Pulmonary Critical Care Physician Jobs in San Simon, Arizona

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Clinical Laboratory Scientist

Tohono O'odham Nation Health Care San Simon, AZ

Clinical Laboratory ScientistTohono O'odham Nation Health CarePLEASE NOTE: This position may require temporary relocation to other TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, Casa Grande, and San Xavier Health Center.Position SummaryThe Clinical Laboratory Scientist is responsible for performing a variety and a full range of Medical Laboratory procedures, including phlebotomy, highly complex analyses, and infrequently required tests; evaluating abnormal or unusual patient results; operating and maintaining complex laboratory equipment; and setting up and monitoring daily, weekly, or monthly quality control.Scope of WorkThe employee is responsible for planning, implementing, and developing the clinic's laboratory section, which includes phlebotomy, general/routine laboratory testing, solving highly complex diagnostic problems, and modifying or adapting new methods or techniques to improve or expand services specific to the following areas: hematology, coagulation, chemistry, urinalysis, microbiology, rapid test methods, and referral specimen processing.Essential Duties and Responsibilities(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):Performs a full variety of laboratory tests and examinations of samples.Duplicates tests for quality control and patient testing.Perform phlebotomy and order all tests requested by outpatient department RNs or providers.Conducts quality control procedures on equipment, reagents, and products and maintains accurate reports for quality control reports.Performs blood cell morphologies studies, body fluid analysis, and urinalysis.Selects the appropriate procedures for the service request and is congruent with patient considerations.Prepares reagents, calibrators, solutions, and primary reference materials as applicable.Processes specimens using equipment, instruments, or techniques necessary to prepare them for specific analysis; controls physical conditions; responds to time factors to ensure that the physiologic state of the specimen is maintained.Evaluates and monitors the performance of non-routine and specialized test procedures using manual and automated techniques in accordance with established protocols.Calibrates, standardizes, adjusts, and maintains instruments.Verifies correct instrument operation using established procedures and quality control checks; identifies the cause of common problems and makes simple repairs.Tests and develops quality control methods, calculating the mean, standard deviation, and coefficient variation and determining statistical significance.Examines instrument functions, rechecks of test performance conditions, evaluates reaction systems and/or procedural techniques utilized, and identifies function with a symptom.Contribute to a team effort and perform other job-related duties.Knowledge, Skills, and AbilitiesKnowledge of the Tohono O'odham culture, customs, and traditions.The skill to develop and perform difficult and complex tests, determinations, and examinations in which original controls, measurements, and procedures must be either adopted, established or employed.The knowledge of health care and diagnosis is necessary to coordinate with and discuss tests results with physicians or other professionals for who tests and functions are performed.The skills and knowledge to perform phlebotomy procedures on all age-specific groups, including neonates, children, adults, and geriatric patients.The skill and knowledge to operate within a quality control system and a proficiency-testing program.Skill in minor equipment and instrument maintenance, which includes daily, weekly, monthly care, calibration, and remedial or repair action that ensures operational reliability, reproducibility, precision, and accuracy at all times.Knowledge and skills in Microbiology, Hematology, Immunohematology, Chemistry, Immunochemistry, Blood Gas, Coagulation, and Urinalysis to identify acceptable specimens and determine suitability/integrity for analysis.Sufficient skill and initiative to maintain a high level of cleanliness, hygiene, and general up-keep of the laboratory.Professional knowledge of the principles, theories, and practices of medical technology, including quality assurance and clinical correlation, is sufficient to perform various diagnostics tests.Knowledge of related disciplines and diagnoses necessary to evaluate test results in relation to patient clinical history and other laboratory data in order to discuss test results with ordering physicians and providers and recommend additional testing.The skill and knowledge to operate within a quality control/assurance system and proficiency-testing program.Knowledge of instrumentation principles and operation to operate, maintain, teach, detect instrumentation malfunctions, and independently troubleshoot equipment.Knowledge of inconsistent or unusual laboratory results is required to identify the most probable causes, which may include technical problems or specimen contamination.Knowledge of regulatory licensing and accrediting agency requirements to assure compliance with standards. Knowledge of quality controls checks, correction, and documentation of corrective actions.Knowledge of guidelines includes Public Health Service, and other laboratory accreditation standards.Ability to maintain privileged, confidential information.Ability to work independently and meet strict timelines.Ability to communicate efficiently and effectively both verbally and in writing.Ability to establish and maintain positive and effective working relationships with other employees and the general public.Ability to work extended hours and various work schedules.Minimum QualificationsBachelor's Degree in Medical Laboratory Science and Technology, or closely related field.One year of work experience in blood banking, chemistry, hematology, microbiology, immunology, and urinalysis/body fluids in a laboratory, or an equivalent combination of training, education, and work experience closely related to the Clinical Laboratory Scientist's duties and responsibilities.Licenses, Certifications, Special RequirementsMust possess and maintain a Clinical Laboratory Scientist, Medical Laboratory Scientist, or Medical Technologist certification through the American Society for Clinical Pathology (ASCP) or the American Medical Technologist (AMT).Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.Seniority levelEntry levelEmployment typeFull-timeJob functionResearch, Analyst, and Information TechnologyIndustriesHospitals and Health Care#J-18808-Ljbffr

Immediate Start

Administrative Medical Assistant - PRC

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:The incumbent is responsible for administering the Purchased/Referred Care (PRC) program. Responsibilities include allocating PRC funds and alternate healthcare resources to provide complete comprehensive health services for Tohono O'odham Nation Health Care's user population. Scope of Work: This position is located within Tohono O'odham Nation Health Care's Purchased Referred Care (PRC) Branch or Administrative Office. It may be situated organizationally and duty stationed at any TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Maintains collaborative measures with the clinical teams to assure initial and process follow-up patient referrals according to the current PRC mapping process for the health care facility.Responsible for determining patient eligibility, scope, and priority for the PRC program.Responsible for entering necessary referrals into the RCIS system.Assists patients in the scheduling of referred appointments.Provide education to patients on special instructions for referred visits.Follows up on referred visits scheduled to ensure the referring facility receives the visit records.Follows up with patients after referred visits to coordinate follow-up primary care visits as necessary.Respond to PRC inquiries and requests for PRC assistance from the clinic staff and patients.Respond to inquiries and requests within the TONHC Healthcare facilities, including medical, social service, dental, and private sector health resources regarding PRC referral status.Responsible for implementing decisions made for the provision or denial of services.Responsible for effective and maximum utilization of PRC funds and maintaining a follow-up system that will assure adequate funds are set aside for all authorized referrals, emergency notifications, and follow-up care referrals per policy and clinic mapping process.Assures obligation of all funds by the end of the funding period.Assures the cancellation of all unused obligations on a timely basis.Assures all outstanding authorizations over 30 days old are valid.Assures authorizations are only processed when funds are available.Assures transactions affecting funds are promptly processed; this includes obligations, disbursements, cancellations, reconciliation, and recording allocations.Assures effective communication with fiscal intermediaries and Finance, responding to all pending claims.Maintains the Nation's commitment to registering for PRC funds for medical and dental services.Responsible for maintaining a register for all requests for additional funding.Compiles statistical and fiscal data reports necessary to determine funds required to meet the PRC program's needs. Prepare all PRC financial status reports, budget needs, forecasts, and other required PRC reports for the Hospital.Reconciles with Financial Management Reports and Fiscal Intermediary, keeping supervisor and Hospital and clinic staff advised on current fund status.Assist with reporting Catastrophic Health Emergency Fund (CHEF) cases. Works closely with PRC staff and medical officers to report, manage and monitor the high-cost cases funded through the CHEF program established by P.L. 100-173 Section 202.Responsible for keeping up-to-date pending and completed PRC patient files with a documented status of all written and verbal transactions.Performs periodic spot reviews and audits of completed authorization forms and other documents to ensure the consistent, correct use of allotment, object, sub-object, and sub-activity coding required.Works with Hospital and Clinic professional and para-professional staff, local providers, tribal health committees; serves as a representative at meetings to create and understand the PRC programs and promote consumer and provider satisfaction.Incumbent must know computer applications relating to the PRC Program, including the responsibility for key entering and verifying all PRC service authorization, payments, cancellations, and supplements.Responsible for adding, deleting, changing, and verifying information in both the patient file and vendor.Contribute to a team effort.Other duties as assigned.Knowledge, Skills, and Abilities:Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge of applicable federal, state, tribal laws, regulations, and requirements. Knowledge of legal regulations and requirements on confidentiality, specifically the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of the various TONHC program functions related to the Purchased/Referred Care program.Knowledge of funds control techniques to account for the funds allotted to the Purchased/Referred Care Program; a comprehensive ability to prepare financial statements and reports.Knowledge of medical codes derived from the Indian Health Service Standard Code Book and the Contract Medical Care System Handbook.Skill in communicating with people from varied backgrounds and cultures, including communicating effectively with a wide variety of people, especially interaction with irate patients.Ability to learn Purchased/Referred Care guidelines and regulations necessary to assure that the prescribed procedures are appropriately applied.Ability to obtain in-depth knowledge of all computer operations and sequence execution of Purchased/Referred Care programs and the online peripheral devices' relationship to the computer system.Ability to define PRC services, determine eligibility, how PRC supports direct care, federally recognized Indian Tribe, reservation, residency, descendancy, tribal affiliation, CHSDA, close social and economic ties, elderly, disabled, alternate resources, and medical priority levels.Ability and skill to coordinate the PRC office with others (i.e., vendors, physicians, support services, state agencies, etc.)Ability to prepare good oral and written communication to interact with referral program personnel, contract care facilities, and providers.Ability to work independently, use sound judgment, and meet deadlines. Minimum Qualifications:High School Diploma or General Education Diploma and one year of work experience in a medical business office function, or an equivalent combination of training, education, and work experience demonstrate the ability to perform this position's duties.Licenses, Certifications, Special Requirements:Must possess and provide a copy of an official record that verified the training received with the employment application.Must possess a certification of completing an approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), the Accrediting Bureau of Health Education Schools (ABHES), or any accrediting agency recognized by the United States Department of Education. OR;A current and active Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) from The American Association of Medical Assistants (AAMA) or the American Medical Technologists (AMT). OR;The completion of a medical services training program of the Armed Forces of the United States. Must provide a copy of an official record that verifies the training received. Must obtain an Arizona Notary Public Commission certificate within six months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, the incumbent(s) may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

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Clinical Laboratory Scientist

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, Casa Grande, and San Xavier Health Center.Position Summary:The Clinical Laboratory Scientist is responsible for performing a variety and a full range of Medical Laboratory procedures, including phlebotomy, highly complex analyses, and infrequently required tests; evaluating abnormal or unusual patient results; operating and maintaining complex laboratory equipment; and setting up and monitoring daily, weekly, or monthly quality control.Scope of Work:The employee is responsible for planning, implementing, and developing the clinic's laboratory section, which includes phlebotomy, general/routine laboratory testing, solving highly complex diagnostic problems, and modifying or adapting new methods or techniques to improve or expand services specific to the following areas: hematology, coagulation, chemistry, urinalysis, microbiology, rapid test methods, and referral specimen processing. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Performs a full variety of laboratory tests and examinations of samples.Duplicates tests for quality control and patient testing.Perform phlebotomy and order all tests requested by outpatient department RNs or providers.Conducts quality control procedures on equipment, reagents, and products and maintains accurate reports for quality control reports.Performs blood cell morphologies studies, body fluid analysis, and urinalysis. Selects the appropriate procedures for the service request and is congruent with patient considerations.Prepares reagents, calibrators, solutions, and primary reference materials as applicable.Processes specimens using equipment, instruments, or techniques necessary to prepare them for specific analysis; controls physical conditions; responds to time factors to ensure that the physiologic state of the specimen is maintained.Evaluates and monitors the performance of non-routine and specialized test procedures using manual and automated techniques in accordance with established protocols. Calibrates, standardizes, adjusts, and maintains instruments. Verifies correct instrument operation using established procedures and quality control checks; identifies the cause of common problems and makes simple repairs. Tests and develops quality control methods, calculating the mean, standard deviation, and coefficient variation and determining statistical significance.Examines instrument functions, rechecks of test performance conditions, evaluates reaction systems and/or procedural techniques utilized, and identifies function with a symptom.Contribute to a team effort and perform other job-related duties.Knowledge, Skills, and Abilities:Knowledge of the Tohono O'odham culture, customs, and traditions.The skill to develop and perform difficult and complex tests, determinations, and examinations in which original controls, measurements, and procedures must be either adopted, established or employed.The knowledge of health care and diagnosis is necessary to coordinate with and discuss tests results with physicians or other professionals for who tests and functions are performed.The skills and knowledge to perform phlebotomy procedures on all age-specific groups, including neonates, children, adults, and geriatric patients.The skill and knowledge to operate within a quality control system and a proficiency-testing program.Skill in minor equipment and instrument maintenance, which includes daily, weekly, monthly care, calibration, and remedial or repair action that ensures operational reliability, reproducibility, precision, and accuracy at all times.Knowledge and skills in Microbiology, Hematology, Immunohematology, Chemistry, Immunochemistry, Blood Gas, Coagulation, and Urinalysis to identify acceptable specimens and determine suitability/integrity for analysis.Sufficient skill and initiative to maintain a high level of cleanliness, hygiene, and general up-keep of the laboratory.Professional knowledge of the principles, theories, and practices of medical technology, including quality assurance and clinical correlation, is sufficient to perform various diagnostics tests.Knowledge of related disciplines and diagnoses necessary to evaluate test results in relation to patient clinical history and other laboratory data in order to discuss test results with ordering physicians and providers and recommend additional testing.The skill and knowledge to operate within a quality control/assurance system and proficiency-testing program.Knowledge of instrumentation principles and operation to operate, maintain, teach, detect instrumentation malfunctions, and independently troubleshoot equipment.Knowledge of inconsistent or unusual laboratory results is required to identify the most probable causes, which may include technical problems or specimen contamination.Knowledge of regulatory licensing and accrediting agency requirements to assure compliance with standards. Knowledge of quality controls checks, correction, and documentation of corrective actions.Knowledge of guidelines includes Public Health Service, and other laboratory accreditation standards.Ability to maintain privileged, confidential information. Ability to work independently and meet strict timelines.Ability to communicate efficiently and effectively both verbally and in writing.Ability to establish and maintain positive and effective working relationships with other employees and the general public. Ability to work extended hours and various work schedules.Minimum Qualifications:Bachelor's Degree in Medical Laboratory Science and Technology, or closely related field. One year of work experience in blood banking, chemistry, hematology, microbiology, immunology, and urinalysis/body fluids in a laboratory, or an equivalent combination of training, education, and work experience closely related to the Clinical Laboratory Scientist's duties and responsibilities.Licenses, Certifications, Special Requirements:Must possess and maintain a Clinical Laboratory Scientist, Medical Laboratory Scientist, or Medical Technologist certification through the American Society for Clinical Pathology (ASCP) or the American Medical Technologist (AMT).Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Group Home Worker

Tohono O'odham Nation San Simon, AZ

Job DescriptionJob DescriptionThe position is located in San Simon, AZ. TON.Position Summary:Under close supervision, provides a safe, healthy, positive and productive environment for residents of the group home. Respects the rights of residents in the Group Home. The work is normally reviewed in progress and upon completion of each assignment to ensure accuracy, timeliness, and conformance to established standards; most aspects of the work tasks are covered by detailed instructions or procedures.Essential Duties and Responsibilities: Assists residents in daily living activities to include: cooking, cleaning, washing, dressing, and other related activities as assigned. Coordinate and attend medical appointments of the individuals serviced.Dispenses medication within established guidelines to residents as required.Performs activities related to maintaining the cleanliness of the home.Ensures adherence to the policies and procedures by the group home residents; disciplines residents and recommends or initiates other measures to control behavior.Prepares and serves meals to residents.Maintains a log of behavioral activities of each resident according to established policies and procedures. Reviews previous shift logs for pertinent information.Participates in counseling or treatment of behavioral or physical disorders with residents as needed.Gives instructions to residents regarding desirable health and personal habits.Plans and leads recreational activities and participates or instructs residents in activities.Escorts and drives residents to/from designated activities and appointments.Maintains professional knowledge by attending meetings, training, educational workshops, classes and conferences.Advises and assists in individual development efforts by identifying problems/issues and referring to supervisor.Performs other job related duties as assigned and contributes to a team effort.Knowledge, Skills, and Abilities:Knowledge of O'odham traditions, language, history and culture.Knowledge of applicable federal, state, tribal laws, regulations and requirements. Knowledge of Indian Child Welfare Act (ICWA).Skill in providing superior customer service to external and internal customers.Skill providing homemaker services, housekeeping, meal preparations, laundry, etc.Skill in providing bathing, dressing, and personal grooming.Ability to work effectively with individuals and demonstrate leadership and team-building skills with empathy and enthusiasm.Ability to communicate efficiently and effectively both verbally and in writing.Ability to establish and maintain positive and effective working relationships with other employees and the general public. Ability to maintain privileged confidential information. Ability to work independently and meet strict time lines.Ability to work extended hours and various work schedules.Ability to travel within the interior/exterior boundaries of the Tohono O'odham Nation.Minimum Qualifications:High School Diploma or General Education Diploma and three years' work experience with children, seniors, or disabled, or an equivalent combination of training, education, and work experience which demonstrates the ability to perform the duties of this position.Licenses, Certifications, Special Requirements:Must obtain a Food Handler's Card within three months of hire.Must obtain certifications in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillator (AED) and First Aid within the first six months of hire.Upon recommendation for hire, a criminal background and National FBI check is required to determine suitability for hire, including a 39-month Motor Vehicle Record.May require possessing and maintaining a valid driver's license, (no DUIs or major traffic citations within the last three years).If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham Language and English as a condition of employment.

Public Health Nurse

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:The Public Health Nurse (PHN) serves as a community health advisor and provides comprehensive nursing services to schools, individuals, and families on the Tohono O'odham Nation. Scope of Work: This position is located within the Tohono O'odham Nation Health Care Sells Hospital, San Xavier Health Center, Santa Rosa Health Center, and San Simon Health Center. The incumbent works under the supervision of the Director of Public Health Nursing, who defines and establishes overall program objectives and operations according to Standards of Care for Public Health Nursing (PHN) Programs. According to the PHN priority policies for home visits, each PHN independently plans and schedules comprehensive nursing services for their geographic areas and determines the nature of assessment, counseling, teaching, and treatment to be provided. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Evaluate, promote, and maintain the health of at-risk individuals, families, and the community through teaching disease prevention activities, counseling, advocacy, referral, coordination of care, and appropriate health assessments and interventions. Assists with the coordination of the immunization program to include the tracking and follow-up. Manages and participates in public health screening clinics, including interviewing and counseling clients, performing clinical tasks, administering prescribed treatment, documentation of care, and making the necessary referral. Participate in emergency/bioterrorism preparedness and planning activities and respond and assist during emergencies, such as flooding, fires, microbursts, etc. Utilizes the public health nursing process of assessment, diagnosis, planning, intervention, and evaluation when: assessing the patient's condition and needs: setting outcomes; implementing appropriate nursing actions to meet the patient/family physical, emotional, spiritual, social, and safety needs; and evaluating the patient's progress. Refer the patient to the appropriate resources; organizes patient caseload in the assigned geographic area.Application of care treatment and intervention according to principles of population based health care and standing public health orders.Identifies and reports child abuse or dependent adult abuse and incidents of domestic violence.Provides maternal and child health services; makes home visits as necessary.Monitor prenatal patients and provide prenatal education, and participates in sonogram clinics. Plans and exchanges information with other health care entities for effective patient care; cooperates with other agencies in planning for patient care.Utilizes the RPMS systems as appropriate for position requirements and enters information into RPMS patient care packages as necessary.Coordinates response to outbreaks of reportable/infectious disease on the Tohono O'odham Nation. Work closely with state and tribal health departments in testing and contact investigation. Respond to communities for direct care and education. Utilize MEDSIS for investigation and surveillance of communicable diseases.Assists the physician in control and treatment and consults with various agencies (i.e. health department) on communicable disease issues.Sexually Transmitted Disease (STD) general: Coordinates care provision, case and contact investigation efforts, organize education efforts, and acts as liaison with State and Federal entities dealing with STD issues.Tuberculosis (TB) General: coordinates and implements the treatment plan for active cases and preventative therapy on TB infected individuals and; Conducts TB testing and surveillance; Plans and coordinates community investigations.Responds to public health emergencies as required.Promote, teach and demonstrate nursing care to patients, families, and community groups. Provide instruction and information regarding specific diseases or health conditions and health maintenance. Provide public health consultation services, including health education, to tribal programs, Head Start, schools, other settings in the community and TONHC employees, and outside agencies. Participate with local community groups in the development and planning of health services.Serve on various community task forces relating to the position.Participates in orientating new employees and mentoring nurses to public health nursing.Assists in planning and conducting continuing education. Maintain compliance with all mandatory training requirements. Lead and guides non-professional staff, i.e. Health Technician/Disease Investigator.Participates in performance improvement teams and other committees as assigned. Continually monitors the work processes for quality and quantity and makes recommendations for necessary corrective action.Maintains professional knowledge and proficiency in nursing and public health nursing through continuing education, staff meetings, workshops, and serving on nursing committees.Performs other duties as assigned.Knowledge, Skills, and Abilities:Knowledge of the Tohono O'odham traditions, language, history, geography, and culture.Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of health-related issues, medical terminology, and health and child care education.Knowledge of comprehensive health programs and the full range of professional public health nursing principles, practices, and procedures to formulate plans and provide services in clinics, homes, schools, and community environments.Knowledge of current research methods including statistical compilation and interpretation to participate in epidemiological surveys, field investigations and research studies related to planning, assessing and evaluating the community health programs.Knowledge and ability to apply methods and techniques of adult education to stimulate behavioral changes related to good health practices. Awareness of the customs of the Native American tribes within the area and the ability to appreciate cultural differences and their effect on health care delivery. Possesses knowledge and ability to make physical and psychological assessments of individuals, families, and communities and recognize the range of patient conditions from normal to abnormal abnormalities. Knowledge of the biological aspects of the disease process and illness to recognize complications and therapeutic interventions required. Knowledge of pharmaceuticals to recognize desired effects, side effects, and complications of their use.Knowledge and ability to advise and counsel healthy individuals in preventative care and to provide guidance in nutrition, common illnesses, child growth and development patterns, mental health, immunizations, and all aspects of maternal child health.Knowledge of available resources for primary care and referral services.Awareness of performance improvement and the evaluation process to improve patient care and facilitate monitoring and program planning.Knowledge of health records and ability to accurately complete and document clinical-related data.Ability to work independently to organize services to patient caseload in assigned geographic areas and function cooperatively as a PHN team member to achieve department objectives.Ability to communicate and interact with various personnel (tribal staff, other health care professionals, individuals in the community) of varying functions, level of knowledge, and care requirements to provide optimal care for the patient population.Knowledge and skill in computer usage and case management programs on RPMS and other systems. Knowledge of drugs and biologicals and the desired effect in treatment of disease and untoward and undesired side-effects.Knowledge of health records aspects of patient care and ability to accurately and completely document related clinical data.Ability to provide instruction and job experience for trainees assigned to the PHN and other training programs.Ability to drive government vehicles.Ability to establish and maintain positive and effective working relationships with other employees and the general public.Ability to maintain privileged, confidential information.Ability to work extended hours and various work schedules.Ability to work independently and meet strict time limes.Minimum Qualifications:Degree or diploma from a professional nursing program, approved by the legally designated state accrediting agency when the program was completed by the applicant, andTwo years of clinical nursing experience.Registration: Applicants must have active, current and unrestricted license as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.Licenses, Certifications, Special Requirements:Must have active, current, and unrestricted licensure as a Registered Nurse.Public Health or Community Health Nursing, preferred.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.Physical Demands:While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms, and talk or hear. The employee is occasionally required to sit; climb or balance; stoop, kneel, crouch, crawl; and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. The work requires extensive driving between communities. It involves moving and placing equipment in specialty clinics and health fairs and setting up audio-visual equipment for group presentations in communities and schools. Vehicle operation ranges from driving in isolated areas or unimproved roads. Occupational exposures to infectious and communicable diseases are possible. Exposure to persons under the influence of drugs and alcohol is possible.This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Optometrist (Clinical)

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:The Optometrist provides diagnostic, preventative, and/or therapeutic eye care services to the patients of the Tohono O'odham Nation Sells hospital and health care centers. Scope of Work:This position is located within the Tohono O'odham Nation Sells hospital and is organizationally assigned to TONHC health center facilities. The incumbent provides direct, primary, prevention, and therapeutic optometric care to the Tohono O'odham Nation patients. The position may require 50% travel to any of the four health care facilities-the incumbent reports to the Optometry Supervisor. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Provides direct care to patients in a responsible, respectful and caring manner to diagnose optometric/ocular problems through external and internal physical evaluation of the eye and surrounding tissues. Independently provide comprehensive optometric services that utilize optometric procedures and instrumentation techniques to detect neuromuscular impairment or anomalies of binocular function. Treat visual disorders through examination, prescription of corrective lenses, vision training, and pharmacologic means. Responsible for reviewing case histories of patients, analyzing visual functions, far acuity, near acuity, a field of vision, depth of perception, ocular coordination, and color perception. Uses objective and subjective methods for detecting apparent ocular and systemic disease in the eyes and refers patients to the appropriate health professional upon diagnosing ocular manifestations of systemic disease. Prescribes vision aids, contact, and conventional lenses, and corrective eye exercises deemed necessary. Provide optometric services that require advanced instrumentation, procedures, and techniques to detect and correct unusual visual deficiencies. Consults with the Ophthalmology staff or private Ophthalmologist and medical practitioners as warranted.Record all patient care examinations, assessments, procedures, and care plans appropriate health records electronically and manually in compliance with professional standards. Provides guidance, direction, and support to facilitate the functions of the entire eye care staff. Follow Human Resources policies on EEO-related matters. Contribute to a team effort. Performs other job-related duties as assignedKnowledge, Skills, and Abilities:Knowledge of the Tohono O'odham culture, customs, and traditions.Knowledge and understanding of advanced optometric procedures and instrumentation techniques and their various applications in the detection and correction of unusual visual deficiencies.Knowledge of legal regulations and requirements about confidentiality, specifically to the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of urgent/emergency ocular treatment.Professional optometric knowledge and skills in examining and analyzing the eye for disease or defects and prescribing correctional lenses or exercises.Skill in providing superior customer service to external and internal customers.Ability to serve as an authoritative source of information for optometric conduct practice in any phase of the optometry program.Ability to organize and plan work.Ability to deal with individuals from a variety of diverse backgrounds.Ability to work independently, use sound judgment, and meet deadlines.Ability to communicate effectively orally and in writing.Ability to establish and maintain positive and effective working relationships with other employees and the general public.Ability to work extended hours and various work schedules.Minimum Qualifications: Doctor of Optometry (O.D.) accredited by the Council on Optometric Education, and One year work experience in clinical optometry practice.Licenses, Certifications, Special Requirements:A current license to practice optometry in a State, the District of Columbia, or a territory is required. Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Medical Officer (General Practice)

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:A physician performs and provides diagnosis, care, and treatment of inpatients, ambulatory care patients, and emergency patients for the full range of clinical scenarios. In addition, as an expert licensed provider, the incumbent is responsible for the direct and indirect specialized child, adolescent, and adult services and administrative duties, including continuing education.Scope of Work:This position may be organizationally located in Tohono O'odham Nation Sells Hospital or in any TONHC health center. The incumbent works under the general supervision of the Clinical Director, who provides administrative oversight. Incumbent functions with considerable independence during the course of patient care. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Performs and provides care to patients primarily in ambulatory clinic and inpatient settings; provides patient care and consultation in the Emergency Department as needed.Interviews and examines patients, reviews past medical history, and requests and performs diagnostic tests and examinations.Makes preliminary diagnosis, recognizing rare and difficult to identity symptoms or signs.Directs, prescribes, or provides a complete treatment regimen or arranges for specialized care or patient referral as necessary.Note of observations and documents into clinical records.Provide emergency care as appropriate.Manages and oversees all medical categories for cases that do not require referral.Provide total patient care, including prevention, health maintenance, early diagnosis, treatment, and follow-up services.Routine duties shall include, even if rarely required, providing medical care and public health services to individuals eligible for services provided by TONHC in homes, schools, clinics, job sites, and other community locations within the TONHC service area.Review patient medications, diet, therapy course, adherence to the treatment management plan, and other observations to develop, modify and assess the treatment plan.Provide instructions and consultation to patients and their families.Performs and assists other physicians in the performance of minor surgery.Delivers infants when necessitated by urgent/emergent circumstances and provides or arranges for postpartum care. Coordinates and integrates information obtained into ongoing health care information systems utilized by TONHC.Ensures preparation of appropriate medical records for all patients seen to ensure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care.Disseminate clinical reports and correspondence concerning patients to physicians, hospitals, and other individuals and facilities.Works closely with allied health professionals to provide effective interdisciplinary health care services and treatment.Participates in a comprehensive Quality Improvement Program that meets the accreditation standards of The Joint Commission.Ensures clinical care is consistent with standards of practice, guidelines, and department-specific policies and procedures.Communicate effectively with patients and families in situations of medical, psychosocial, and cultural complexity.Performs other job-related duties as assigned and contributes to a team effort. Knowledge, Skills, and Abilities:Knowledge of applicable federal, state, tribal laws, regulations, and requirements.Knowledge of legal regulations and requirements about confidentiality, specifically to the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Knowledge of the economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.Skill in respectful and compassionate intercultural communication.Skill in providing superior customer service to external and internal customers. Ability to carry out professional practice fully respectful of Tohono O'odham culture, customs, and traditions.Ability to provide practical, comprehensive health care for patients across a full range of clinical scenarios.Ability to responsibly develop new approaches for situations in which the established techniques/practices and treatment regimen have not been effective.Ability to work independently with a wide latitude to determine and pursue a course of treatment with and for patients.Ability to travel within and outside the boundaries of the Tohono O'odham Nation as necessary to carry out duties and responsibilities.Ability to cope adaptively in stressful situations.Ability to communicate efficiently and effectively both verbally and in writing. Ability to exercise independent judgment. Ability to establish and maintain positive and effective working relationships with other incumbents and the general public.Minimum Qualifications:Doctor of Medicine or Doctor of Osteopathy from the United States or Canadian medical school approved by a recognized accrediting body in the year of applicant's graduation. ORA Doctor of Medicine or equivalent degree from a medical school not of the USA or Canada that provided education and medical knowledge substantially equivalent to accredited schools in the United States, as demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG), or a Fifth Pathway Certificate.Completed an approved internship and a license to practice medicine.One to two years of professional experience beyond the completion of formal internship training or progressive experience equivalent in breadth and intensity, or culmination of three to four years of residency training.Licenses, Certifications, Special Requirements:Must possess and maintain a permanent, complete, and unrestricted license to practice medicine in a State, District of Columbia, Commonwealth of Puerto Rico, or the United States territory.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Optometric Assistant

Tohono O'odham Nation Healthcare San Simon, AZ

Job DescriptionJob DescriptionPLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.Position Summary:This position performs a full range of health technician and optical support work for the Optometry staff of the Tohono O'odham Nation Sells Hospital. Scope of Work: This position is located within the Tohono O'odham Nation Sells Hospital Optometry Branch and may be organizationally assigned to any one of the Health Center locations. This position may require 50% travel to any of the four (4) TONHC Facilities. The incumbent works under the general supervision of the Chief Optometrist who makes assignments by defining objectives, priorities, and deadlines, and assists the employee with unusual situations. Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): Manages technical and administrative optical activities of the Optometry clinic.Answers the telephone and refers calls to personnel. Answers general questions about the optometry program, e.g. hours of the clinic, procedures for making appointments.Greets incoming patients and has patient complete information forms for registration. Completes registration with insurance verification and demographics.Creates schedules in computer, schedules patient appointments and checks patients in and out of clinic.Assists with patient transportation arrangements as needed.Coordinates referrals for the Eye Clinic Providers.Interviews patients and records health history.Performs frame measurements, ensuring optimum cosmetic, physical, and optical spectacle performance. Repairs most damaged and/or broken frames. Performs basic optical bench work. Maintains frames on a current basis in accordance with applicable contracts.Prepares prescriptions and lab orders for glasses. Verifies spectacle prescriptions utilizing lensometer, lens gauge, and other instruments prior to dispensing glasses to patients.Provides technical assistance to Optometrists and Ophthalmologists as requested.Performs various preliminary eye evaluations including but limited to visual acuity, Non-Contact Tonometer and Icare Tonometer, as requested by the eye care provider.Performs ancillary tests such as visual field, Optical Coherence Tomography, Retinal Photos, etc., as requested by the eye care provider.Informs patients about contact lens procedures, care and hygiene, optical and ocular disease conditions, and other relevant instructions.Follow Human Resources policies on EEO related matters.Orders optical supplies and instruments.Contributes to a team effort.Performs other job related duties as assigned.Knowledge, Skills, and Abilities:Knowledge of the Tohono O'odham culture, customs, and traditions.Ability to provide appropriate customer service. Knowledge of current standard optometric lens and frame characteristics, measurement methods and instruments, and materials in order to select the most appropriate size and type of frame and lens for optimum visual performance.Skill in utilizing a variety of tools and repair techniques to accomplish spectacle repairs.Knowledge of optical prescription methods and measurement techniques in order to verify and duplicate current prescriptions.Knowledge of a variety of optometric instruments and measurement methods such as vision screening instruments, visual acuity measurement methods, visual field testing instruments, and non-contact tonometry. Basic knowledge of a variety of optical conditions such as myopia, hyperopia, astigmatism, presbyopia, cataracts, etc., in order to educate patients.Thorough knowledge of the Privacy Act of 1974 which mandates the incumbent to maintain confidentiality of all administrative, medical, and personnel records.Knowledge of Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (HIPAA).Minimum Qualifications:Must have a High School Diploma or General Education Diploma, and One year combination of Optical Dispensing experience and front/back optometric office experience.Licenses, Certifications, Special Requirements:Must possess or acquire a Cardio Pulmonary Resuscitation (CPR) certification within three months of hire.Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

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