Grade: 17                                                                Pay Rate: $83,311.20-$104,139.00 /Annual

Average Hours per week: 40+                                 FLSA Status: Exempt

Job #035-17

Job Summary:                                                             

To provide holistic care services to patients and families served by the Clinic. To ensure that all patients receive proper treatment in a reasonable amount of time. To ensure that the provision of healthcare services takes place in a professional non-bias environment, and is accomplished efficiently. This job includes, but not limited to; assessment, diagnosis, treatment of patients by follow-up & health promotion.

Essential Functions:

  • Assesses current individual and family health needs; physical, developmental, psychosocial during regular patient encounters.
  • Recognizes office emergencies and facilitates emergency treatment and medical care when necessary.
  • Obtains physician consult and referral as required.
  • Works closely with triage personnel to ensure optimum efficiency as determined by the triage team.
  • Provides well-child and family planning services.
  • Develops individualized plans of care for patients with chronic illnesses.
  • Orders and interprets lab work and radiological studies
  • Prescribes pharmacologic agents and non-pharmacologic therapies.
  • Performs and assists with minor surgical procedures.
  • Promotes counseling services.
  • Makes appropriate referrals to other health professionals and agencies.
  • Diagnoses and treats patients as a triage team member, and in accordance with triage standards for a nurse practitioner or physician assistant as established by the triage team.
  • Participates in after-hours call system shared by other GRHWC medical providers.  
  • Documents care in patient care record.
  • Communicates with patients by telephone and written correspondence.
  • Modifies plan of care with patient/family to achieve optimal health in conjunction with established treatment protocols.
  • Recommends and provides preventative screening tests appropriate for age, gender, and risk factors.        
  • Discusses lifestyle changes that will promote wellbeing and health.
  • Participates and provides insight in conjunction with clinical wellness programs as determined by administrative team.
  • Participates in health promotion activities in the larger communities of Polk and Yamhill Counties.
  • Advocates for comprehensive health care services (nutritionist, fitness specialist, childbirth educator, etc.) as needed for the health and wellness center.
  • Enhances and educates patient’s participation in self-care.
  • Collaborates with other clinical departments (lab, pharmacy, mental health and chemical dependency) for continuity of care.
  • Participates as a member of the Pharmacy and Therapeutics Committee to help establish pharmacy formulary.
  • Participates as a member of the triage team.
  • Attends and participates in administrative meetings as instructed by Clinic Administration.
  • Participates in quality assurance review activities as determined by QI Coordinator.   
  • Develops protocols for patient levels of care.         
  • Maintains certification in ACLS and PALS.        
  • Enhances current knowledge base by attending continuing education programs as deemed necessary to maintain licensure and to meet clinic goals.
  • Serves as a mentor, as requested, for Tribal career development
  • Performs other duties as assigned by the Medical Director.


  • Ensures the hiring, training, promoting, assigning, disciplining and discharging of employees are in accordance with Tribal Law, including without limitation, the Tribal Employment Rights Ordinance (TERO).
  • Assures staff adherence to all policies and procedures, work, safety and administrative rule, Tribal Law and State Regulations.
  • Serves as a mentor, as requested, for Tribal career development

Education, Experience, and Licenses:

  • Requires Masters of Nursing or Masters of Science in Nursing with FNP focus, and requires at least five (5) years of nursing experience (acute care preferred), or requires Masters of Physician Assistant Studies with family medicine focus and experience.
  • Must maintain a valid Oregon driver’s license or obtain one upon hire, qualify for the Tribe’s vehicle insurance, and provide proof of personal vehicle insurance.
  • Licensed as Family Nurse Practitioner or Physician’s Assistant with prescriptive privileges in the s State of Oregon and/or with the Oregon Board of Medical Examiners.

Qualifications, Registrations, and Certifications:

  • Must have some background in community health and education.
  • Certified by national accreditation agency.
  • For Physician’s Assistant, willing to be under supervision of the Medical Director or designated agent as required by the Oregon Board of Medical Examiners with required monitoring.
  • For Family Nurse Practitioner, provides clinic nursing services in the absence of available nursing staff.
  • Strong knowledge base of medical conditions and treatments.
  • Ability to perform minor office surgical procedures.
  • Able to complete patient visits and documentation in a timely manner as determined by established provider protocols.                                  
  • Ability to work effectively as a triage team member.

Environmental Factors and Conditions/Physical Requirements:

  • Continually requires the ability to express or receive detailed information or important instructions through oral communication.
  • Continually requires working with fingers rather than the whole hand or arm. Requires repetitive movement of wrists, hands and/or fingers.  Often requires walking or moving about to accomplish tasks.
  • Requires standing and/or sitting for sustained periods of time, raising objects from a lower to a higher position and/or moving objects horizontally.
  • Continually requires the use of vision, specifically close vision, color identification and depth perception and occasionally requires far vision and the ability to hear alarms.
  • Occasionally requires lifting and carrying up to 40 pounds.
  • This position is frequently subject to inside environmental conditions, which provide protection from weather conditions, but not necessarily from temperature changes, and is occasionally subject to outside environmental conditions.
  • Continually required to wear plastic/latex gloves and safety shoe and is occasionally required to wear safety glasses and can be exposed to compressed gases and detergents.
  • Continually required to handle soiled laundry.
  • Supports a safe work environment by performing all duties in accordance with Tribal safety policies and procedures, and Emergency Management Plan. 
  • Due to the nature of interactions with other employees and the public we serve, employees may be required to provide documentation of, or receive, certain health vaccinations.
  • May be called upon to serve as a Disaster Reservist during Emergencies, or when the Tribal Emergency Operations Center is opened.
  • Local travel is occasionally required. Travel outside of the state is infrequently required.

Background Check:

Candidates for this position may be subject to criminal, credit and character background checks and fingerprinting.