Registered Nurse II (WTHC)

Gardnerville, United States

Position Title

Registered Nurse II (WTHC)

Job Type





E10 (59961.0 - 89942.0)


Clinic Medical


Position Summary

Under direct supervision, the Registered Nurse II is responsible for providing comprehensive preventive and therapeutic nursing care, laboratory services, counseling and teaching of the community and patients, guidance and training for nursing personnel and other clinic staff, and some aspects of clinic management in the ambulatory health care setting. Maintains confidentiality of all privileged information.
Minimum Qualifications
  • • Bachelor of Science in Nursing or six years full-time nursing experience with qualifying certification, i.e.: Certified Wound Care, Certified Diabetes Educator, CPR Instructor, Lactation Consultant, Certified Infection Control Nurse, Certified Gerontological Nurse, Psychiatric/Mental Health Nurse, Certified Pain Management Nurse, Certified Ambulatory Care Nurse, Certified Case Management Nurse, Certified PICC Placement and Infusion Therapy Nurse, etc.

  • • Must have Basic Life Support and Advanced Life Support Certification, or ability to obtain within ninety (90) days of hire.

  • • Must possess and maintain a valid California or Nevada driver’s license or capable of obtaining one within thirty-days (30) of employment.

  • • Must be able to be insurable by the Tribe’s Driving Policy.

  • • Must be able to successfully pass a pre-employment drug/alcohol screen and background investigation

  • • Must be insurable under the Tribe’s Malpractice Coverage.

  • • Preference given to Qualified Native American Indians.

Essential Duties & Responsibilities
  • Supervisory Relationships: The RN II oversees the supervision of the following positions: RN I, Medical Assistants, medical receptionists, and lab positions. Acts as a resource-point for all medical clinic personnel by, managing and guiding, supervising and suggesting based on established policies and procedures.

  • • Works with medical clinic employees to ensure that each employee understands their job description, the desired results associated with their work, and the resources available to achieve the results.

  • • Oversees staff training and development to ensure that staff are able to meet the minimum competencies for the essential functions within their job position.

  • • Plans, assigns, and directs work, appraises performance, rewards and disciplines employees, addresses complaints and resolves problems with the guidance of the DON & CMO.

  • • Ensures the medical department consistently operates in a high quality manner.

  • • Oversees scheduling and coordinating of staff for all leaves to include but not limited to, vacation requests and FMLA, in accordance with policies and procedures.

  • • Supervises, as required, the staff in the conduct of clinical care.

  • • Provides consistent regular communication to the DON & CMO ensuring that information, reports, and materials are provided, to clearly describe clinic activities and progress toward agreed upon objectives.

  • • Oversees medical supply inventory.

  • • Collaborates with DON & CMO to establish policies and procedures for medical clinic operations.

  • • Oversees patient education as needed.

  • • Available to staff at all times to respond to emergencies and answer questions.

  • • Provides patient care utilizing the nursing process.

  • • Screens the patient by obtaining preliminary health history

  • • Makes an assessment of the patient’s condition recognizing the range of normal and the manifestations of common abnormalities.

  • • Determines the nature and urgency of the patient’s condition and makes appropriate referrals to health care staff.

  • • Screens and assesses patients who are not physically present, but call in by phone.

  • • Determines the need to be seen and the urgency of the condition, arranges for necessary tests and procedures.

  • • Develops a care plan which includes a nursing diagnosis and an assessment of learning and counseling needs.

  • • Provides direct nursing care to patients, including measures designed to prevent complications and minimize disabilities.

  • • Assists physician/nurse practitioner with diagnostic, therapeutic, and surgical procedures. • With appropriate order or protocol, administers oral, rectal, ophthalmic, otic and parenteral medications and immunizations.

  • • Ability to perform venipuncture for introduction of intravenous (IV) therapy or therapeutic phlebotomy, maintain an IV line, administer IV medications and fluids, perform PICC, port or central line care, lab draw and infusions.

  • • Operates a variety of medical equipment.

  • • Provides appropriate wound care, with order from physician/nurse practitioner (unless Certified Wound Care Nurse, then may initiate wound care).

  • • Monitors stable phases of chronic illnesses, minor health problems, and emergency conditions in the absence of a physician/nurse practitioner.

  • • Makes an assessment, orders tests per established protocols, interprets results, determines nursing care plan, and makes appropriate referrals.

  • • Documents in the patient's health record observations, assessment, nursing interventions, therapeutic measures administered, and referrals for follow-up care.

  • • Evaluates results of patient care provided; makes changes in procedures and approaches to care as necessary for quality assurance.

  • • Ensures continuity of care by relevant health counseling, referrals for follow-up care, arrangements for appointments, and collaboration with other health care professionals.

  • • Acts as a patient advocate regarding both preventive and therapeutic medical aspects in dealings with various health care providers, including clinic personnel and non-clinical personnel.

  • • Takes into account medical implications as well as relationship between clinic or agency and community.

  • • Makes home visits for the purposes of nursing, laboratory testing, medical follow-up, and health maintenance.

  • • Assumes urgent public health or case management nursing responsibilities in the absence of a public health/case management nurse.

  • • Provides laboratory services.

  • • Obtains laboratory specimens, performs laboratory test, prepare specimens for transport to reference laboratory.

  • • Performs quality control procedures.

  • • Maintains logs and records. Files and maintains reports.

  • • Participates in determination, updating and development of policies, procedures, and resources required for consistent, comprehensive, and efficient health services.

  • • Identifies areas of inter/intra-departmental conflict or breakdown in delivery of care and initiates discussion, planning, implementing and/or coordination of resolution and necessary changes.

  • • Serves as focal point for intra-office coordination in order to ensure the smooth operation of the health care clinic.

  • • Provides technical supervision and training for nursing and laboratory staff. Provides guidance, direction, and training to ancillary personnel.

  • • Acquires, maintains and audits supplies and equipment for the clinic; prepares for specialty clinics by reviewing appointment lists, seeing that the work area is set up to accommodate the particular activity, etc., prepares and submits reports and records.

  • • Participates in quality assurance audits and surveys.

  • • Participates in development and revision of quality assurance standards; implements standards.

  • • Collaborates with other health care professionals to develop standard clinic procedures.

  • • Directs and implements nursing portion of emergency and safety planning.

  • • Makes decisions on nursing and laboratory problems not covered by precedents, protocols, or established policies.

  • • Assists in development of goals and objectives; collaborates with Director of Nursing to set priorities for nursing staff.

  • • Maintains personal nursing licensure, ACLS and CPR certification.

  • • Assists Wellness/Public Health Nurse with employee health program with respect to immunizations, communicable diseases, and potential work-related disabilities.

  • • Participates in general clinic planning, provides major input for nursing department.

  • • Provides assistance to other departments as needed.

  • • Provides teaching and counseling services to patients, families, and the community as a whole.

  • • Fosters patient motivation and compliance in adhering to required routines by counseling and assisting patients to understand and accept implications of care, diagnosis, and treatment.

  • • Performs or assists in developing and implementing programs to educate the community.

  • • Orients new clinic staff.

  • • Identifies the need for coordinates and conducts in-service training. Maintains professional knowledge and skills by attending appropriate in-service and educational programs. Keeps professional licenses current.

  • • Uses background of education and experience, physicians orders, protocols, policy and procedure manuals, and professional standards, etc., which are not always applicable to every situation.

  • • Consults with other health care providers on difficult or unusual problems.

  • • Performs other duties as required.

Knowledge, Abilities, Skills, and Certifications
  • Knowledge of modern office practices and procedures. Knowledge of business English, proper spelling, grammar, punctuation, and basic arithmetic.

  • Knowledge of records management and basic accounting procedures.

  • Knowledge of human body anatomy and physiology, sterile techniques and procedures, how to meet, deal and work with medical, surgical and psychiatric patients, Knowledge of, and skill in, the performance of personal and nursing care procedures and techniques pertinent to the specialized area for which application is made.

  • Knowledge of modern principles, methods and procedures of nursing care, including medications, treatments, and patient hygiene and bedside care.

  • Knowledge of current medical terminology. Knowledge of use and care of nursing equipment/supplies.

  • Knowledge of isolation, aseptic and sterile techniques.

  • Ability to provide professional nursing care according to designated instructions and nursing care plans.

  • Ability to administer prescribed medications and treatments. Ability to take vital signs.

  • Ability to maintain accurate patient records. Ability to understand and follow technical written and oral instructions.

  • Ability to respond effectively to emergency situations. Ability to learn to effectively operate specialized medical equipment.

  • Ability to work effectively with physicians, registered nurses and other health professionals. Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.

  • Ability to represent the organization in a professional manner, building respect and confidence. Ability to maintain confidentiality.

  • Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and presentation software (such as PowerPoint).

Physical Demands
  • While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to walk. The employee occasionally is required to operate a motor vehicle; stand, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment
  • Work is generally performed in an office setting with a moderate noise level.