PROGRAM:            Fallon Tribal Health Center                                                      GRADE:      GS-44

SUPERVISOR:       Associate Director – Clinical Services                               RANGE:      $128.49 – $194.35 (hourly)

FLSA STATUS:        Exempt     Non-Exempt     Public Safety       TYPE:       Choose an item.


This position oversees the medical provider component, assures medical quality of services are being provided, and provide professional medical screening, and evaluation, diagnosis, and treatment of health problems to patient and provides clinical consultation and oversight to physicians and mid-level providers.


CMO Functions

  1. Provides medical expertise with respect to planning and establishing goals, objectives and policies to improve medical services that are consistent with Fallon Tribal Health Center’s mission statement, vision, and goals.
  2. In collaboration with leadership, establishes standards to provider productivity and measurements for quality of care.
  3. Monitors providers against set standards, including, but not limited to, GPRA (Government Performance Results Act). Reports productivity and/or quality of care variances to FTHC leadership.
  4. Identifies and develops plans for areas of improvement based on utilization studies, adverse trends, practice patterns, or operational needs.
  5. Investigates breaches of quality patient care or ethical conduct by medical staff members and makes appropriate recommendations to the supervisor and/or governing body.
  6. Serve as the Lab Director for the FTHC and sign off on all standing order and ensure that the lab licensure is maintained in accordance with CMS standards and regulations.

Administrative Functions

  1. Assists in the development of medical policies and procedures following recognized standards of care; including but not limited to IHS, CDC, accreditation and compliance standards and guidelines, and other evaluating entities, including applicable state and federal agencies.
  2. Provides recommendations for potential cost-effective improvements, including educational CEU cost-containment issues.
  3. Provides clinical oversight to physicians and mid-levels. Provides daily consultation, guidance, and direction to assure standards of care are met.
  4. Responsible for all peer review. Conducts and monitors the peer review process for ongoing quality assurance and review the medical performance of providers.
  5. Collaborates with key medical staff on development and implementation of continuing education and training needs for medical staff.
  6. Provides orientation to new providers regarding medical systems for delivery of care.

Outpatient Clinical Functions (not less than 60% of time)

  1. Performs all functions as a Physician – Family Practice in providing direct care to clients; including, but not limited to, the examination of patient to determine general physical condition, the recording of information about patients’ medical history, ordering various tests and diagnostic images to provide information on patient’s condition, the prescribing of medications, performing minor surgical procedures as privileged, etc.
  2. Develops both individual and family long range personal relationship and continuity of care for the full scope of patients’ health problems by planning, providing and coordinating all necessary services, and establishing priorities in consultation with other appropriate staff.
  3. Develops relationships and acts as liaison between FTHC and other practitioners for specialized treatment for referrals.
  4. Maintains a professional, organized, and clean working environment by following organizational policies, guidelines, and acceptable safety standards.

Other Functions

  1. Contributes to the progress and development of the FTHC’s adopted compliance program.
  2. Responsible for helping to prepare, achieve, and maintain accreditation by the Accreditation Association for Ambulatory Health Care (AAAHC).
  3. As designated by the Health Director, serve on the various FTHC committees to assist in achieving and maintaining AAAHC accreditation.
  4. Other job-related duties as assigned by the supervisor.


  1. Must be a graduate of an accredited school of medicine; completion of residency in Family Practice or related field.
  2. Must possess a valid license to practice medicine in a State of the United States (with preference with State of Nevada license) and be board certified or eligible in Family Practice.
  3. Must have, at least, three years’ experience providing primary medical care and have demonstrated experience as a Medical Director preferably in a Tribal health setting.
  4. Must have a current DEA license and have current CPR and ACLS certification.


(To perform this job, an individual must be able to perform each essential duty satisfactorily. Requirements, below, are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to individuals with disabilities to perform essential functions)

  • Knowledge of relevant drugs and non-pharmaceutical patient care aids and ability to prescribe dosages and instruct patients in correct usage.
  • Knowledge of legal and ethical standards for the delivery of medical care.
  • Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment of patients and a theoretical and practical knowledge of medicine
  • Skills in operating personal computer using a variety of computer software
  • Ability to maintain strict confidentiality and comply with all applicable federal and tribal privacy laws, as well as FTHC policies and procedures (HIPAA, safety, etc.).
  • Ability to maintain quality, safety and/or infection control standards.
  • Ability to observe, assess and record symptoms, reactions and progress of patients.
  • Ability to supervise, advise and train other health care providers.
  • Ability to perform processes in the delivery of care to specific age groups.
  • Ability to get along well with other staff and patients, including those of other cultural background.
  • Ability to make appropriate referrals to other specialists/services.


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.


  1. This position is covered by the provisions of the Indian Child Protection and Family Violence Prevention Act (Public Law 101-630), as amended, which requires an investigation of the character of each individual who is employed, or is being considered for employment, in a position with duties and responsibilities that involve regular contact with or control over Indian children. A criminal history investigation will be performed, and the applicant must meet the requirements of the Act.
  2. The duties of this position include mandatory reporting pursuant to 1) the Victims of Child Abuse law (34 USC § 20341) and 2) elder and vulnerable person laws (NRS 200.5093), as incorporated by decision of the FBC that elders and those who cannot speak for themselves are entitled to the same protections. Because such laws may subject employees to criminal penalties under FPSTLOC § 5-50-040 and/or 18 U.S.C. §§ 1169 and 2258, all employees hired to this position must complete a Mandatory Reporter training within 90 days of hire.


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.

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