PNP Job Arizona

Enjoy a life style of a four day work week. Excellent opportunity to join a financially sound premiere private practice with two locations in central Arizona's Red Rock wine country. Spanish speaking a plus not a must. Clinics are in scenic Verde Valley where the elevation is 3500 ft and provides a four season climate. Ample opportunity to explore outdoor activities. For more information about the practice please email CV to:

jjaraczewski@qwestoffice.net

PNP Job Boston, MA

Our Pediatric Telecom group answers concerns and questions outside of regular clinic hours and works collaboratively with other clinicians delivering comprehensive care. The demonstrated ability to assess clinical problems, determine priorities of care, design and implement a treatment plan and seek and utilize consultation appropriately are essential. Two to four years of pediatric primary or urgent care experience is preferred. The NP must have graduated from a master's level state and NLN approved NP program and possess state licensure to practice in the expanded role. Schedule / hours are: 6p-10p,6p-12a, 9p-8a including every other weekend and holiday.

There is a part-time opportunity (20 hours/week) available. This position will include a minimum of two 9p-8a shifts per month with the remainder of hours made up of 6p-10p or 6p-12a shifts to equal 20 hours per week.

There is also a full-time temporary opportunity for six months – September ‘09 through February ’10. Schedule is three 12 hour shifts 8 p.m.-8 a.m. including every other weekend and holiday. Total 36 hours per week. This is a temporary position for Sept 09 - Feb 09.

Pediatric Urgent Care:

• Braintree – 8 hours/week, either two weekends / month or every Saturday or every Sunday each week.
• Chelmsford – Per Diem, weekends and holidays
• Boston/Kenmore – Per Diem, evenings and weekends
• Wellesley – Per Diem, Saturdays, 9-3

Visit our website at: www.harvardvanguard.org

Harvard Vanguard Medical Associates, a 501(c) (3) non-profit corporation, is a multi-specialty, multi-site physician group providing comprehensive healthcare services to approximately 450,000 patients across eastern Massachusetts. A nationally recognized leader in clinical quality, Harvard Vanguard doctors are affiliated with premier Boston-area hospitals. Harvard Vanguard’s outstanding staff of 4,000 employees includes over 600 physicians and 1000 other healthcare professionals such as nurses, physician assistants, speech therapists, and physical therapists. Harvard Vanguard is an affiliate of Harvard Medical School, and many of its physicians teach or support clinical research. Harvard Vanguard is the largest affiliate in Atrius Health.



HISTORY
Harvard Vanguard Medical Associates was originally incorporated in 1969 as the Harvard Community Health Plan, which in 1994 became Harvard Pilgrim Health Care. In 1998, the physicians and other staff of today’s Harvard Vanguard group practice separated from Harvard Pilgrim and incorporated as an independent physician group. Harvard Vanguard physicians remain committed to the highest quality care, medical education, clinical research, and to partnership with their patients to improve their health and well being.

LOCATIONS
Harvard Vanguard’s multi-specialty medical group practice delivers health and wellness services at 21 office locations in eastern Massachusetts. Most of our locations feature convenient on-site laboratory, imaging services, and pharmacy.

APPLY FOR THIS JOB
Contact Person: Sheila O'Connell
Email Address: sheila_o'connell@atriushealth.org

Phone: 617.559.8275
Fax: 617.559.8255
Apply URL: http://www.harvardvanguard.org/careers

PNP Job Georgia

PEDIATRIC NURSE PRACTITIONER—Covington, GA—Hospital affiliated practice seeking an additional F/T CPNP. Competitive salary, excellent benefits including medical, dental and malpractice liability coverage. Covington is located 34 miles east of Atlanta on I-20, and has been rated as one of the top 50 small towns of the south. Mountains and coast are great day trips. The community offers public and private schools along with several colleges and universities nearby, numerous cultural and recreational activities and reasonable housing.

Contact Person:	Pamela Miller
Email Address:	pammillercp@bellsouth.net

Phone:	770-787-4205
Fax:	770-787-5050

Cracking The Autism Riddle: Common Sense About Vaccines And Autism

Cracking The Autism Riddle: Common Sense About Vaccines And Autism

by Harvey Karp, pediatrician and faculty at UCLA

Original article from the Huffington Post.

All sorts of arguments are thrown around to persuade parents that shots threaten their children with autism. I'd like to discuss 4 of the commonly repeated concerns, 3 flawed...and 1 that I think has merit.

1) Too many shots can overwhelm a child and cause autism. No!

Babies get more vaccines today than 30 years ago, but if you think that means more things are injected into their young bodies...you'd be wrong! That's because immunizations today are much more purified than those of the past.

For example, in 1980, the DPT shot (Diphtheria/Pertussis/Tetanus) was made from a soup of blendarized bacteria (over 1000 different illness particles - antigens - all mixed together). And, the polio vaccine had live virus that actually protected children by triggering a minute case of...polio! Today, our modern DPT vaccine is highly purified, containing only 3-5 bacterial antigens and the polio shot has absolutely no live virus.

Actually, the current trend to give kids more shots is a win-win for them. They win because they're protected from many more illnesses and because they have fewer antigens put into their bodies.

But, some still worry, "Can too many shots overwhelm a baby's immature immune system?" That idea is pretty close to a baby urban legend.

The immune system is a superb multitasking, fighting machine. Every day, babies are bombarded by thousands of threats: irritating pollen; colonic microbes; bacterial invaders from the skin, eyes, nose, mouth; viral swarms; offending dietary proteins; damaged cells; even tiny, little cancers. The immune system's magnificent ability to protect against many, mild attacks at one time is exactly why most babies tolerate several shots at once with no reaction whatsoever. (In fact, a new theory suggests that allergies and asthma may be on the rise in part because we have made the world so clean it doesn't exercise a baby's immune system enough!)

2) Shots hurt the brains of extra-sensitive children. No!

Each of us has special sensitivities. Some have peanut allergies...some get lots of strep throat....and a very, very few get serious reactions to vaccines. I wish we had a test to detect which infants are susceptible to severe measles or big vaccine reactions, but no such test exists.

The good news, however, is that shot risks are tiny compared to the risks of full-blown illness. For example, influenza and chicken pox hammer the immune system 100-1000 times harder than the impact of the flu or pox vaccines. While most kids breeze through the chicken pox shot, even a mild case of real pox can weaken a child's immunity for weeks to months and lead to ear infections, pneumonia and, rarely, toxic shock syndrome. (And, it can often land an adult in the hospital!)

There is one special case of possible vaccine susceptibility that made headlines last year and became a major new focus for those who claim vaccines cause autism. A 19-month-old child developed autism after getting 5 shots. But - and this is a huge "but" - unlike most autistic kids, this one child also has a rare medical problem - Mitochondrial Disease (MD).

Recently, vaccine avoiders have floated the theory that perhaps many healthy looking kids have hidden MD. They suggest that it may be the combination of vaccines plus hidden MD that is triggering autism in so many seemingly normal children.

But, the research suggests that this is unlikely to affect more than a handful of kids. Here's why:

MD is rare (1 in 5-10,000 children). A Portuguese study found ~93% of autistic children had no evidence of MD (and even that 7% figure has yet to be confirmed). In a recent study, scientists from Harvard and Johns Hopkins could find only 25 children with both MD and autism. And, these kids had serious problems rarely seen in most cases of autism (like, delayed walking, acid reflux, liver disorder, severe fatigue, etc).

Fourteen of these kids seemed to be developing normally then suddenly deteriorated into autism during toddlerhood. But only 1/14 (7%) got worse right after shots. (Had 2 or 3 or 5 kids gotten worse after the shots, one could make the argument that children with MD are at increased risk for getting autism after vaccinations. However, as I mentioned in part 1 of this blog, 7% is very close to the number of cases one would expect to be diagnosed right after shots...just by chance.)

Another dramatic finding of this study argues against a link between MD and the national rise in autism incidence: classic autism spectrum disorder affects many more boys than girls (3-9 times more boys!)...but children with Mitochondrial Disease + autism are evenly split between the genders.

While it remains to be proven that children with MD are more vulnerable to shots, there is no doubt that they are super-vulnerable to illness. In other words, MD kids who skip shots can get very sick, very fast it they catch a vaccine preventable disease like influenza or pneumonia.

3) Doctors push risky shots on children to make more money. Please!

This accusation is as appalling as it is ridiculous. Pediatricians labor through 23 years of education; wake at all hours to help worried parents; and desert our own families on weekends and holidays to rush to the hospital to care for sick babies.

In fact, a greedy doctor wanting more money would actually discourage parents from giving their children shots...not encourage it! Why? Because doctors make more money caring for sick kids - needing repeat office visits - than caring for the well.

In truth, the only reason doctors cajole, beg and pressure parents to immunize their children is because we want to protect them - and other children - from the pain and suffering of preventable infections.

I agree that there are too many ties between doctors and big pharmaceutical companies. This must be stopped because it creates the appearance of conflict of interest and the real potential of collusion. However, the record of organized medicine is reassuring. Over the past 30 years, doctors have rejected many vaccines when concerns arose that they were not effective enough or caused unacceptable side effects.

4) Shots can be delayed. MAYBE...but only those risking your child's health.

This is one of the most critical issues facing parents: Are shots a personal choice or a civic duty?

As a pediatrician, I recommend all vaccines, but I suggest parents think of shots as falling into 2 different groups: 1) those given primarily to protect your child, 2) those protecting your child and your neighbors' children.

The first group of shots stops infections like, influenza, rotavirus, hepatitis A, chicken pox and hepatitis B. They help your child but don't give great protection to the community. That is either because the illnesses are very common (spread quickly through your neighborhood even if your child gets the shot) or hard to spread (difficult for your child to give it to others). (Note: Older kids, teens and adults are at risk for hepatitis B. It has caused thousands of cases of liver failure and cancer and so all citizens should eventually get this vaccine.)

The second group of shots stops infections that threaten your child and your community (your neighbor's baby, the elderly, chronic disease sufferers, etc.). These shots include, whooping cough, meningitis (Hib), pneumococcus (Prevnar) and measles. They miraculously halt diseases that are so contagious just one cough, one airplane flight or one germy doorknob can spread them like wildfire through your town.

I believe giving the first group of shots is a parent's personal choice because the suffering you risk is mostly limited to your child and family. Skipping the flu shot, for example, may cause your child to be one of the 36,000 Americans who die from influenza this year, but it probably won't stop a flu outbreak (although it may help to reduce it).

However, giving the second group of shots is an important civic responsibility., because delaying them creates a serious public health risk. By immunizing at least 95% of children with these shots we create "herd immunity" that can totally halt the spread of deadly epidemics in our communities. Herd immunity stymies the spread of disease the way that frequent rain keeps lightening strikes from starting raging forest fires.

Some doctors may fairly argue which vaccines should go into which groups, but the important point is that the shot schedule has some flexibility...it is not written in stone. In fact doctors have repeatedly tweaked this schedule to make it safer and more effective (for example, over the past 30 years, the measles vaccine was pushed from 9 months to 12 months...and now is recommended to be given as late as 15 months of age). However, the second group of vaccines is crucial if we are to protect children in our communities who are too young to get their own shots. Parents who skip these shots may not mean to harm others, but their action significantly increases the risk of avoidable suffering and death to innocent children.

For over 10 years, a huge amount of passion and debate about the cause of autism has focused on vaccines. But recently a totally new suspect has surfaced that warrants investigation as a potential autism trigger. In the last installment of this 3-part blog, I'll discuss the worrisome compounds known as...endocrine disrupting chemicals (EDCs).

New Parents Notice

My daughter recently turned 1. This was a milestone for her as it was for me. I have survived sleep deprivation, turning into a cow, neurotic cleaning, and endless worry. But let me elaborate on each of these points:

1. Sleep deprivation: No matter how many friends, nurses, parents, and grandparents tell you how difficult the newborn period is, you have no idea until you go through it yourself. Sleep deprivation does amazing things to new parents and surprising things to a couple's relationship. As a parent, I thought the first week at home with Maia was a breeze, relatively speaking. It was hard work, but I was happy to do it. Around week 2, however, things changed as the sleep deprivation kicked in. I had no patience for my poor husband, nothing was good enough, and everyone was wrong. Even now as I look back, it is all a blur. As a pediatric healthcare provider, my priority is the safety and well-being of my pediatric patient, and that often includes their parents. I ask parents, "how's it going?", and usually get a half-truth response... "Oh, we're doing fine, a little tired but fine." While I am sure that they are doing fine, I often like to probe a little deeper. I strongly believe that every mother of a newborn needs at least 1 support person that they are NOT related to. Husbands - are wonderful but are often sleep (and sex) deprived. Mothers - can be both helpful and anti-help, i.e. you end up helping them to help you. So having a support person, such as a friend or neighbor who can offer objective, sound advice and help will go far to help a new mom find her way. On several occasions, when I have asked a new mom how things are going, I get the "fine" response. When I dig a little deeper, the next thing I know, mom is teary and wondering how she will survive the first year. I tell moms: it gets better, and every 2AM feed and 3AM diaper is worth it for every snuggle and smile you get back. Yes, parenting is hard and challenging - it's supposed to be. Unlike other species, we keep our young with us till their at least 18 years old, sometimes longer! We want to give our child every advantage. So, as for that sleep deprivation, I know you're heard this: sleep when you can, sleep when the baby sleeps. Well, I do tell my patients that. But I also know that every mom needs to figure it out for themselves, find their own path of motherhood.
2. Turning into a cow. "Breast is the best." Even formula companies will chime in with this motto, as they promote their products. Here are my thoughts on breastfeeding. I agree that in most situations, breastfeeding provides optimal nutrition and immune system protection for most babies. The decision to breastfeed is a very personal one. I have recently noticed a stigma on the rise for women who use formula or a bottle, and I strongly feel that that angst is poorly placed. I know of many women who gave breastfeeding their best effort for several months, and for a variety of reasons, it did not work. One woman, a friend, told me she felt guilty that she wasn't able to breastfeed, and I told her to forget about it! It doesn't matter! She gave it every effort, trying for 2 months. And looking at her now 7-month old daughter now, she is healthy, happy, and got the thigh fat rolls to prove it. ---- Even if a mother chooses not to breastfeed, it is still her choice, and society should not look down on her.---- Another thought on breastfeeding is the myth that when you start breastfeeding, the baby latches right away and a choir starts singing in the background. Breastfeeding, while wonderful in many ways, does not usually have such a glorious start. What many people do not tell you (or forget to), is that breastfeeding takes patience and a commitment. For starters, it can be REALLY painful. As engorgement settles in, your breasts no longer feel like they are part of your body. Instead they are these hot, hard alien appendages that, despite their size, seem slow to produce milk those first several days. Then you have the opposite problem - leaking. Now, not all women experience either of these issues, but many do. And many wonder, "is this normal?" "Am I making enough milk?" "Am I making too much? Sound like he's drowning!" ---- Breastfeeding in itself is a journey, an individual journey unique for every mom. So if you are a breastfeeding mom, and no one has told you yet today: you are a great mom. You are doing a great job.
3. Neurotic cleaning. I once asked my husband, what did we do all the time before our daughter was born? The answer was, "nothing". Now and free time (i.e. non-baby time) is spent cleaning and organizing. And just when it is all clean, it is time to start at the beginning again. When laying in bed at night, I think about what I did for the day and what I need to do tomorrow. If I start thinking about a particular mess, say in the kitchen, I will not be able to sleep. I will get up and clean it. Once the house is clean, then I can relax (ha!). This required sense of order was to me once I had a baby. As a health care provider, I ask new parents about this new sense of order and clean and how they deal with it. I advise parents to pick their battles, i.e. the kitchen or the bathroom for the evening. And then I also advise them to prioritize. An important lesson for me as a parent has been LETTING THINGS GO. Everything cannot be tidy and clean all the time. I do not want to sacrifice time with my family to clean the bathroom. I want to be the parent who is present and participating. I advise my patients to do the same.

When your child turns 1, it is a celebration for everyone. I encourage parents to celebrate for themselves as much as for their child. The first year is a roller coaster of self-sacrifice, setting boundaries, and discovering a new "parenting" you.

So...

Dear Moms & Dads:

You are doing a great job. Keep up the good work.

NAPNAP and US Preventative Services Task Force Unite

For Immediate Release from NAPNAP.org

Contact: Felicia K. Taylor, Director of Membership, Chapters and Communication

Phone: 856/857-9700

Fax: 856/857-1600

Email: ftaylor@napnap.org

NAPNAP is an official partner of the U.S. Preventive Services Task Force

CHERRY HILL, NJ (June 11, 2009) - The National Association of Pediatric Nurse Practitioners (NAPNAP) has accepted an invitation to join the U.S. Preventive Services Task Force (USPSTF) as an official partner. NAPNAP has selected Carolyn Jaramillo de Montoya, MSN, CPNP to serve as the NAPNAP representative to the USPSTF.

The mission of the USPSTF is to evaluate the benefits of individual services based on age, gender, and risk factors for disease; make recommendations about which preventive services should be incorporated routinely into primary medical care and for which populations; and identify a research agenda for clinical preventive care.

As part of her responsibilities, Carolyn will coordinate the review of USPSTF recommendation statements and other materials. She will work with NAPNAP to help increase the dissemination and implementation of the USPSTF recommendations to the general public and will use materials that are developed from them, including publications, tools and other resources.

“I am delighted to appoint Carolyn to represent NAPNAP on the USPSTF. She will bring a wealth of clinical expertise to this group in the areas of obesity prevention, over weight issues in children and recognizing cultural differences in families. She is a brilliant collaborator and will serve NAPNAP well” said Linda Lindeke, NAPNAP President.

Carolyn will serve as the NAPNAP representative to the USPSTF for two years.

PNP Job Bayfield, WI

RED CLIFF COMMUNITY HEALTH CENTER

P.O. BOX 529

BAYFIELD, WI 54814

JOB DESCRIPTION

POSITION: Pediatric or Family Nurse Practitioner

EXEMPT POSITION

LOCATION: Red Cliff Community Health Center

REPORTS TO: Health Director

Pediatrician

SCHEDULE: Full time, forty hours per week

WAGE: Negotiable, depending upon qualifications

GENERAL:

The NP will implement the Healthy Steps program in our primary care setting, bridge services for children and families served at the Red Cliff Early Childhood Center, work collaboratively with the public health nurse to provide periodic coverage for perinatal services and offer primary care services in the pediatric setting.

This position is expected to evolve over a period of 4 years. The initial months will primarily entail training and administrative duties. From January 2010 through June 2010, this position will provide selected MCH public health services while the MCH nurse is on leave. The position will eventually integrate a primary care component within the Healthy Steps well care model. Supportive services to the tribal Early Childhood Center will be provided from time of hire forward.

DUTIES AND RESPONSIBILITIES:

HEALTHY STEPS SPECIALIST:

1. Train in and then educate Health Center staff in the principles of a Healthy Steps pediatric practice, facilitating systems changes needed to implement the Healthy Steps program in a culturally appropriate and sensitive way for the Red Cliff community.
2. Educate parents using the Brazelton Touchpoints and Healthy Steps models (including the Newborn Observation) and additional tools with the aim of providing anticipatory guidance and providing strategies for prevention, intervention and management of common childhood developmental issues. Necessary training will be provided.
3. Coordinate with the Red Cliff LAUNCH initiative and Red Cliff Health Center staff to identify community, county and state resources available to our clients and follow up as needed.
4. Establish billing capacity for Case Management services for children ages 0-8 with special healthcare needs.
5. Provide outreach to families including: maintain a parent-to-parent bulletin board, cooperate with public health staff in writing/distributing newsletter; maintain a lending library, and participate in selected community-based groups and events.
6. Develop and staff a Child Development Information Line (telephone).
7. Coordinate with ABI medical society to maintain and further develop our “Reach Out and Read” program.
8. Provide training & support for appropriate staff and community members as needed.
9. Establish and facilitate Healthy Steps parent groups.
10. Administratively responsible for Healthy Steps reporting requirements.
11. To best serve the needs of families, work collaboratively with clinic and community health staff to bridge primary care and community health services.
12. Cross train in maternal & child health (MCH) nursing duties and be able to provide services to expectant and post-partum families as needed. This includes (temporary) clinical oversight of the MCH outreach worker who will provide Pre-natal Care Coordination (PNCC) services to families.

PRIMARY CARE:

1. Systematically assess, identify and initiate therapeutic management of acute, chronic illness and medical conditions in children.
2. Make health care decisions based on currently accepted medical and nursing science and the patients’ particular situational, family and cultural determinants.
3. Follow established protocols for therapeutic care under the direction of the pediatrician.
4. Use physician consultation and refer clients with health problems which are beyond the scope of the Nurse Practitioner’s practice.
5. Document patient care activities and maintain patient medical records in accord with clinic policy, sound professional practice and State, Federal laws.
6. Provide telephone consultation/triage for the Early Childhood Center (ECC) staff.
7. Provide vision and hearing screenings in a timely manner as required by Head Start regulations for children at the ECC who need this.
8. Coordinate with ECC to ensure that all children in the community receive at a minimum one oral screening per year and fluoride varnish as needed/indicated.
9. Provide home visits to assess individual and family health needs, providing appropriate intervention and/or referral to health care provider as needed (Case Management).
10. Conduct Healthy Steps developmental screening at home visits at recommended or requested intervals.
11. Teach and model to individuals and families techniques of disease prevention and positive health/lifestyle behaviors.
12. Provide immunizations to children as part of standard care and by working with the community health department to include monthly immunization (WIC) clinics and outreach during times of increased need such as influenza season.
13. Oversee and provide nursing services during monthly WIC clinics. This includes preparation for clinics and providing screening and direct services on clinic days.
14. During Health Director approved 6-month leave of absence for the maternal child health nurse, NP may be asked to provide some nursing duties within the auspices of Red Cliff Community Health.

GENERAL STANDARDS

1. Complete monthly, quarterly, and annual reports as required by Health Center Administration, and regulatory bodies. Maintain a record of supporting documentation as required.

2. Participate in quality assurance and other efforts that assure appropriate care and services.

3. Adhere to and support facility policies, programs and activities.

4. Maintain strict confidentiality and safeguard the privacy of patients.

5. Present a professional, caring image for the Health Center and its programs.

a. Maintain a cooperative relationship with other Health Center staff and tribal employees.

b. Demonstrate tact, courtesy, and respect in communication and interaction with Health Center patients, visitors, and staff and with outside agencies and programs.

c. Promote a working environment noted for effective cooperation and collaboration between programs, services, and co-workers.

d. Dress appropriately to promote professionalism within the Health Center.

6. Advance job knowledge and skills through continuing education efforts after approval of Health Director.

7. Responsible for communication within the department and across departments to ensure that information is shared for effective operations.

8. Attend staff and other meetings, in-services, and other events as directed by supervisor.

9. At the direction of the Health Director, participate in the implementation of grants, contracts, or projects being carried out under the auspices of the Red Cliff Community Health Center. These activities will comply with the directives of Tribal and Health Center Administration. Specific duties will reflect the conditions and stipulations of individual grants, contracts, or projects and the concurrent needs and resources of the Health Center, and will fluctuate due the nature of such programs.

10. Responsible for maintaining a clean and safe environment.

11. Perform other duties as assigned.

SUPERVISORY AUTHORITY: None

KNOWLEDGE:

1. Knowledge of or willingness to train in the Healthy Steps model of Well Child Care and the Brazelton Touchpoints approach to Parental support.

2. Demonstrated flexibility to work on an interdisciplinary team.

3. Ability to work with infants, small children, and adolescents.

4. ACLS certification or willingness to acquire.

5. Ability to plan, coordinate and direct varied and complex operations.

6. Good communication skills both written and verbal.

7. Personal abilities and maturity to function in a fast paced environment; to work with a diverse population (clients or patients, co-workers, professional staff, administration, outside agency staff, and the general public).

QUALIFICATIONS:

1. Advanced Practice Nurse Prescriber

2. Eligible for or holding a current license to practice as a Nurse Practitioner in the State of Wisconsin.

PERSONAL CONTACTS:

Daily contact with patients, visitors, primary care providers, Tribal and Health Center Administration, and other Health Center and Early Childhood Center staff.

WORK ENVIRONMENT:

1. Office and clinic settings at the Red Cliff Community Health Center, Red Cliff Early Childhood Center and other private homes and community based settings.

2. Exposure to hazards of the health care industry.

3. Work setting must be maintained as a clean, nonsmoking, well-ventilated area in compliance with all applicable safety regulations. These safety regulations will not necessarily be met in private homes and other community settings.

PHYSICAL REQUIREMENTS:

The duties assigned to this position involve bending, stooping, lifting, and carrying. Items may be placed on overhead storage. Lift up to 50 pounds, assisting patients onto exam tables as necessary. Work requires regular and recurring periods of standing or walking.

TRAVEL REQUIREMENTS:

Must have valid WI driver’s license, vehicle, and at least liability insurance. If no insurance, must get within three weeks. Must also be eligible for the Tribe’s vehicle insurance.

May require overnight travel to attend meetings or training. May be asked to perform visits to patient homes.

POSTED: May 18, 2009

DEADLINE: July 18, 2009 at 4:00 pm or until filled

FOR FURTHER INFORMATION CONTACT:

Red Cliff Personnel Office

88385 Pike Road, Highway 13

Bayfield, WI 54814

(715) 779-3706 ext. 267 or 268

rwygonik@redcliff-nsn.gov

The Red Cliff Community Health Center is a Drug-Free Workplace in accord with the Drug-Free Workplace Act of 1988, P.L. 100-690, and has a Drug-Free Workplace Policy in effect. All new hires are subject to drug test prior to starting.

All applicants for employment with the Red Cliff Tribe will be subject to the background investigation and other requirements of RCCL Chapter 43, and are under a continuing obligation to supplement this application for employment with information concerning any convictions that occur after commencement of employment with the Tribe.

This job description is subject to change at employer’s discretion, after consultation with the employee.