotional, and physical factors.

· Ability to use critical thinking skills, function independently and make complex decisions based on standards of care, policies and procedures, critical pathways, and nursing, home healthcare and palliative care practices and procedures.

· Knowledge of regulatory agencies documentation requirements and ability to accurately and completely document clinical data.

· Knowledge of disease processes in order to recognize their effects, side effects and complications. This includes knowledge of the appropriate therapeutic intervention along with the ability to perform complex care based on the specific needs of the patient.

· 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. This includes knowledge of BLS, ACLS, CPR, and PALS. · Knowledge of human behavior in order to provide counseling, guidance and health instruction in order to create and maintain a positive experience for both patients and their families. · Knowledge of the pharmacology of various medications (both legal and illegal substances), their therapeutic effects, side effects and adverse reactions. · Knowledge of durable medical equipment and other medically necessary equipment for home use including, but not limited to wheelchairs, hospital beds, walkers, oxygen equipment, lift chairs, Hoyer lifts, etc. · Knowledge of clinic policies and procedures relating to wound care and infection control. · Ability to prioritize activities and organize time effectively. · Ability to provide good customer service with a patient-centric approach.

· Excellent interpersonal skills in handling interactions with hospital staff, other agencies, groups, and patients and families; capable of working with and actively participating with a diverse multi-disciplinary team.

· Must be aware of laws of confidentiality and HIPAA. · Basic operation of a workstation (turning on/off, knowledge of basic functions and components) and general office equipment. Use/storage/maintenance of multiple usernames and passwords. Computer-related problem-solving skills through the use of available training and help desk. · Knowledge of Microsoft Office Suite (Word, Excel, etc.), internet software and appropriate storage of electronic files. · Ability to perform other duties as assigned. · A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.

Pay: $110,968.00 - $147,971.20 per year

Work Location: In person