Lead Mobile Nurse, Mobile Medical Unit

Job Details Job Location: Hermiston or Pendleton OR - Hermiston, OR 97838, Position Type: Full-Time, Travel Percentage: Up to 50% , The Mobile Nurse Lead contributes to the calling of Medical Teams International by delivering high-quality, compassionate nursing care through Medical Teams’ Rural Access Mobile Health Program (RAMP). In addition to providing direct patient care, this position serves as the clinical lead for a mobile care team, providing day-to-day clinical oversight, coordinating clinic operations, supporting quality and regulatory compliance, mentoring team members, and serving as the primary clinical decision-maker during mobile clinic operations in collaboration with the Chief Medical Officer and Program leadership. ESSENTIAL DUTIES AND RESPONSIBILITIES Serve as the clinical lead for assigned mobile clinic teams by coordinating daily clinical operations, staffing assignments, patient flow, and clinical workflows to ensure efficient, safe, and high-quality patient care. Provide day-to-day clinical leadership, mentorship, orientation, coaching, and support to Mobile Nurses, Medical Assistants, Community Health Workers, volunteers, students, and other assigned clinical personnel. Serve as the primary clinical decision-maker during mobile clinic operations within established standing orders, organizational policies, and scope of practice, in consultation with the Chief Medical Officer, Health Advisor or other designated medical providers as needed for complex clinical situations. Provide nursing assessment, planning and care coordination as needed. Provide direct nursing care, preventive health services, chronic disease screening, point-of-care testing, and pediatric and adult immunizations at Medical Teams' Care & Connect mobile health clinics. Apply Medical Team’s validated health screening tools. Oversee assessment of immunization status, screening for vaccine eligibility, contraindications, and precautions; administer pediatric and adult vaccines; monitor for adverse reactions; and provide appropriate post-vaccination education and follow-up. Provide evidence-based health education regarding immunizations, chronic disease prevention, and healthy lifestyles. Utilize motivational interviewing and culturally responsive communication techniques to address questions, reduce misinformation, support informed decision-making, and build confidence in preventive health services. Establish collaborative partnerships with patients and families to promote positive health outcomes by assessing health needs, readiness for behavior change, and self-management goals, and providing individualized education and coaching. Coordinate with Community Health Worker to refer and connect patients to primary care providers, Federally Qualified Health Centers (FQHCs), behavioral health providers, specialty care, public health services, and community resources as appropriate. Participate in community outreach events, school-based clinics, health fairs, and other mobile clinic activities in collaboration with public health agencies, schools, community-based organizations, and tribal partners. Support Medical Teams’ emergency and disaster response operations as assigned, including deployment to affected communities and provision of nursing assessment, triage, first aid, preventive and public health services, health education, care coordination, and other clinical services within scope of practice and organizational response protocols. When assigned in a clinical leadership capacity, coordinate clinical workflows, support team safety and quality of care, and provide clinical guidance and escalation as appropriate. Ensure accurate and timely documentation of patient care, immunizations, vaccine inventory, and other required clinical information within the electronic health record, Oregon ALERT IIS, and other required reporting systems. Ensure compliance with organizational policies, standing orders, CDC/ACIP recommendations, OHA requirements, vaccine management and cold-chain protocols, infection prevention standards, documentation requirements, and applicable regulatory requirements while promoting continuous quality improvement. Support vaccine inventory management, storage, transport, cold-chain monitoring, temperature documentation, and inventory reconciliation in accordance with organizational policy and VFC/VAP requirements. Ensure mobile clinic readiness, including verification of clinical equipment, medications, vaccines, emergency supplies, and documentation prior to clinic operations. Maintain joint accountability to the clinic team and to the RAMP program as a whole, to include supporting colleagues throughout the organization either on site or remotely as needed. Identify clinical, operational, and quality improvement opportunities; communicate concerns to Program leadership; and participate in quality assurance, performance improvement, and implementation of process improvements. Serve as a preceptor or clinical resource for new staff, students, volunteers, and other team members while promoting a culture of safety, professionalism, and continuous learning. Collaborate with patients, clients, staff, and community partners to identify and address the ways that systemic racism and other forms of compounding bias are root causes of disparities in clinical/mental health and homelessness in Black, Indigenous, and other communities of color and other communities that have experienced historical and structural oppression. Other Duties In collaboration with the Community Health Worker and other clinic staff, monitor, track and follow-up with patients to ensure care needs are met and referrals are completed and followed through using practice unit Resource Guides and electronic care coordination platforms. Ensure the safeguarding of program participants and employees through promoting an environment of awareness and upholding the code of conduct provisions of Medical Teams Protection from Sexual Exploitation, Abuse & Harassment, Child & Vulnerable Adult protection, and harassment-free workplace policies. Incumbents will remain alert and responsive to any child and adult safeguarding risks, acquire relevant knowledge and skills which will enable you to promote strong safeguarding practices, understand the child and adult safeguarding policy and procedures, and conduct yourself in a manner consistent with the Safeguarding code of conduct and behavior expectations. Delegate responsibilities to Mobile Nurses, Medical Assistants, Community Health Workers, volunteers, and students in accordance with scope of practice, competency, and organizational policy. Collaborate with US Programs leadership to provide surge support in the event of a domestic disaster, as needed. Utilize volunteers when appropriate. Additional duties as assigned. Qualifications: Safety-Sensitive Position Notice A “Safety Sensitive Position” is a position in which performance by a person under the influence of drugs or alcohol would create an immediate or direct threat of injury or death to that person or another person. For Medical Teams’ purposes, this includes all personnel who operate vehicles or heavy machinery as part of their job or who provide clinical services that could result in injury or death. This position is designated as safety-sensitive and requires successful completion of a pre-employment drug screen. EDUCATION, LICENSES & CERTIFICATIONS Required: Bachelor’s degree in Nursing (BSN) State (OR) RN license in good standing Active CPR/BLS Certificate Valid driver's license with a clean driving record Preferred: Master’s degree in Public Health Care Coordination or Case Management certification Bilingual in English and Spanish EXPERIENCE Required: Minimum 4 years of progressively responsible nursing experience in public health, primary care, community health, ambulatory care, emergency care, mobile healthcare, or a related clinical setting Experience working effectively as part of an interdisciplinary healthcare team Preferred: Experience providing healthcare services in rural, frontier, mobile, community-based, or other resource-constrained settings Experience serving as a charge nurse, clinical lead, preceptor, or team leader Experience coordinating immunization clinics or vaccine programs Experience supervising, mentoring, or providing clinical guidance to interdisciplinary healthcare teams Experience supporting emergency preparedness, disaster response, humanitarian response, emergency management, or other incident-based healthcare operations KNOWLEDGE, SKILLS & ABILITIES Knowledge: Knowledge of clinical leadership principles, quality improvement methodologies, and healthcare regulatory requirements applicable to mobile and community-based healthcare delivery Knowledge of evidence-based immunization practices, CDC/ACIP recommendations, vaccine administration, storage and handling, and vaccine safety principles Knowledge of chronic disease prevention, health promotion, motivational interviewing, and patient education strategies Knowledge of quality improvement principles, infection prevention and control, and regulatory standards applicable to community-based nursing practice Knowledge and understanding of a broad range of physical and mental health conditions throughout the lifespan Knowledge of best practices in primary prevention, screening, and patient education Familiar with the principles of trauma-informed practice and culturally responsive care Skills: Skilled in coordinating interdisciplinary teams, delegating responsibilities appropriately, mentoring clinical staff, and managing multiple competing priorities in dynamic clinical environments Skilled in clinical documentation, electronic health record use, quality reporting, and data collection Skilled in administering immunizations and performing point-of-care testing Skilled in written and verbal communication in English Moderately skilled with Microsoft Office Suite (Outlook, Teams, Word, Excel, PowerPoint) and use of electronic health records systems Self-starter, quick and curious learner, detail-oriented, highly organized, and able to work independently and in remote settings Skilled at building and maintaining a high functioning, high performing work team Abilities: Commitment to Medical Teams International Calling Statement and Core Values, and represent the organization professionally with patients, partners, volunteers, donors, and the public Ability to provide clinical leadership, foster teamwork, and promote a culture of patient safety, accountability, and continuous quality improvement Ability to exercise sound clinical judgment and make appropriate clinical and operational decisions independently within established standing orders, organizational policies, and scope of practice Ability to establish trusting, respectful, and compassionate relationships and communicate health information effectively with patients, families, and community partners from diverse cultural, linguistic, educational, socioeconomic, and lived experience backgrounds using culturally responsive, trauma-informed approaches and interpreters as appropriate Ability to work effectively both independently and collaboratively with interdisciplinary teams, Community Health Workers, volunteers, public health agencies, schools, and community partners Ability to work effectively in mobile, community-based, rural, and resource-constrained settings; adapt to changing clinical and operational conditions; and manage competing priorities while maintaining patient safety and quality of care Ability to respond appropriately to medical emergencies, including performing CPR, providing basic first aid, and operating emergency equipment within scope of practice Ability and willingness to support emergency and disaster response operations, including deployment to affected communities on short notice and work in dynamic, resource-constrained, and potentially austere environments, as operationally required Ability to maintain confidentiality and handle protected health information and other sensitive information in accordance with HIPAA, organizational policies, and applicable requirements Ability and willingness to travel throughout rural and frontier communities in Eastern Oregon and work a flexible schedule, including occasional evenings and weekends, as required Ability to work collaboratively with others. TRAVEL REQUIREMENTS This position is a full time, 40 hours per week, hourly position which includes frequent regional travel of up to 2-4 hours per week, with occasional overnight stays, as needed. SAFEGUARDING PRINCIPLES Medical Teams International holds strict child and vulnerable adult safeguarding principles and a zero tolerance policy for misconduct related to sexual harassment, exploitation and abuse in the workplace and other places where the organization’s activities are rendered. Parallel to technical competence, recruitment and selection, hiring decisions will give due emphasis to assessing candidates’ eligibility, thorough background checks, police clearance, and professional reference check processes. PHYSICAL REQUIREMENTS & WORKING CONDITIONS Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Frequent use of computers, databases and digital platforms, and other office productivity machinery, such as a copy machine and computer printer. Frequently uses hands, fingers, and arms to reach, handle, touch or feel equipment, medical instruments, materials, computers. Frequent communication and exchange of information among colleagues and persons of concern requires the ability to speak, hear, convey, and express oneself. Frequent close vision and the ability to adjust focus. Occasionally ascends/descends stairs, steps, or ladder Occasionally move about inside an office to access file cabinets, office machinery, meet with colleagues, etc. The employee must occasionally lift and/or move up to 40 pounds. Seldom to occasionally positions oneself to stoop, kneel, crouch, or crawl. If in travel status, occasional to frequent traversing over rough or steep terrain in either a motor vehicle or on foot. Work Environment: The noise level in the work environment is usually moderately quiet. The employee may be required to travel to remote areas of the world where there are potential health hazards and risks, limited hygiene facilities, extreme weather, and very basic living conditions. There may be a risk of occupational exposure to blood or other potentially infectious materials (OPIM). Hepatitis B vaccination series is required. BENEFITS Excellent Medical, Dental, and Vision Insurance Flexible work schedule options Life insurance & AD&D Generous vacation time, sick leave, and up to 12 paid holidays per year 401k retirement plan Employee Assistance Plan For a full description of our benefits, you can learn more here. Compensation The anticipated hiring range is $44.25-$52.00 USD hourly. Final compensation will be based on the selected candidate's qualifications, experience, internal equity, and geographic location. Position Funding Position Funding: This position is grant-funded and will initially be offered as a fixed-term, two-year position. Continuation beyond the initial term is dependent on funding availability. #J-18808-Ljbffr Medical Teams International