FNP - NP - Primary Care Provider

Job Overview
The Primary Care Provider (PCP) is responsible for providing holistic and culturally tailored medical services at the Little Shell Health Clinic (LSHC) to American Indian/Alaska Native (AI/AN) customer owners within an integrated, trauma-informed care setting. The PCP coordinates comprehensive health care services and provides appropriate direct customer-owner care through assessment, diagnosis, and treatment within their scope of practice. The PCP provides all clinical and support services from a team-based approach, in partnership with existing and emerging LSHC departments and programs. On an ongoing basis, the PCP provides innovative solutions aimed at continuous improvement of the customer-owner care experience. We are family based, seeing patients from just after birth to advanced ages. We embrace Native Culture and Western Medicine to give the best care to our customer-owners.

Because we are experiencing rapid growth and are excited to improve access to care, we are looking for candidates who are willing to start at part - time but will be willing to move to full - time when needed.

Responsibilities

• Provide comprehensive, high quality, culturally appropriate primary, episodic and/or recuperative care.
• Integrate behavioral health into primary care delivery and work as part of multi-disciplinary team in caring for customer-owners.
• Ensure high quality performance of LSHC medical team(s) through proactive leadership, adherence to all local, state, and federal safety guidelines, and facilitation of integrated health services.
• Evaluate and treat customer-owners (including walk-ins), write prescriptions, provide preventive health care advice and case management, assess the psychological impact of illness and treat or appropriately refer customer-owners to internal or external care providers.
• Refer customer-owners, as appropriate, to medical specialists, hospital admission, recuperative care, or detox facilities, providing appropriate information and follow up for continuity of care.
• Elicit an appropriate health history, perform physical examinations, order diagnostic studies, interpret results, and initiate therapy in accordance with accepted standards and guidelines.
• Supervise, as appropriate, members of the LSHC medical team, including but not limited to Registered Nurses, Medical Assistants, Case Managers, etc.
• Provide education to customer-owners on health promotion, disease treatment and prevention.
• Provide follow-up to customer-owners with lab results, diagnoses, and other personal health information as appropriate.
• Utilize electronic health record (EHR) system, RPMS, to enter and maintain accurate, timely and up-to-date medical records.
• Serve on customer-owner care committees such as Infection Prevention Control, Quality Assessment/Quality Improvement, Integrated Behavioral Health, etc. to provide appropriate subject matter expertise.
• Participate in on-site and off-site continuing education programs and ensure training to maintain licensure as well as meet the needs of the population.
• Other duties as assigned and in keeping with standards of practice.

Training & Skills

Must possess at least five years’ experience as a Nurse Practitioner/PCP in an outpatient or outpatient setting. Experience working with an interprofessional health care team and with American Indian/Alaska Native, minority, or under-resourced communities is desired.

Knowledge

• Expertise in techniques to take medical history, physical assessment, and normal body function; in disease processes, signs, symptoms, and treatment of acute minor illnesses; in patho-physiology of inflammation, infection, allergic reactions, and such diseases as respiratory, gastrointestinal, dermatological, urological, and musculoskeletal conditions, normal and abnormal vital signs, and normal and abnormal neurological signs and symptoms; and insigns and symptoms indicative of emergent or life threatening nature.
• Knowledge of the psychosocial effects on customer-owners within the outpatient setting who have multifaceted problems; of communication techniques to establish rapport and facilitate cooperation and customer-owner compliance in customer-owner education.
• Understanding of pharmaceuticals, their desired effects, side effects, and complications of their use, and steps to counteract adverse effects in order to properly administer and monitor customer-owners using medications.
• Professional knowledge and comprehensive clinical assessment skills in the adult population and chronic disease management.
• Basic knowledge of managed care.

Skills

• Proficient computer skills, including Microsoft Office (specifically Word and Excel), electronic medical records, email and data base software.
• Requires excellent leadership, organizational, written and verbal communication, and interpersonal skills.
• Demonstrates sound judgment, decision-making, critical thinking and problem-solving skills.
• Practices, develops and endorses customer service skills.

Abilities

• Maintain confidentiality and privacy with all aspects of information in accordance with practice, State and Federal regulations.
• Plan, implement and evaluate individual customer-owner care programs.
• Read, understand, follow and enforce safety procedures.
• Work with a high-risk, minority population and maintain emotional stability to cope with human suffering, emergencies, and other stressors.
• Perform effectively at all levels in a collaborative, customer service oriented, team environment.

Qualifications

• Bachelors of Science in Nursing (BSN), required. Five or more years’ experience in nursing or equivalent work experience, preferred.
• Requires a current license to practice as a registered professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
• Maintains current BLS (CPR and AED) and DEA license for Healthcare Providers certification.

Physical Demands

Essential job duties may require occasional lifting, pushing and pulling up to 50 pounds. The ability to occasionally stoop, kneel, crouch and utilize reaching, handling, fingering and feeling movements is required. The ability to hear normal conversational discussion and near and far visual clarity is required.

Conditions of Employment

• Candidates must be able to pass a drug test at the time of hire and throughout employment.
• Must pass a pre-employment criminal background check with fingerprinting or clearance as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG). Employees must pass a criminal background periodically throughout employment.
• Candidates must possess a valid driver’s license, no alcohol related conviction, and meet the insurability requirements of the Tribe.

Indian Preference

The position is subject to the Little Shell Tribe’s Indian Preference Policy.

About the Little Shell Health Clinic

The Little Shell Tribe of Chippewa Indians of Montana (Tribe) has assumed operations of the Little Shell Health Clinic, located in Great Falls, MT, on Tuesday July 1, 2025. The Tribe is seeking to fill key positions to support operations at the Clinic before, during, and after this transition. We are looking for team members who are skilled, collaborative, and flexible.

The Clinic provides outpatient services to American Indian and Alaska Native citizens including, but not limited to, family medicine, pediatric care, behavioral health, laboratory services, pharmacy, radiology, optometry, and dental care. The Clinic currently operates Monday-Friday, 8:00 am to 5:00 pm.

Job Types: Full-time, Part-time

Pay: From $63.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Work Location: In person

Salary : $63