Registered Nurse

Job Title:
Registered Nurse

Northwest Indian Treatment Center

Reports To:
NWITC Director, June O’Brien

FLSA Status:

Time Status:

TS Range:
10/11/12 DOQ

Opening Date:
March 29, 2019

Closing Date:
Open until filled

Works under the director of the Northwest Indian Treatment Center.  Participates in the planning, implementation, and evaluation of nursing care for NWITC patients.

(Other duties may be assigned)

  • Ensure appropriate admissions including obtaining information regarding patient’s health and mental health. Review referral packet to include medical history, physical and all lab work.
  • Identify patients who will require ongoing medical care after admissions and assist with appropriate referrals and follow up care.  Interact with regular pre-admission medical care providers as appropriate.
  • Establish a relationship with each appropriate tribal and non-tribal provider for patient care as necessary including contract health designated staff.
  • Coordinate and document medical care.
  • Arrange transportation for admissions, discharges and medical appointments as appropriate.
  • Store inappropriate medications as per NWITC Policy. Disposes of medications as appropriate as per NWITC policies and DOH requirements.
  • Develop a medication sheet for each patient and reviews weekly to ensure medication provided is correct and documentation is thorough.
  • Provide each patient with a medical discharge plan and send a copy to the on-going provider.
  • Responsible for ensuring each patient has a UA at admission, and as requested by the Director or Clinical Supervisor.  Record the results in the patient chart.
  • Responsible for developing and regular reviewing medically related policies and procedures. Ensure policies meet DOH and CARF standards.
  • Provide training to all staff regarding medical safety including communicable diseases, safe handling of body fluids, appropriate medication supervision/observation, medical documentation, medical emergency response training.
  • Biannual medical quality assurance reviews.
  • Interact with Psychiatric Nurse Practitioner to coordinate Psychotropic medication assessments and reviews. Including chart review to ensure ARNP documentation is complete and timely.
  • Ensure prescribed medications are received in a timely manner.
  • Develop ongoing productive relationship with local pharmacies so patient medication needs are met. Order non prescribed medications identified on the “standing orders” protocol.
  • Provide medical lectures to patients which meet DOH and CARF standards.
  • Interact with clinical team and treatment attendants to ensure all appropriate employees have relevant information regarding patient care.
  • Communicate any changes in medication which may impact patient progress.
  • Attend weekly staff meetings.
  • Inform Director or Clinical Coordinator of any problems potential or actual which affect the safety or health of patients and staff.
  • Maintain strict confidentiality regarding patient/client information.

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.

Bachelors of Science Degree in Nursing and 4 years of relevant experience. OR Associates Degree in nursing and be certified to work in Washington State as an LPN or RN and have 6 years of relevant experience OR High School Diploma and be certified to work in Washington State as an LPN and have 8 years of relevant experience. All levels require a minimum of 9 months of providing direct care to chemically dependent patients. Previous work with Native Americans is preferred. Demonstrated proficiency in clinical assessments documentation and compliance with nursing care and policies and procedures.

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

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference and volume. Ability to apply concepts of basic algebra and geometry.

Ability to define problems, collect data, establish 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. Current LPN license to practice in Washington State. Current CPR/First Aid Certification, Current CEU’s

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.

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.

Applicants who have been a patient of the NWITC programs must have completed services for a minimum of two years and should have three years of sustained recovery.

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.

Submit a cover letter, résumé and application to . You are welcome to pick up an application at the Squaxin Island Tribal Center 10 SE Squaxin Lane Shelton, WA 98584 Applications are available on our website at