RN ER Full-time
Fort Defiance Indian Hospital

LEAD CLINICAL NURSE (EMERGENCY DEPARTMENT)

$57.82 - $77.17 / hour

Closing Date: November 04, 2026, 4:00 PM (DST)

Salary Range: $57.82 - $77.17 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 an Emergency/Critical Care Registered Nurse (RN) 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 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. Obtain valid certification in Moderate Sedation within six (6) months from date of hire 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.

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