*Job Summary*

The Dental Assistant supports dental care delivery by preparing treatment rooms, patient, instruments, and materials, and passing instruments and materials; performs all procedures in compliance with the Dental Practice Act.

*Essential Duties, functions, & Responsibilities *

* Assists chair-side with pediatric, adolescent, adult, and geriatric patients, fully anticipating the Dentist’s need for various instruments, materials, and services.
* Documents examination information and treatment performed.
* Orders supplies and keeps Dental Office properly stocked at all times.
* Keeps all instruments sharpened and properly cleaned or sterilized.
* Takes alginate impressions for study models, pours and trims models, fabricates custom trays and bite rims.
* Applies and removes rubber dams, removes sutures, applies desensitizing agent, places surgical gauze following extractions and applies and removes periodontal dressing.
* Exposes intra-oral and extra-oral radiographs.
* Performs oral prophylaxis and applies topical fluoride treatments.
* Measures and records blood pressure and health history.
* Maintains a variety of reports related to dental activities.
* Follows occupational safety and infection control guidelines for Dental Office personnel.
* Clean, sterilizes and disinfects dental instruments and equipment, which includes running and recording weekly sterilization tests as stated in the QI Infection Control Standards.
* Relays post-treatment instructions to patients, motivates and instructs patients in proper brushing and flossing techniques, care of orthodontic appliances and common causes of tooth decay.
* Rotates with Dental Assistant at Tower dental station.
* Orders MSDS sheets with each new product; reviews them and binds them in the MSDS reference binder.
* Establishes a network of sales representatives, supply companies and dental laboratories.
* Assists in identifying high-risk groups and initiating preventive planning needs; assists in developing and implementing community dental prevention programs, such as National Children’s Dental Health-month and the Health Fair.
* Compiles and reports programmatic data and surveys required by the RTC, IHS and dental program to include annual, monthly, preventive, fluoride, and school reports.
* Answers correspondence to dental suppliers, doctors and patients as instructed by the Dentist.
* Assists with scheduling patient appointments and patient services.
* Participates in Quality Improvement activities; attends general staff meetings, dental staff meetings and Bemidji Area Dental meetings, as well as continuing education seminars to maintain licensure.
* Apply pit and tissue sealants and directed by Dentist.
* Remove excess cement from teeth using rotary instrument.
* Perform Orthodontic treatments as directed by the Dentist.
* 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.
* Performs other duties as assigned.

*MINIMUM MANDATORY QUALIFICATIONS*

Experience:

· Two years working in a dental office setting with experience in accessing, evaluating, and taking appropriate measures to assist, teach and follow-up on preventative dental care.

*Education:*

· Successful completion of an Accredited Dental Assisting teaching institution program.

License/Certification:

· State of Minnesota Board of Dentistry Dental Assistant License.

· CPR Certification.

*Mandatory Knowledge, Skills, Abilities and Other Qualifications: *

*· *Knowledge of reception, routing and scheduling patients, ordering supplies, and keeping a clinic properly supplied. · Ability to sterilize dental instruments and keep clinics clean and presentable to patients. · Skill and dexterity in performing all intra-oral and extra-oral techniques. · Knowledge of dental terminology in order to accurately record treatment and examination information in patient files, and ability to file and retrieve patient records. · Ability to explain pre-operative and post-operative instructions to the patient, obtain consent for surgical procedures, explain preventive techniques and home care instructions, as well as answer patients’ questions, issues and concerns regarding their oral health status and the care options available to them, in a professional, complete, reassuring, respectful manner. · Knowledge of all routine and specialty instruments and procedures in order to prepare for and assist with normal clinical procedures. · Knowledge of dental anatomy in order to properly obtain radiographs. · Ability to recognize common dental disorders such as dental caries and periodontal inflammation, the ability to perform certain procedures to treat these conditions when directed by the dentist. · Knowledge of dental terminology so that proper recording of dental treatment occurs. · Knowledge of the instruments, materials, and set‐ups necessary for the full range of routine dental care. · Knowledge of sufficient dental anatomy in order to expose, process and mount radiographs. · Ability to attend to multiple tasks at the same time and to prioritize assignments and responsibilities to ensure compliance with established deadlines and protocols. · 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: $19.11 - $23.89 per hour

Expected hours: 8.0 – 32.0 per week

Work Location: In person

*POSITION PURPOSE *

The Nursing manager organizes, coordinates, and directs the work of the nursing staff to ensure that quality standards are met and that effective nursing services are given.

essential Duties, functions, & Responsibilities

1. Collaborate with nursing staff, interdisciplinary teams, and executive officers in the development, implementation and evaluation of programs and services.

2. Delegate responsibilities appropriate to licensure, education and experience of nursing staff.

3. Develop and implement standards of practice that guide practice improvement initiatives; implement National Nursing Standards.

4. Evaluate staff competency, by direct observation, peer review, and employee input, documenting this in the appropriate system.

5. Create goals and objectives for department and ensure they are met by staff.

6. Observe and assess patient condition with consideration for age specific attributes (i.e. infants, children, adolescent, adult and geriatric) and discuss significant changes with attending Physician, records initial assessment data and assessment data on the automated Electronic Health Record system.

7. Record and evaluate patient vital signs, takes initial history and records it in the patient's chart, and maintains accurate records.

8. Provide comprehensive nursing care to patients based on the providers prescribed medical plans; assists providers with examinations and procedures.

9. Coordinate health care needs through the use of all health care disciplines to meet identified patient care needs; coordinate ancillary services as needed.

10. Ensure availability and operation of necessary equipment and supplies for patients.

11. Assist in maintaining a clean and safe work environment at all times.

12. Develop and reviews Policies and Procedures for the nursing staff and clinic, and updates as necessary.

13. Provide patient care in the assigned areas of documented competence.

14. Provide nursing care to meet the physical, emotional, mental, spiritual, and socio-cultural needs of all patients and families; provide healthcare counseling and education.

15. Prepare patients for tests, examinations and treatments prescribed by providers; administers medication to patients as prescribed by provider.

16. Prepare and reviews records, laboratory data sheets, etc.

17. Assist in the overall provision and administration of services, including policy definition, implementation, and enforcement.

18. Maintain contacts with local, State and Federal agencies to keep informed of changes in health care delivery and maintains nursing services in accordance with State and Federal standards.

19. Evaluate the nursing staff, as needed, to meet the functions of the clinic, such as annual performance or disciplinary action based on professional practice standards and professional/practice development.

20. Operate within an approved budget.

21. Triage patient concerns and needs telephonically and/or computer-based communication.

22. Assist providers in reviewing and completing routine medication refills, prescription monitoring program, as well as case management.

23. Alternate working at both clinic sites accordingly.

24. 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.

25. Perform other duties as assigned.

*MINIMUM MANDATORY QUALIFICATIONS*

*Experience:*

· Eight to ten years of recent relevant and demonstrated progressive leadership experience as a Nurse Manager or other relevant supervisory experience.

*Education:*

· Bachelor of Science in Nursing.

*License/Certification:*

· License from the State of Minnesota as a Registered Nurse

· Current, active, and unrestricted Nursing license in the State of Minnesota.

· Current CPR certification or ability to obtain within 6 months.

· Valid Minnesota Driver’s License.

*Mandatory Knowledge, Skills, Abilities and Other Qualifications: ·*

Thorough knowledge of principles and practices of personnel management, including planning and organizing work, delegating authority, motivating subordinates, appraising performance and administering discipline.

· Thorough knowledge of principles and practices of nursing that optimize patient care; principles of nursing administration and organization; patient care standards, mandated by regulatory agencies; and acute care hospital policies, procedures, and routines.

· Understanding of laws and regulations governing hospital operations, nursing practices, administering, and accounting for medication, consents for treatment and related matters, such as Title 22 of the General Acute Care Hospital Regulations and the Joint Commission on Accreditation of Hospitals (JCAHO), and the Nurse Practice Act.

· The ability to manage and supervise the work of others, directly and through subordinate managers.

· The ability to lead and motivate others.

· Understanding of how to appraise performance, counsel and train employees, and develop and implement disciplinary actions.

· Knowledge of how to evaluate the quality and effectiveness of nursing and related services in order to make necessary improvements. May be required to obtain additional certifications or trainings in one or specialty areas, including x-ray certification.

· The ability to understand, interpret and apply laws, rules, regulations, and policies related to nursing and hospital administration.

· The skills necessary to prepare complex reports, memos and other written materials and

· The ability to collect, interpret and evaluate narrative and statistical data pertaining to administrative, fiscal management and clinical nursing matters. presentations.

Strong organizational and interpersonal skills; The ability to establish and maintain cooperative working relationships with others, including physicians, nurses, administrators, managers, vendors, contractors, and other health care personnel.

Effective communication skills, both oral and written and the ability to communicate clearly and concisely, present findings, recommendations and policies before boards, commissions, and/or committees.

· The ability to handle difficult situations involving patients, physicians, or others, in a professional manner.

· The ability to determine appropriate courses of action in complex or stressful situations.

· The ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.

· The ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work.

· The ability to maintain confidentiality of medical, financial, and legal information.

· Knowledge and skills to provide care to all ranges of patients served.

· Knowledge of the principles of growth and development over life span and possess the ability to assess data reflective of patient’s status and interpret patient information relative to his/her age specific needs.

Ability to provide the care needed as described in the nursing department’s policies and procedures manual.

· Knowledge of professional nursing theory and practices through completion of professional nursing education programs and supplemented by years of professional nursing experience which permits the incumbent to perform professional nursing duties with minimal supervision.

· Ability to recognize adverse signs and symptoms and react swiftly in emergency situations.

· Ability and knowledge of pharmaceutical, their desire effects, side effects, and complications of their use.

· Skills to efficiently operate specialized medical equipment such as resuscitators, oxygen equipment, cardiac monitoring devices, defibrillators, pulse oximeters, nebulizers, electrocardiograph machines, etc.

· Alertness and skills necessary in providing care and to act appropriately to emergency situations such as treatment of accident victims.

· Knowledge of a wide variety of medical disorders, such as general surgery, orthopedic and gynecological; normal course of diseases anticipated complications and indicated therapeutic interventions.

· Comprehensive knowledge of Clinical/Medical staff by-laws, rules and regulations and comply with all requirements for appointments and must be credentialed and privileged in accordance with SCAHC medical staff by-laws.

· Knowledge of Clinical policies and procedures. · Familiarity with the mandatory reporting requirements under the Indian Child Protection Act, with regards to suspected incidence of child abuse or child neglect.

· Ability to attend continuing education classes to maintain licensure and to meet the needs of the job.

· High-level of customer service skills to establish and enhance positive relationships with patients, co-workers, and others.

· 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: $75,129.60 - $93,932.80 per year

Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off

Work Location: In person

*POSITION PURPOSE *

The Nursing manager organizes, coordinates, and directs the work of the nursing staff to ensure that quality standards are met and that effective nursing services are given.

essential Duties, functions, & Responsibilities

1. Collaborate with nursing staff, interdisciplinary teams, and executive officers in the development, implementation and evaluation of programs and services.

2. Delegate responsibilities appropriate to licensure, education and experience of nursing staff.

3. Develop and implement standards of practice that guide practice improvement initiatives; implement National Nursing Standards.

4. Evaluate staff competency, by direct observation, peer review, and employee input, documenting this in the appropriate system.

5. Create goals and objectives for department and ensure they are met by staff.

6. Observe and assess patient condition with consideration for age specific attributes (i.e. infants, children, adolescent, adult and geriatric) and discuss significant changes with attending Physician, records initial assessment data and assessment data on the automated Electronic Health Record system.

7. Record and evaluate patient vital signs, takes initial history and records it in the patient's chart, and maintains accurate records.

8. Provide comprehensive nursing care to patients based on the providers prescribed medical plans; assists providers with examinations and procedures.

9. Coordinate health care needs through the use of all health care disciplines to meet identified patient care needs; coordinate ancillary services as needed.

10. Ensure availability and operation of necessary equipment and supplies for patients.

11. Assist in maintaining a clean and safe work environment at all times.

12. Develop and reviews Policies and Procedures for the nursing staff and clinic, and updates as necessary.

13. Provide patient care in the assigned areas of documented competence.

14. Provide nursing care to meet the physical, emotional, mental, spiritual, and socio-cultural needs of all patients and families; provide healthcare counseling and education.

15. Prepare patients for tests, examinations and treatments prescribed by providers; administers medication to patients as prescribed by provider.

16. Prepare and reviews records, laboratory data sheets, etc.

17. Assist in the overall provision and administration of services, including policy definition, implementation, and enforcement.

18. Maintain contacts with local, State and Federal agencies to keep informed of changes in health care delivery and maintains nursing services in accordance with State and Federal standards.

19. Evaluate the nursing staff, as needed, to meet the functions of the clinic, such as annual performance or disciplinary action based on professional practice standards and professional/practice development.

20. Operate within an approved budget.

21. Triage patient concerns and needs telephonically and/or computer-based communication.

22. Assist providers in reviewing and completing routine medication refills, prescription monitoring program, as well as case management.

23. Alternate working at both clinic sites accordingly.

24. 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.

25. Perform other duties as assigned.

*MINIMUM MANDATORY QUALIFICATIONS*

*Experience:*

· Eight to ten years of recent relevant and demonstrated progressive leadership experience as a Nurse Manager or other relevant supervisory experience.

*Education:*

· Bachelor of Science in Nursing.

*License/Certification:*

· License from the State of Minnesota as a Registered Nurse

· Current, active, and unrestricted Nursing license in the State of Minnesota.

· Current CPR certification or ability to obtain within 6 months.

· Valid Minnesota Driver’s License.

*Mandatory Knowledge, Skills, Abilities and Other Qualifications: ·*

Thorough knowledge of principles and practices of personnel management, including planning and organizing work, delegating authority, motivating subordinates, appraising performance and administering discipline.

· Thorough knowledge of principles and practices of nursing that optimize patient care; principles of nursing administration and organization; patient care standards, mandated by regulatory agencies; and acute care hospital policies, procedures, and routines.

· Understanding of laws and regulations governing hospital operations, nursing practices, administering, and accounting for medication, consents for treatment and related matters, such as Title 22 of the General Acute Care Hospital Regulations and the Joint Commission on Accreditation of Hospitals (JCAHO), and the Nurse Practice Act.

· The ability to manage and supervise the work of others, directly and through subordinate managers.

· The ability to lead and motivate others.

· Understanding of how to appraise performance, counsel and train employees, and develop and implement disciplinary actions.

· Knowledge of how to evaluate the quality and effectiveness of nursing and related services in order to make necessary improvements. May be required to obtain additional certifications or trainings in one or specialty areas, including x-ray certification.

· The ability to understand, interpret and apply laws, rules, regulations, and policies related to nursing and hospital administration.

· The skills necessary to prepare complex reports, memos and other written materials and

· The ability to collect, interpret and evaluate narrative and statistical data pertaining to administrative, fiscal management and clinical nursing matters. presentations.

Strong organizational and interpersonal skills; The ability to establish and maintain cooperative working relationships with others, including physicians, nurses, administrators, managers, vendors, contractors, and other health care personnel.

Effective communication skills, both oral and written and the ability to communicate clearly and concisely, present findings, recommendations and policies before boards, commissions, and/or committees.

· The ability to handle difficult situations involving patients, physicians, or others, in a professional manner.

· The ability to determine appropriate courses of action in complex or stressful situations.

· The ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.

· The ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work.

· The ability to maintain confidentiality of medical, financial, and legal information.

· Knowledge and skills to provide care to all ranges of patients served.

· Knowledge of the principles of growth and development over life span and possess the ability to assess data reflective of patient’s status and interpret patient information relative to his/her age specific needs.

Ability to provide the care needed as described in the nursing department’s policies and procedures manual.

· Knowledge of professional nursing theory and practices through completion of professional nursing education programs and supplemented by years of professional nursing experience which permits the incumbent to perform professional nursing duties with minimal supervision.

· Ability to recognize adverse signs and symptoms and react swiftly in emergency situations.

· Ability and knowledge of pharmaceutical, their desire effects, side effects, and complications of their use.

· Skills to efficiently operate specialized medical equipment such as resuscitators, oxygen equipment, cardiac monitoring devices, defibrillators, pulse oximeters, nebulizers, electrocardiograph machines, etc.

· Alertness and skills necessary in providing care and to act appropriately to emergency situations such as treatment of accident victims.

· Knowledge of a wide variety of medical disorders, such as general surgery, orthopedic and gynecological; normal course of diseases anticipated complications and indicated therapeutic interventions.

· Comprehensive knowledge of Clinical/Medical staff by-laws, rules and regulations and comply with all requirements for appointments and must be credentialed and privileged in accordance with SCAHC medical staff by-laws.

· Knowledge of Clinical policies and procedures. · Familiarity with the mandatory reporting requirements under the Indian Child Protection Act, with regards to suspected incidence of child abuse or child neglect.

· Ability to attend continuing education classes to maintain licensure and to meet the needs of the job.

· High-level of customer service skills to establish and enhance positive relationships with patients, co-workers, and others.

· 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: $75,129.60 - $93,932.80 per year

Work Location: In person

*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