Fort Defiance Indian Hospital Nursing Jobs

CLOSING DATE: MONDAY, SEPTEMBER 28, 2026 @ 4:00 pm Salary Range: Dependent on Experience (DOE) **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** ** RESUME AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES: Observes and assess health status of patients by physical assessment and examination, interviewing patient and family members, and reviewing patient’s health history. Initiates and administers treatments, medications, emergency, and resuscitative measures based on appropriate utilization of providers orders, standing orders and protocols to the unit assigned. Initiates and administers therapeutic measures as prescribed by the ordering provider such as medication treatments, intravenous fluids, blood transfusion, oxygen therapy, etc. Records observations, nursing interventions, therapeutic measures, hemodynamic monitoring data, and other data relevant to patients in the unit. Responsible for independent management of patients undergoing local anesthesia and intravenous (IV) sedation. Provides specialized knowledge and skills to meet the physical, emotional, and spiritual needs of patients undergoing procedures. Operates and monitors specialized equipment pertinent to the unit. Collaborates with members of the units and multidisciplinary teams in assessing, planning, and implementing intervention in the management of patient’s health care. Provides intravenous and respiratory therapy for patients as indicated by circumstances and needs, following protocol. Utilizes Standards of Care to develop, implement, evaluate, and revise an appropriate problem oriented nursing plan of care for the patient and management of the unit. Monitors supplies and instruments to assure sterility of materials used furthering Quality Assurance of patient care. Participates as a member of hospital committees relative to patient care. Participates in planning and conducting continuing education in nursing care, quality assurance, and performance improvement, and care of instruments and supplies. Collaborates with team members and other personnel as needed to facilitate methods of resolution and solutions to problems. Identifies specific issues related to program planning and development and works with the nursing leadership team to determine methods of solution to those problems. Think critically, be clinically competent and communicate effectively while multi-tasking and prioritizing patient care. Functions in any nursing unit as assigned and appropriate. Successfully cross-train to Emergency Department (ED), Multi-Service Unit (MSU), Intensive Care Unit (ICU), and Inpatient Obstetrics Unit (OB/GYN) (for female candidates) during six (6) months orientation period. Completes all yearly Center for Medicare and Medicaid Services (CMS) required training by the indicated due dates. Assists, promotes, and supports compliance with established CMS standards. Performs other duties as assigned. MANDATORY MINIMUM QUALIFICATIONS: Experience: Three (3) year Registered Nurse experience in medical/surgical, acute, and/or critical care setting. Education: Associate of Science degree in Nursing from an accredited nursing program. License: Valid and unrestricted Registered Nurse license in any U.S. State or Territory. Certificate: Emergency Department (ED): Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification. Valid American Heart Association (AHA) certification in Pediatric Advanced Life Support (PALS) and maintain certification or valid Emergency Nurse Association (ENA) certification in Emergency Nursing Pediatric Course (ENPC) and maintain certification. Valid American Academy of Pediatrics (AAP) certification in Neonatal Resuscitation Program (NRP) and maintain certification. Valid Emergency Nurse Association (ENA) certification in Trauma Nursing Care Course (TNCC) and maintain certification or valid Air & Surface Transport Nurses Association (ASTNA) certification in Transport Professional Advanced Trauma Course (TPATC) and maintain certification or valid Society of Trauma Nurses (STN) certification in Advanced Trauma Care for Nurses (ATCN) and maintain certification or valid American College of Surgeons (ACS) certification in Advanced Trauma Life Support (ATLS) and maintain certification or valid Board of Certification for Emergency Nursing (BCEN) certification in Trauma Certified Registered Nurse (TCRN) and maintain certification. Intensive Care Unit (ICU): Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification. Valid American Heart Association (AHA) certification in Pediatric Advanced Life Support (PALS) and maintain certification. Obtain valid certification in Moderate Sedation within six (6) months from date of hire and maintain certification. Multi-Service Unit (MSU): Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification. Valid American Heart Association (AHA) certification in Pediatric Advanced Life Support (PALS) and maintain certification. Obstetrics Unit (OBU): Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification. Valid American Academy of Pediatrics (AAP) certification in Neonatal Resuscitation Program (NRP) and maintain certification. Valid Association of Women’s Health, Obstetric and Neonatal Nursing (AWHONN) certification in Advanced Fetal Heart Monitoring (FHM) and maintain certification or valid National Certification Corporation (NCC) certification in Electronic Fetal Monitoring (EFM) and maintain certification. **Please email degree, transcripts, license and certifications to Cynthia.Morris@fdihb.org** NAVAJO/INDIAN PREFERENCE: FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally-recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered. 
Closing Date: Open Until Filled (OUF) Salary Range: $52.56 - 69.34 per hour **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** ** RESUME AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES: Initiates assessment, planning and implementation of care to patients with ostomies, draining wounds, fistulas, pressure ulcers, acute and/or chronic wounds. Provides comprehensive care and teaching to patients and their families/significant others regarding the evaluation, selection, and recommendation of supplies and equipment in order to provide optimal wound and ostomy care. Assesses and identifies the needs of each ostomy/wound patient, utilizing the following pertinent information: direct observation, examination and the medical record/Electronic Health Record (EHR). Implements the nursing and medical care plans through utilization of safe and therapeutically effective interventions. Assumes a leadership role in the implementation of nursing practices that promote continuous quality improvement and desirable patient outcomes. Develops standards of care and assists in the formulation and evaluation of procedures, protocols and policies related to wound/ostomy patient care. Provides guidance to staff to identify, control or eliminate etiologic factors for skin breakdown, including selection of appropriate support surface. Assists staff to maintain current knowledge and competence in the areas of skin, wound, and ostomy management through orientation, regularly scheduled in-service programs, and review of policies and procedures according to national guidelines. Provides follow-up for patients with ostomies and wound care through outpatient clinic visits and/ or phone consults and initiates appropriate referrals for medical or surgical intervention. Instructs and demonstrates to patient and/or significant other correct procedures in wound/ostomy management and care as related to stomas, appliances, irrigation techniques, peristomal skin care, etc. Analyzes stock items and recommends appropriate additions and deletions to assure quality and cost-effectiveness of products used for ostomy and wound care. Keeps current in area of expertise by participating in professional programs and organizations Participates in quality/performance improvement projects in area of expertise and serves on various hospital-wide committees as requested. Manages the Wound Clinic operations and program development with maintenance of records and statistics and submits reports as requested. Completes all yearly Center for Medicare and Medicaid Services (CMS) required training by the indicated due dates. Assists, promotes, and supports compliance with established CMS standards. Performs other duties as assigned. MANDATORY MINIMUM QUALIFICATIONS: Experience: One (1) year of Registered Nurse experience and one (1) year direct work experience with wound care patients. Education: Associate of Science degree in Nursing from an accredited nursing program. License: Valid and unrestricted Registered Nurse license in any U.S. State or Territory. Certificate: Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid Certified Wound Care Nurse (CWCN) certification or equivalent through Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) and maintain certification. **Please email degree, transcripts, license and certifications to vanessa.apachee@fdihb.org ** NAVAJO/INDIAN PREFERENCE: FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered. 
Closing Date: Open Until Filled (OUF) Salary Range: $47.78 - $62.30 per hour **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** ** RESUME AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES: Provides guidance and direction to professional employees and ancillary staff under the direction of the Nurse Executive, ensuring 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 products and services. Identifies, distributes, and balances workload and tasks among employees in accordance with established case load, skill level, scope of practice, and occupational specialization making adjustments as necessary. Provides performance coaching to the team in the selection and application of appropriate problem-solving methods and techniques, provides advice on work methods, practices and procedures, and assists the team and/or individual members in identifying the parameters of a viable solution. Identifies training needs of the team and provides or arranges for specific administrative or technical training necessary for accomplishment of tasks. Monitors and reports on the status and progress of work and reviews completed work. Communicates upward to Nurse Executive for the purpose of obtaining resources and securing needed information to make decisions on major work problems and/or issues requiring administrative approval. Maintains a professional caring attitude when dealing with patients, their families, hospital health care providers, and other departments. Maintains consistent support for positive workplace environment and discourages any behavior that could be interpreted as creating or supporting a hostile work environment. Maintains professional knowledge and proficiency in selected specialty area knowledge and practice through continuing education to include Unit specific certifications, continuing education credits, staff meeting attendance, and attendance of outside and in house workshops. Performs clinical nursing duties for patients. Performs interviews and health assessments to determine plan of care and collaborates with multidisciplinary teams to plan and implement interventions for patient care management. Documents all patient care and administers therapeutic measures and medications as prescribed, to include, but not limited to, medication administration, intravenous fluids, blood transfusions, treatments and maintains those measures taken which are ongoing in nature. The Lead Clinical Nurse (LCN) is clinically responsible for independent management of the patient. Utilizes Evidence-based Guidelines for Practice as a reference to monitor and maintain standard practices and recommendations in care. Participates in the on-call schedule as assigned. Provides leadership to the team in exploring alternatives and determining process Improvement measures. Participates as a member of hospital committees relative to patient care in their specialty areas. Completes all yearly Center for Medicare and Medicaid Services (CMS) required training by the indicated due dates. Assist, promotes, and supports compliance with established CMS standards. Performs other duties as assigned. MANDATORY MINIMUM QUALIFICATIONS: Experience: Four (4) years of direct work experience as a Registered Nurse (RN) in women’s health or obstetrics and two (2) years of leadership experience in teaching and coaching nursing staff. Education: Associate of Science degree in Nursing from an accredited nursing program. License: Valid and unrestricted Registered Nurse license in any U.S. State or Territory. Certificate: Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification. Valid Association of Women’s Health, Obstetric and Neonatal Nursing (AWHONN) certification in Advanced Fetal Heart Monitoring (FHM) and maintain certification. **Please email degree, transcripts, license and certifications to vanessa.apachee@fdihb.org ** NAVAJO/INDIAN PREFERENCE: FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered. 
Closing Date: Open Until Filled (OUF) Salary Range: $52.56 - $69.34 per hour **APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE** ** RESUME AND REFERENCES ARE REQUIRED** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES: Observes and assesses health status of patients by physical assessment and examination, interviewing patient and family members, and reviewing patient's health history. Initiates treatments, medications, emergency, and resuscitative measures based on appropriate utilization of providers orders, standing orders and protocols. Administers therapeutic measures as prescribed by the medical or surgical provider such as medication treatments, intravenous fluids, blood transfusion, oxygen therapy, etc. Records observations, nursing interventions, therapeutic measures, hemodynamic monitoring data, and other data relevant to patients in the unit. Responsible for independent management of patients undergoing local anesthesia and intravenous (IV) sedation. Provides specialized knowledge and skills to meet the physical, emotional, and spiritual needs of patients undergoing procedures. Operates and monitors specialized equipment pertinent to the unit. Collaborates with members of the medical/surgical and multidisciplinary teams in assessing, planning, and implementing intervention in the management of patient's health care. Provides intravenous and respiratory therapy for patients as indicated by circumstances and needs, following protocol. Utilizes Standards of Care to develop, implement, evaluate, and revise an appropriate problem-oriented nursing plan of care for the patient and management of the unit. Monitors supplies and instruments to assure sterility of materials used furthering Quality Assurance of patient care. Collaborates in developing and evaluating standards of care for the patient. Participates as a member of hospital committees relative to patient care. Participates in planning and conducting continuing education in nursing care, quality assurance, performance improvement, and care of instruments and supplies. Collaborates with team members and other personnel as needed to facilitate methods of resolution and solutions to problems. Identifies specific issues that affect program planning and development and works with nursing leadership team to determine methods of solution to those problems. Identifies, initiates, and participates in nursing studies, audits, performance improvement programs, safety workshops, continuing education seminars, etc. Functions in any nursing unit as assigned and appropriate. Completes all yearly Center for Medicare and Medicaid Services (CMS) required training by the indicated due dates. Assists, promotes, and supports compliance with established CMS standards. Performs other duties as assigned. MANDATORY MINIMUM QUALIFICATIONS: Experience: Two (2) years of Registered Nurse experience in OB (Labor & Delivery, Postpartum, and Newborn) in a healthcare setting. Education: Associate of Science degree in Nursing from an accredited nursing program. License: Valid and unrestricted Registered Nurse license in any U.S. State or Territory. Certificates: Valid American Heart Association (AHA) certification in Basic Life Support (BLS) and maintain certification. Valid American Heart Association (AHA) certification in Advanced Cardiac Life Support (ACLS) and maintain certification OR Valid American Academy of Family Physicians (AAFP) certification in Advanced Life Support in Obstetrics (ALSO) and maintain certification. Valid American Academy of Pediatrics (AAP) certification in Neonatal Resuscitation Program (NRP) and maintain certification. Valid Association of Women's Health, Obstetric, and Neonatal Nursing (AWHONN) certification in Advanced Fetal Heart Monitoring (FHM) and maintain certification. **Please email degree, transcripts, license and certifications to vanessa.apachee@fdihb.org ** NAVAJO/INDIAN PREFERENCE: FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered. 
Closing Date: OPEN UNTIL FILLED (OUF) Salary Range: Dependent on Experience (DOE) ***APPLICANT MUST HAVE A VALID UNRESTRICTED INSURABLE DRIVERS LICENSE*** ***RESUME AND REFERENCES ARE REQUIRED*** ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES Provides assessment, diagnosis, treatment, and management of acute and chronic mental illness in children, adolescent, and adult patients. Gives total patient care including prevention, health maintenance, early diagnosis, treatment and follow up services. Performs initial admissions intake, on admitted patients, and discharge planning. Practitioner may discharge patients not initially assigned to them at the time of admission in the ACU. The discharging Practitioner provider will be responsible for ensuring that the patient has an appropriate disposition and discharge plan must include ordering the appropriate discharge medications, care instructions, appropriate outpatient follow-up and referrals. When necessary, perform biopsychosocial evaluations and make appropriate assessments to determine a diagnosis and develop a treatment plan, which may involve admission, discharge, and arranging for specialized care. Participate in treatment and discharge planning meetings with interdisciplinary team members. Performs rounding on admitted patients for on-going medication management at least twice a week and/or sometimes daily or as needed depending on patient’s plan of care needs. Provides supportive therapy, counseling and guidance to individuals, families, and groups. Conducts history and physical examination of patients, assesses physical condition, and orders various tests (e.g., laboratory, neurological, and psychological tests). Where necessary, provides case management functions; provides short or long-term psychotherapy; prescribes psychotropic medications and supervises medication maintenance by evaluation of the patient's response to drug therapy and determines continuing medication regime in consultation with physician. Provides medical care and preventive services to patients, including guidance in nutrition, common illnesses, accidents, growth and development. Provides nursing functions such as measurement and interpretation of vital signs, lab results and administration of intra-venous medications and monitors patient’s response to drug therapy and provides education on medication interaction(s). Maintains knowledge and proficiency in medical practices through continuing education, staff meetings, and workshops, and home study. When necessary and required, provides full range of emergency services or crisis intervention including evaluation and assessment of patients in the Emergency Department. This may include, but not limited to, patients who present with acute crises while on admission in the ACU and may require higher level of care. Be available on a twenty four (24) hour stand-by, call back and on call rotation schedule when needed for crisis or any other psychiatric needs. Teaches patients and family members on ways to participate, maintain and/or improve their welling and health status. Maintains records and reports on patients, personal activities and other required information for use in program operation, quality assurance and other purposes. Participates in Quality Assurance Improvement Performance (QAPI) review processes. Performs other duties as assigned. MINIMUM MANDATORY QUALIFICATIONS Experience: Minimum of One (1) year direct inpatient psychiatric experience with Adolescents and/or Adults as a Psychiatric Health Nurse Practitioner (PMHNP-BC) Education: Completion of a Doctor of Nursing (DNP), Master of Science in Nursing (MSN), or a Post-Master's Certificate in a Psychiatric Mental Health Nurse Practitioner Program (PMHNP) accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), in the following area: Psychiatric Mental Health Nurse Practitioner (PMHNP) - Lifespan Licensure: Active unrestricted Advanced Practice Registered Nurse license from a full "opt-out" U.S. State/Territory (i.e., enabling independent practice privileges with prescriptive authority and independent admitting/order privileges within the PMHNP Scope of Practice without supervision by a Physician in other Licensed Independent Practitioner) in the following areas: Psychiatric-Mental Health Nurse Practitioner – Lifespan Active, unrestricted, unencumbered Board Certification by the American Nurses Credentialing Center (ANCC) or an equivalent body in the following area: Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) – Lifespan Current, valid, unrestricted Drug Enforcement Agency (DEA) License. Active, unrestricted Registered Nurse license from any U.S. State or Territory. Active Basic Life Support (BLS) Certification through the American Heart Association (AHA) and maintain certification. Please email degree or transcripts to: Ophelia.Anthony@fdihb.org NAVAJO/INDIAN PREFERENCE FDIHB, Inc. is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally-recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered. Browse All Fort Defiance Indian Hospital Jobs →