Program:Fallon Tribal Health Center Salary Grade:GS – 29
Supervisor:Associate Director – Clinical Services Salary Range:$52.93 – $63.21
FLSA Status: x Exempt      Non-Exempt      Public Safety Position Type:Regular Full Time


The Nurse Practitioner (NP) or Physician Assistant (PA) provides professional medical services within the scope of their licensing and certification and will perform all essential, professional services consistent with the goals of assisting patients to maintain or increase their levels of health and wellness.


  1. Conducts comprehensive history and physical examinations. Interviews all patients of chief complaints, systematically assesses, identifies and initiates therapeutic management of chronic illnesses and medical conditions in all age groups.
  2. Systematically assesses, identifies and initiates therapeutic management of acute illnesses or injuries of pediatric and adult patients.
  3. Examines the patient and conducts diagnostic tests to discern the cause and nature of the illness, disease, disorder, or injury.
  4. Analyzes the results of examinations and tests to determine possible treatment methods, than explain the options to patients and their parents.
  5. Monitors patients’ condition and progress and re-evaluate treatments as necessary.
  6. Performs regular checkups to monitor patients’ health, records and assesses growth rates and other physical-development indicators in the pediatric population.
  7. Monitors adherence to medical and nursing directives for stabilized chronically ill persons.
  8. Performs or requests special screening and diagnostic procedures and interprets results.
  9. Provides education to patients and families dealing with acute problems, chronic conditions, and teach healthy lifestyles.
  10. Make health care decisions based on currently accepted medical and nursing science and the patient’s particular situational, family and cultural determinants.
  11. Follows established protocols for therapeutic care under the direction of the physicians at the Health Center.
  12. Uses physician consultation and refers clients with health problems which are beyond the scope of the Family Nurse Practitioner’s/Physician Assistant practice.
  13. Documents patient care activities and maintains patient medical records in accord with clinic policy, sound professional practice and state and federal laws.
  14. Prescribes medications according to medical indication and necessity and in accordance with Tribal and IHS policies and procedures.
  15. Administers immunizations per best practice to prevent illnesses commonly experienced by children.
  16. Provides treatment and/or procedures within accepted medical standards and facility capability.
  17. Provides in-service programs in areas of medicine to health staff to increase awareness of current and specific problems, diagnosis and treatment issues concerning the clinics patients.
  18. Obtains medical provider number and assigns reimbursement to the Fallon Tribal Health Center for services rendered.
  19. Maintains charts in the Health Center’s RPMS (EHR) system at a current status and keeps incomplete charts to a minimum.
  20. Other job related duties as assigned by supervisor.


  1. Knowledge of comprehensive health programming and the full range of professional community health nursing principles, practices and procedures in providing services within the health center, home, school, and community environment.
  2. Exposure to Health Hazards of the Health Industry.
  3. Knowledge of and enforcement of safety and biohazard regulations.
  4. Experience in a primary care setting preferred.
  5. Possess skills in making physical and psychosocial assessment of communities, family and individuals, recognizing the range of “normal” and the manifestation of common abnormalities.
  6. Good interpersonal skills and the ability to get along with diverse populations (patients, physicians and other medical personnel, staff and general public).
  7. Good communication skills, written and oral.
  8. Proficient abilities with an Electronic Health Record (EHR) chart system with moderate to advanced computer skills.
  9. Ability to perform physical activity on a regular basis including but not limited to: walking, standing for long periods, and lifting.
  10. Ability to pass a TB test and a current CPR certification.


(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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)

  1. Graduation from an accredited college or university with a master’s degree in Advanced Practitioner of Nursing or Physician Assistant.
  2. Current licensure from any state/territory of the United States of American, with preference for licensure from the State of Nevada.
  3. At least one (1) year of prior professional experience as a Nurse Practitioner/Physician Assistant in a clinic setting serving children and adults.
  4. This position requires that the candidate be a mandated reporter.
  5. This position requires compliance with the Indian Child Protection and Family Violence Prevention Act, Public Law 101-630; 25 Code of Federal Regulations (CFR), Part 63 – Indian Child Protection and Family Violence Prevention; Crime Control Act of 1990, Employee Background Checks; and Executive Order 12968, Adjudicative Guidelines; and therefore must successfully complete an extensive background check before start of employment.


Fallon Paiute-Shoshone Tribe and Native American/Indian Preference:  Employment preferences to members of the Fallon Paiute-Shoshone and to members of federally-recognized Indian Tribes shall apply to this position pursuant to the Tribe’s Personnel Policies.  Persons of Tribe and/or Indian ancestry and wish to claim these employment preferences should submit a copy of the Tribal Enrollment Card/Certification indicating the name of the Tribe they are enrolled with.

U.S. Veteran’s Preference:  Preference to opportunities to veterans honorably discharged from the United States Armed Forces shall apply to this position pursuant to the Tribe’s Personnel Policies.

Equal Opportunity Employer:  The Fallon Paiute-Shoshone Tribe does not discriminate on the basis of race, color, national original, sex, religious preference, age, handicap, marital status, political preference, genetics or membership or non-membership in any employee organization, except as allowed by Federal and/or Tribal Law.

Drug Free Workplace:  The Fallon Paiute-Shoshone Tribe is a drug-free workplace.  All employees are subject to a pre-employment and random drug screens.

Driving Record:  Employees who drive tribal vehicles must have a valid Nevada Driver’s License, be insurable under the Tribe’s vehicle insurance program, and must also provide a DMV printout annually.

Background Checks:  All employees must be able to pass a background check per the Tribe’s Background Check Policy.

Position Description Limitations:  This position description does not constitute an employment agreement between the Tribe and the employee, and is subject to change by the Council as the needs of the Tribe and the requirements of the job change.  This position description is not intended to present a descriptive list of the range of duties performed by any employee in this position and is not intended to reflect all duties performed within the position.