Registered Nurse (TEMP)

Description

Position Summary

The Registered Nurse (RN) is a senior-level licensed healthcare professional responsible for providing comprehensive, culturally responsive nursing services to Paskenta Band of Nomlaki Tribal Members across case management, home health, clinic-based care, and community health programs. This position combines advanced clinical practice, program coordination, leadership, and community health management to ensure high-quality, continuous, and patient-centered care.

The RN serves as a clinical leader within Tribal Member Services, working collaboratively with the Director of Tribal Member Support, Medical Director, providers, and multidisciplinary teams to develop, implement, and maintain standards of care consistent with the California Nursing Practice Act, Title 22 regulations, and Rolling Hills Clinics policies. The role requires independent clinical judgment, staff supervision, program development, quality improvement participation, and direct patient advocacy.

Essential Duties/Responsibilities

Clinical Leadership & Patient Care

• Provide comprehensive nursing care to Tribal Members by independently assessing, planning, implementing, and evaluating individualized care plans across clinical, home health, and community-based settings.
• Lead and oversee nursing functions for Tribal Member Services, ensuring evidence-based practices, patient safety, and continuity of care.
• Perform nursing triage, screening, and treatments in accordance with Rolling Hills Clinics protocols and provider orders.
• Prepare patients for examinations and procedures; assist providers as needed; accurately and promptly implement medical orders.
• Conduct in-home, clinic, and community assessments to identify health risks, safety concerns, and barriers to care.

Care Management

• Coordinate care management services for individuals, families, and vulnerable populations, addressing medical, social, and environmental determinants of health.
• Collaborate with individuals, families, and groups to design and implement programs that improve overall Tribal Member health outcomes.
• Maintain accurate records of inventory and equipment, maintaining standards of cleanliness within the organization.

Quality, Compliance & Administration

• Ensure compliance with infection control policies, safety standards, and regulatory requirements.
• Maintain accurate, timely, and detailed patient records, reports, and documentation in accordance with legal and organizational standards.
• Participate in quality improvement initiatives, performance monitoring, and the development of policies, procedures, and best practices.
• Perform administrative and managerial functions, including input into staffing, scheduling, budget planning, program development, and long-range departmental goals.
• Maintain confidentiality and uphold ethical and professional standards in all patient and organizational matters.

Education, Research & Professional Engagement

• Participate in ongoing training, meetings, conferences, and continuing education to maintain clinical competency and licensure.
• Engage in or support research activities related to nursing practice and Native American health.
• Consult with institutions, agencies, and professional organizations regarding issues relevant to nursing practice and Tribal healthcare.

Safety & Operational Responsibilities

• Ensure all duties are performed with the highest regard for patients, employee, and community safety.
• Adhere to ergonomic standards and safe work practices.
• Take corrective action on identified safety concerns related to patient care or workplace conditions.
• Safely transport Tribal Members to appointments as required, using proper body mechanics and safety protocols, including the ability to exert up to 200 lbs. of push/pull force when assisting patients in wheelchairs.
• Perform other related duties as assigned by the Supervisor.

Qualifications
• Minimum of five (5) years of progressively responsible experience as a Registered Nurse, preferably in case management, community health.
• Current BLS and CPR certification.
• Valid, unrestricted California Driver's License with a satisfactory driving record, free of reckless or major moving violations for the last ten (10) years, that meets organizational insurance and safety requirements.
• Demonstrated ability to work independently and exercise sound clinical judgment.
• Strong leadership, communication, and written documentation skills.
• Proven ability to manage complex caseloads, multitask effectively, and meet deadlines in a fast-paced environment.
• Knowledge of Rolling Hills Clinics structure, standards, procedures, and protocols (or ability to rapidly acquire).
• Ability to collaborate effectively with multidisciplinary teams, community partners, and healthcare agencies serving the American Indian community.

Licenses/Certificates
• Associates of Science in Nursing (ADN) or higher in Nursing.
• Active, unrestricted California Registered Nurse license issued by the California Board of Registered Nursing.
• Valid, unrestricted California Driver's License with a satisfactory driving record, free of reckless or major moving violations for the last ten (10) years, that meets organizational insurance and safety requirements.

Pre-Employment Requirements
• Pre-employment drug testing.
• Department of Justice fingerprint clearance through Federal, State, and Child Abuse Index.

Working Environment & Physical Demands

Working Environment: Work is performed in a health clinic setting. The noise level in the work environment is usually low to moderate. Will work with blood-borne pathogens and will require OSHA training. This job routinely uses standard office equipment such as computers, telephones, photocopiers, and fax machines. 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.

Physical Demands: 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. While performing the duties of this job, the employee is regularly required to talk and hear. The employee frequently is required to stand, walk, sit, use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stoop. The employee must occasionally lift and/or move up to 25 pounds. Position may require exertion up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently or constantly lift, carry, push, pull or otherwise move objects. Specific vision abilities required by this job include close vision, distance vision, color vision peripheral vision, depth perception and ability to adjust focus.

Other Requirements of Employment

Background Check Requirements:

Pre-employment Drug Testing and a Department of Justice Fingerprinting clearance through Federal, State and Child Abuse Index is a contingency for an offer of employment. Criminal clearances are obtained to protect the welfare and safety of clients receiving services at Rolling Hills Clinic.

Vaccination Requirements:

Provide vaccination records to show proof of immunity for TB, Measles, Mumps, Rubella, Varicella, TDAP & Hep B. If the records are more than 10 years old, titers are required to confirm immunity.

"Native Preference in hiring is given to qualified enrolled members of Paskenta Band of Nomlaki Indians and Native Americans in accordance with the Band's Preference Policy (Chapter 1-715 of the Paskenta Band of Nomlaki Indians Tribal Policies).

Applicants claiming Indian Preference must submit verification of Indian certified by tribe of affiliation or other acceptable documentation of Indian heritage."

Employment with Rolling Hills Clinic is voluntarily entered into. All RHC personnel are employed on an at-will basis. At-will employment may be terminated with or without cause, and with or without notice at any time by the employee or by RHC. No manager, supervisor, or employee of the organization has any authority to enter into an agreement for employment for any specified period of time or to make an agreement for employment other than at-will terms. The job description does not constitute an employment agreement between Rolling Hills Clinic and employee and is subject to change by the Paskenta Band of Nomlaki Indians.