Lead Clinical Nurse (Ambulatory Care)
Company: Tohono O'odham Nation Healthcare
Location: Sells
Posted on: February 11, 2026
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Job Description:
Job Description Job Description PLEASE 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: Under general
supervision, provides nursing care and treatment to
clients/patients according to policies, procedures, protocol, and
client needs. Also, assists the supervisor with day-to-day
functions of the Ambulatory Care Unit. Scope of Work: This position
is located in the nursing department of Tohono O'odham Nation
Health Care. The incumbent evaluates the nursing needs of the
patients, develops a plan of nursing care, schedules daily nursing
assignments (Implements and modifies assignments as needs change),
and delegates duties to appropriate personnel-the incumbent works
under the direction of the Supervisory Nurse Specialist. Essential
Duties and Responsibilities: As Lead Nurse guides three or more
employees and direction to Ancillary Departments, other Nurses, and
Health Care providers. Ensure that the organization's strategic
plan, mission vision, and values are communicated to the team and
integrated into the team's strategies, goals, objectives, work
plans, and work services. Articulate and communicate the
assignment, project, problem to be solved, actionable events,
milestones, program issues under review, and deadlines and time
frames for completion. Assists with the formulation of nursing
schedules. Coach the team in selecting and applying appropriate
problem-solving methods and techniques, provide advice on work
methods, practices, and procedures, and assist the team and
individual members in identifying the parameters of a viable
solution. Lead the team in identifying, distributing, and balancing
workload and tasks among employees per established workflow, skill
level, and occupational specialization; making adjustments to
accomplish the workload following set priorities to ensure timely
accomplishments of assigned team tasks, and ensuring that each
employee has an integral role in developing the final team product.
Train or arrange for the training of team members in methods and
techniques of team building and working in teams to complete tasks
or projects and provide or arrange for specific administrative or
technical training necessary for accomplishing individual and team
tasks. Monitor and report on the status and progress of work,
checking on work in progress and reviewing completed work to meet
the supervisor's instructions on work priorities, methods,
deadlines, and quality. Prepare reports and maintain records of
work accomplishments and administrative information, as required,
and coordinate the supervisor's preparation, presentation, and
communication of work-related information. Represent the team in
dealings with the supervisor to obtain resources (e.g., computer
hardware and software, overtime or compensatory time) and secure
needed information or supervisor decisions on major work problems
and issues that may arise. Report to the supervisor periodically on
team and individual work accomplishments, problems, progress in
mastering tasks and work processes, and individual and team
training needs. Lead the team in assessing its strengths and
weaknesses and provide leadership to the team in exploring
alternatives and determining improvements (e.g., in work methods,
processes and procedures). Approve emergency leave for eight hours
or less for medical appointments and other types of leave delegated
by management. Resolve simple, informal complaints of employees and
refer others, such as formal grievances and appeals, to the
supervisor or an appropriate management official. Communicate team
consensus and recommendations to the supervisor on actions
affecting the team and individual awards, rewards, and recognition.
Intercede with the supervisor on behalf of the team to inform the
supervisor of performance management issues/ problems and
recommend/ request related actions, such as assignments,
reassignments, promotions, a tour of duty changes, peer reviews,
and performance appraisals. Accountable to monitor all aspects of
patient care: documents nursing interventions, therapeutic measures
administered patient's reactions, and patient teaching and
understanding. Advises less experienced staff inpatient care, work
organization, and other matters. Serves as a Clinical Nurse
performing nursing duties for patients whose condition warrants
specialized care. Assesses the patient and develops a plan of care
for individual patients by interviewing the patient and family
members, reviewing the patient's health record, determining and
evaluating the kind of physical and health care needed. Consults
with the physician and other staff members to determine and
evaluate the kind of health and physical care needed. Collaborates
with other professionals in developing a multidisciplinary approach
to the provision of care. Observes and assess the patient's
clinical condition. Collects and interprets data from the patient's
history and physical assessment. In emergencies initiates specific
nursing measures to ensure the wellbeing of the patient. Must use
BLS-defined protocols managing respiratory and cardiac systems.
Participates in the development, updating, and evaluating of
standards of care and quality improvement monitoring. Coordinates
available resources to provide patient and family with social,
age-specific, emotional, educational, cultural, spiritual, and
physical support. Maintains professional knowledge and proficiency
in Ambulatory Care specific nursing knowledge and practice through
continuing education to include: specific certifications as
required by department, staff meeting, outside and in-house
workshops attendance, especially mandatory training events.
Performs other duties as assigned. Knowledge, Skills, and
Abilities: Knowledge of Tohono O'odham culture, customs, and
traditions. Knowledge of applicable federal, state, tribal laws,
regulations, and requirements, including HCFA, Medicare, ALTCS, and
AHCCCS. Knowledge of regulatory agencies' documentation
requirements and ability to accurately and completely document
clinical data. Knowledge of the application and use of cardiac
monitoring equipment. Knowledge of nursing practice related to
respiratory and circulatory emergencies. Knowledge of hospital
policy and procedures relating to Infection Control and Quality
Improvement. Knowledge of pharmacology of various medications and
their therapeutic and adverse reactions. Knowledge of physical
assessment, disease processes, and interventions. Knowledge of
age-specific aspects of care. Knowledge of proper practice and
procedures in emergencies, including the implementation of
life-saving procedures. Knowledge of human behavior to provide
counseling, guidance, and health instruction to create and maintain
a positive healing experience for patients and their families.
Knowledge of basic management techniques to provide guidance and
leadership to other nursing personnel and develop a flexible,
individualized, and comprehensive management plan. Knowledge of
various cultures customs of different ethnic groups and the ability
to incorporate and appreciate their efforts to deliver health care.
Knowledge of statistical and research methods and applying them as
needed to identify and solve problems not susceptible to other
methods. Strong leadership skills and abilities, including the
ability to motivate people toward the accomplishment of
organizational goals and objectives. Knowledge of HIPAA-related
rules and regulations. Ability to be compassionate and have good
communication skills. Ability to exercise independent judgment.
Ability to work independently and meet strict timelines. Ability to
provide training in Cardio Pulmonary Resuscitation and First Aid.
Computer Skills are essential. Minimum Qualifications: Education:
Degree or diploma from a professional nursing program approved by
the legally designated State-accrediting agency at the time the
applicant completed the program Registration: Applicants must have
an 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. Two years of nursing
experience working in an ambulatory care setting and knowledge of
principles of leadership. Licenses, Certifications, Special
Requirements: Must have current certification in Healthcare Cardio
Pulmonary Resuscitation (CPR), Automated External Defibrillator
(AED). Must have a current immunization statement to include, proof
of a non-reactive tuberculosis skin test within the last year or a
negative chest x-ray, proof of immunity for hepatitis B
(Documentation of immunization does not prove immunity, only a
titer with a positive result is proof), 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.
Keywords: Tohono O'odham Nation Healthcare, Chandler , Lead Clinical Nurse (Ambulatory Care), Healthcare , Sells, Arizona
