Job Summary:

This position is responsible for providing comprehensive medical care to pediatric, adolescent, adult and geriatric patients of the Oyate Health Center (OHC).

Essential Functions:

• Responsible for the practice of medicine or direct service to patients involving the performance of diagnostic, preventative, or therapeutic services to patients.
• Interviews and examines patients, reviews past medical history and requests and/or performs diagnostic tests and examinations as necessary to make clinical diagnosis.
• Provides medical or surgical treatment and/or referral as appropriate.
• Prescribe or administer appropriate medical treatment, therapy, medication, and other specialized medical care.
• Orders, performs, interprets, and evaluates diagnostic tests, records, reports, and examination information to identify and assess patient's clinical problems and health care needs.
• Collect, record, and maintain patient information, such as medical history, reports, and examinations results.
• Records physical findings, and formulates plan and prognosis, based on patient's condition.
• Monitor patients' conditions and progress and reevaluate treatments as necessary.
• Explain procedures and discuss test results or prescribed treatments with patients.
• Refer patients to medical specialists or other practitioners when necessary.
• Gives total patient care including prevention, health maintenance, early diagnosis, treatment, and follow-up services to patient(s).
• Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data to provide comprehensive medical care. Ensures accurate information is documented within the patient’s electronic health record.
• Works closely with allied health professionals in the provision of broad health program services. Interviews and examines patients. Instructs and counsels patients.
• Actively participates in clinic quality improvement activities.
• Participate in meetings and represent OHC as required.
• Utilization of EHR with accurate timely notes to ensure required documentation is entered for billing and referrals.
• Must comply with federal laws and regulations as required by the Health Insurance Portability and Accountability Act (HIPAA).
• Performs related duties.

Professional Behavior

• Effectively plan, organize workload, and schedule time to meet the demands of the position.
• Work in a cooperative and professional manner with OHC and GPTLHB staff.
• Treat Great Plains tribes and collaborators with dignity and respect.
• Utilize effective verbal and written communication skills.
• Advance personal educational development by attending training sessions and seminars as appropriate.
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Handle crisis and tolerate stress professionally.
• Be self-directed and take proactive initiative to assist others.
• Resolve issues with other departments and coworkers without direct supervision if needed.
• Exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Promote an alcohol, tobacco, and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.

Requirements

• Participates in Core Connections training, and applies GPTLHB Core Connections concepts and practices in their work
• Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors, and guests.
• Foster a work environment of wellness, courtesy, friendliness, helpfulness, and respect.
• Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
• Familiarity and/or experience working with American Indian populations and respect for and knowledge of traditional, cultural, and spiritual practices of diverse American Indian communities, as well as an ability to work with other culturally and ethnically diverse populations.
• Consistently demonstrate respect for and acceptance of differing capabilities, cultures, gender, age, sexual orientation and/or personalities.
• Maintain and ensure organizational privacy and confidentiality.
• Must be able to handle crisis and tolerate stress professionally.
• Must be self-directed and take proactive initiative to assist others.
• Possess the ability to resolve issues with other departments and coworkers without direct supervision.
• Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
• Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
• Ability to effectively present information in one-on-one and small group situations to community members, consumers, and other employees of the organization.
• Proficiency with computer programs (Word, Excel, PowerPoint) and other Internet technologies.
• Valid driver’s license must be kept current, and certificates, credentials or licenses must be kept current and consistent with regulations required by applicable federal, state and/or grant regulations.
• Ability to promote an alcohol-, tobacco- and drug-free lifestyle.
• Embrace modes of appearance and attire that reflect a professional presence.
• Adhere to GPTLHB policies and procedures.

Knowledge Required

• Knowledge and ability necessary to provide care appropriate to the age of patients served.
• Knowledge of the principle of growth and development over the life span.
• Knowledge of diagnostic, preventive, and therapeutic medical care.
• Knowledge of the scientific process including assessment, planning, implementation, and evaluation of complex and subtle patient needs and interventions.
• Knowledge of infection control standards and protocols.
• Knowledge of diversity and cultural difference of Native American populations, and the ability to appreciate cultural differences and their effect on healthcare delivery.
• Ability to identify, categorize, and perform clinical services to address each patient’s age-specific needs, i.e., infant, adolescent, or geriatric patients.
• Ability to work with personal computer and utilize a variety of software applications, including database and office software systems.
• Ability to communicate clearly and effectively, both orally and in writing, using tact and sensitivity.
• Ability to collect, organize, record, and proficiently communicate data relevant to primary health assessments.
• Skill in identifying factors that adversely impact health status and are not susceptible to treatment by accepted methods.
• Skilled in critical thinking, deductive reasoning and decision making.
• Skill in problem solving, mediating, and resolving disputes.
• Skill in prioritizing and planning.
• Skill in interpersonal relations.
• Skill in use of personal computer and a variety of job-related software applications.

Supervisory Controls

The supervisor assigns work in terms of very general instructions. The supervisor reviews completed work for compliance with procedures and the nature and propriety of the final results. Work is reviewed through conferences, reports, and observation of OHC operations and patient outcomes.

Guidelines

Guidelines include state and federal laws and regulations, OHC policies and procedures, OHC Medical Staff Bylaws, professional standards of medical practice, medical standing orders, and Centers or Medicare and Medicaid Services Conditions of Participation manual. These guidelines are not applicable to every situation encountered and require independent judgment, selection and interpretation in application.

Complexity/Scope of Work

This position consists of patient care duties. The purpose of this position is to provide patient care to the patients of OHC. Successful performance ensures the effective and efficient operation of the OHC and affects the quality of care and patient outcomes.

Contacts

Contacts are typically with patients, OHC and GPTLHB employees, members of the general public, personnel of other IHS facilities, and providers.

Contacts are primarily for obtaining, furnishing, exchanging, and providing factual medical information.

Work Environment/Physical Demands

The work is typically performed standing or sitting. The work is typically performed in a clinic setting which requires normal safety precaution for infection control and environmental safety measures. The noise level in the work environment is usually moderate.

While performing the duties of this job, the employee is regularly required to stand and sit, talk, and hear. The employee is frequently required to reach with hands and arms. The employee must regularly lift and /or move light objects, and occasional lift heavier objects.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory and Management Responsibility

This is non-supervisory position that provides medical guidance and direction to OHC staff.

Minimum Qualifications

• Must have a Doctor of Medicine or Doctor of Osteopathy degree from an accredited medical school and successful completion of post graduate training and an approved residency program.
• Must have a permanent, full, and unrestricted license to practice medicine in the State of South Dakota, or ability to obtain full or temporary license prior to start date. Full and unrestricted license must be obtained within one (1) year of hire.
• Must obtain and maintain medical staff clinical privileges, including any licensure requirements.
• Basic Life Support (BLS) certification is required or must be obtained within ninety (90) days of employment.
• Must successfully pass a criminal and background check and a pre-employment drug screen.

The GPTLHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions, if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.

Compliance with our Employee Health Procedure is a condition of employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs require that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required.

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