Family Nurse Practitioner (FNP/ARNP)

Family Nurse Practitioner (FNP/ARNP)            

Health Services                                                                                       

Reports To:
Health Services Director            

FLSA Status:
Exempt     (3-5 days a week)                                                                                           

TS Range:
13/14 DOQ                                                                                             

Opening Date:
December 15, 2017

Closing Date:
Open until filled


The Advanced Registered Nurse Practitioner (ARNP) works in collaboration with the health care team to deliver health care services consistent with general practitioner guidelines to patients of the Squaxin Health Clinic. The successful candidate must demonstrate a certain degree of expertise in assessment, diagnosis and treatment as it relates to primary medical care and public health services for individuals eligible for services provided by the IHS within the Squaxin Service area within homes, schools, clinics, job sites, and other community locations. 

(Other duties may be assigned)

  • Collects comprehensive data relating to the health of the patient, considers and evaluates factors related to safety, effectiveness and cost in planning and delivering client care;
  • Identifies the physical, social and emotional needs of the patient;
  • Conducts assessment and analyzes the assessment data in determining appropriate diagnosis;
  • Consults with the Health Services Director and other health care team members (PA-C, RN, MD);
  • Initiates, orders and interprets diagnostic tests and procedures relevant to the patients diagnosis;
  • Orders treatments as indicated by the diagnosis;
  • Prescribes medications to the extent delegated by the scope of practice and based on the knowledge of pharmacologic and physiologic principles in accordance with state and federal regulations;
  • Documents to support the diagnosis and/or revisions in diagnosis, outcomes and plans of care, maintaining records and reports according to program standards; (EHR)
  • Utilizes an extensive awareness of community assets and available resources when assisting with making appropriate referrals and outreach;
  • Maintains confidentiality and privacy within the agency and HIPAA guidelines;
  • Makes occasional house calls, sees walk-in patients and may do phone triage to address acute issues;
  • Works with the Health Care Team to maintain meaningful use of electronic health records (EHR).
  • Complies with established standards of practice and nursing care according to Washington State law and Indian Health Services manuals and directives.

This position has no supervisory responsibilities.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The successful applicant must have: 

  • Knowledge of scope of practice
  • Knowledge of pharmacology
  • Knowledge of medication administration, side effects and calculation
  • Knowledge of infection control
  • Knowledge of nursing process and its application, including assessment, diagnosis, implementation and evaluation.
  • Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve clients and families in a close community setting.
  • Ability and interest in providing case consultations with a multi-disciplinary staff.
  • Ability to remain open and receptive to constructive feedback.
  • Ability to communicate and work effectively with staff from various backgrounds.
  • Computer proficiency.
  • Must be comfortable working with all age groups.
  • Must have prescriptive authority

Must be licensed by Washington State as an Advanced Registered Nurse Practitioner.  Experience working with Native American communities is preferred.

Ability to read, analyze, and interpret common scientific and technical journals, financial reports and legal documents. Ability to respond to common inquiries and complaints from customers, regulatory agencies or members of the business community. Ability to write speeches and articles for publications which conform to a prescribed style and format. Ability to effectively present information to top management, public groups and/or boards of directors. 

Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic, equations and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis.

Must understand the ethical implications and patient confidentiality issues involved in this line of work, particularly in a small community. Must understand and accept his/her relationship to patients and other licensed health care practitioners. Must understand that his/her provision of health care services take place in a professional, warm, friendly, non-biased environment. Must have the ability to work with and relate to individuals from various socio-economic backgrounds. Ability to define problems, collect data establishes facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.  

Must have a current Washington State Driver’s License; must have current CPR, State ARNP certification. 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Individual must have adequate physical ability to perform the required health care services, including the following: standing, using hands to finger, handle, or feel, reaching with hands and arms, and talking and hearing on a regular basis; frequently walking and occasionally sitting, climbing or balancing, stooping, kneeling, crouching or crawling, or tasting or smelling. The individual may also have to frequently lift up to 25 pounds and occasionally lift 50 – 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  

The noise level for this work environment is generally moderate. Individual may occasionally work near moving mechanical parts, be exposed to toxic or caustic chemicals or electrical shock. Safety requirements include the handling of infections disease cases and the handling and disposal of bio-hazardous materials. 

The successful candidate will be required to have a urinalysis for drug and alcohol screening in accordance with the Tribe’s Drug Free Workplace Policy. 

Indian Preference will be exercised in the hiring of this position in accordance with the Tribe’s Personnel Policies.

Human Resources Department (360) 426-9781.