Nurse Practitioner I (On-call/As I Needed) - Open Until Filled

Position: Nurse Practitioner – Levels I, II, III

Division

Ponca Health Services

Department

Health

Reports To

Chief Medical Officer / Chief Operating Officer

Location

Norfolk

Exempt/Non-Exempt

Non-Exempt

Salary

Level 1

Grade 15 ($39.64 - $57.77)

Level 2

Grade 16 ($43.60 - $63.55)

Level 3

Grade 17 ($47.96 - $69.91)

Classification

On-Call/As-Needed

Summary

The Ponca Tribe of Nebraska is a federally recognized Tribe with its ancestral homeland located in Niobrara, NE. The Tribe does not have a reservation in the classic definition; rather, the Ponca Restoration Act defined its jurisdiction as a ‘Service Delivery Area’ comprised of 15 counties throughout parts of Nebraska, Iowa, and South Dakota. Within its Service Delivery Area, the Tribe offers a broad range of health, social, educational, and cultural services.

This position is responsible for providing primary care services across the lifespan, including assessing, diagnosing medical conditions, prescribing, treating, and educating patients. Works with physicians and other clinicians in a team based approach to patient-centered care. Percentage of clinical hours: 100%.

Essential Responsibilities and Duties

• 1.
• Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing/presenting illness, risk factors, family history, psychosocial situation, and cultural factors; and performing appropriate physical examination.
• 2.
• Orders/ performs appropriate laboratory diagnostic and other screening tests.
• Seeks other information as needed including consultation as needed.
• 3.
• Discriminates between normal and abnormal finds to recognize early stages of serious physical, emotional or mental problems.
• 4.
• Works independently with Full Practice Authority and in collaboration with the care team (clinicians, nursing, and support staff) to make decisions concerning needs of patients.
• Seeks and obtains input from physicians (internal and/or external) regarding questions and issues pertaining to the treatment and/or care of patients as needed.
• 5.
• Provide surveillance over medical practices applied to stabilize chronically ill persons; adjusts treatments within established guidelines recognizing when to refer the patient to the physician or other health team members.
• 6.
• Provide emergency services or crisis intervention including life saving emergency procedures in order to stabilize a patient sufficiently to transport to a hospital facility.
• 7.
• Evaluate the medical aspects of treatment plans periodically recognizing the need for reassessment by a physician or other health professional.
• 8.
• Provide medical care and preventative services, including guidance in nutrition, common illnesses, accidents, child growth and development and child rearing.
• 9.
• Consistently completes documentation within the electronic health record to include documentation of patient encounters, entry of relevant patient data, review and signature of labs, care plans, etc. to include communication with patients, specialists and members of the patient’s care team.
• 10.
• Exhibits knowledge of evaluation and management (E&M) coding guidelines, and demonstrates appropriate application of those guidelines as evidenced by accurate E&M coding.
• 11.
• Exhibits awareness of managed care and health plan requirements in respect to prescription formularies, prescription formularies, and pre-certification requirements for lab or diagnostic tests, participating facilities, and medical necessity criteria.
• Utilizes appropriate health and medical resources to coordinate treatment plans for patient per requirements of the managed care plans where applicable.

Relationships and Authority

Supervision requirements will be determined by Executive Level Management.

Working Environment and Physical Demands

This position is located within an outpatient medical clinical setting. Works throughout the clinic area. Sits, stands, bends, lifts and moves intermittently during work hours.

Qualifications

Level I

Minimum

Preferred

11. Doctorate degree in Nursing 12. One or more years’ experience working with Native Americans or Native American organizations. 13. Knowledge and understanding of Public Law 93-638: Indian Self-Determination Education Assistance Act of 1975.

Level II

In addition to Level I above

14. Active and good standing APRN License with a minimum of two years nurse practitioner experience

15. Is recognized as an Independent Nurse Practitioner by the State of Nebraska (Neb. Rev. Stat. 38-2322) 16. Successful completion of National Certification Exam 17. Unrestricted Federal DEA License

Level III

In addition to Level I above

PHS Category

Designation

Specify

Risk Exposure Level

Low/Moderate/High

High

Annual Credentialing

Yes/No

Yes

IT Privilege

Aprima/Dentrix/ScriptPro/Other

APRIMA

Preference will be given to Ponca Tribe of Nebraska members or members of a federally recognized tribe. However, all qualified individuals are eligible.

The Ponca Tribe of Nebraska is an at-will employer.

Tribal Council Approval: 01/20/2026