Spokane Tribe Of Indians jobs - 22 jobs

VACANCY ANN#: STOI-25-117 TITLE: BILLER/CODER DEPARTMENT: DCWMHC SUPERVISOR: PATIENT SERVICES REPRESENTATIVE SUPERVISOR STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ OPENING DATE: DECEMBER 22, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Biller/Coder is responsible for ensuring accurate and compliant coding, billing, and claim submission for all clinical services provided at the Tribal health center. This role supports the integrity of the revenue cycle by reviewing provider documentation, assigning appropriate ICD-10, CPT, and HCPCS codes, and ensuring timely submission of clean claims to Medicaid, Medicare, private insurance, and Purchased/Referred Care (PRC) where applicable. The position also helps maintain eligibility documentation, monitors denials, and collaborates with clinical and administrative staff to ensure proper documentation and reimbursement. ESSENTIAL DUTIES & RESPONSIBILITIES: Medical Coding Review provider documentation to assign accurate and compliant ICD-10, CPT, and HCPCS codes. Ensure documentation supports all levels of service, procedures, and modifiers. Monitor coding accuracy and provide feedback to providers as needed. Maintain current knowledge of coding regulations, payer guidelines, and Tribal/IHS billing requirements. Medical Billing & Claims Management Prepare, verify, and submit clean claims electronically and manually to third-party payers, including Medicaid, Medicare, commercial insurance, and PRC. Correct and resubmit denied or rejected claims in a timely manner. Post payments, adjustments, and denials accurately in the practice management system. Reconcile daily billing activity and maintain claim tracking logs. Patient Registration & Eligibility Support Verify patient information, insurance eligibility, and benefits; ensure accurate data entry in EHR/PMS systems. Document Tribal enrollment status when applicable for PRC, waiver programs, or differential benefits. Assist with sliding fee program documentation and self-pay arrangements. PRC (Purchased/Referred Care) Coordination (if applicable) Ensure claims are routed correctly based on PRC eligibility and referral requirements. Verify documentation meets PRC requirements for medical priority, timely filing, and alternate resource use. Compliance & Documentation Ensure compliance with HIPAA, CMS, IHS, Tribal policies, and federal billing regulations. Participate in audits and quality improvement initiatives. Maintain organized electronic claim files and ensure timely follow-up on outstanding accounts. Interdepartmental Collaboration Work closely with providers, nursing, registration, and PRC staff to resolve coding/billing discrepancies. Provide training or guidance on documentation improvement and coding accuracy. Core Competencies Accuracy and attention to detail Strong understanding of coding guidelines and audit standards Excellent communication and problem-solving skills Ability to work independently and meet deadlines Cultural competence and respect for Tribal sovereignty and community values Work Environment Office/administrative environment within a Tribal health clinic. May require minimal travel for training or continuing education. Must comply with all Tribal, federal, and clinic policies, including confidentiality and cultural sensitivity expectations. MINIMUM QUALIFICATIONS: High school diploma or GED. Certified Professional Coder (CPC), CCS, CCA, or equivalent medical coding certification. Minimum 1-2 years of coding or billing experience in a healthcare setting. Knowledge of ICD-10, CPT, and HCPCS coding systems. Working knowledge of Medicare, Medicaid, and commercial payer billing rules. Proficiency with EHR/PMS software (RPMS, NextGen, Athena, etc.). Preferred Experience working in a Tribal, IHS, 638, or FQHC setting. Knowledge of PRC, alternate resource rules, and Tribal enrollment verification. Familiarity with sliding fee programs and federal poverty guidelines. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret, DCWMHC HR Director E-mail: ************************ Phone: ************ ext.767 Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-24-050 TITLE: VOCATIONAL REHABILITATION COUNSELORS SUPERVISOR: DIRECTOR VOCATIONAL REHABILITATION STATUS: REGULAR, FULL-TIME, NON-EXEMPT RATE OF PAY: $21.40 - $26.74 / PER HOUR The mission of the Spokane Tribe Vocational Rehabilitation Program (STVRP) is to provide culturally appropriate Vocational Rehabilitative services to Native Americans with disabilities living in our region (Ferry, Lincoln, Pend Oreille, Spokane, Stevens and Kootenai counties) who have a functional limitation and need assistance maintaining, obtaining, or regaining em-ployment. We fulfill our mission by providing job training opportunities, assistive technology services, and job placement services to eligible people. An estimated 20% of Native Americans living in our region are eligible for our services. The Vocational Rehabilitation Counselor (VRC) provides services to Native Americans living with disabilities and who are seeking employment. The VRC assesses clients' eligibility; and for eligible clients, the VRC assists in building an Individualized Plan for Employment (IPE). The VRC provides services as outlined in IPEs with the overall goal of assisting clients in be-coming fully self-sufficient. Through this process, VRCs create rapport with clients, prospec-tive employers, agency programs, and external partners. In addition to the usual routines of other VRCs, this position may require development of relationships with regional school sys-tems as well as the youth in transition. This position serves eligible people throughout the service area and is housed in two offices: one in Spokane and one in Wellpinit. All program staff are assigned hours in each office; hours per site are based on the program's needs. MAJOR DUTIES AND RESPONSIBILITIES: Efficiently manage a caseload of up to 50 clients, providing the following services: Conduct intake interviews Coordinate and synthesize necessary medical, psychological, social, educational, vocational, and financial information to determine eligibility Effectively provide Vocational Rehabilitation (VR) counseling, develop individualized plans for employment with each eligible client, monitor clients' progress, and arrange VR services that may include VR guidance and counseling; vocational assessment; transition from high school to work; job training, placement and retention, medical restoration; assistive technology/independent living; benefits planning; supported employment; and any other VR services required to achieve and maintain the employment. Maintains relationships with secondary school staff Provides school-to-work transition services to eligible high school students Responsibly assess impacts on clients' other related services, such as Social Security Disability Insurance, Temporary Aid for Needy Families, General Assistance, etc. Assist customers in identifying and using comparable benefits that may be available to them for obtaining required VR services designed on the IPE. Manages expenditures within an allotment of case service funds, and only authorizes funds necessary for diagnostic evaluation of the customer or required for the implementation of VR services identified on the IPE. Efficiently keep electronic and hard-copy client records (up to 25% of this job includes routine data entry and routine reporting) Other duties as assigned, which may include but is not limited to: Public event coordination and participation Lead group workshops and related activities for consumers to facilitate informed choice, job search and/or preparation for employment Lead group trainings and discussions for coworkers to facilitate team members' professional growth Provide backup for other case managers as needed, including youth related services Explore online information, advise leadership, or write reports. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Demonstrate the ability to guide and assist consumers in selecting employment goals that are well suited to their individual needs and circumstances, including options for self-employment Knowledge of Spokane Tribe community and/or Native American cultures/traditions/languages Demonstrate experience with and sensitivity to non-dominant cultures, including people with disabilities Demonstrate creativity in applying multiple counseling techniques to meet the varied needs of clients Demonstrate dependability, keeping confidential information secure, establishing firm boundaries, maintaining professionalism, keeping accurate and current records (both written and electronic) Ability to effectively use technology including learning specialized software successfully complete a 7-class series of online courses offered through NW Indian College's TVR Institute within a 4-year period routine technology, such as printers, computers, internet, new software, etc. Microsoft Office products such as Word, Excel, and Outlook Ability to apply technical knowledge of medical and psychological aspects of disabling conditions, labor market information, transferable skills analysis, assistive technology, job modifications Ability to understand VR laws, regulations and professional standards which include: A) Federal Rehabilitation Act statutes and regulations B) Spokane Tribe Vocational Rehabilitation Policies and Procedures C) Washington State Department of Vocational Rehabilitation Policies and Procedures D) Washington State Administrative Code E) Commission on Rehabilitation Counselor Certification Code of Ethics. Availability to occasionally travel to business meetings and trainings outside of the region for up to a week at a time Demonstrate the ability to negotiate with vendors, and other rehabilitation professionals. Ability to effectively network with employers, colleagues and other social service organizations Must be able and willing to learn Salish language, expected to routinely use Salish salutations within one year of hire Ability to assist consumers in exercising informed choice to make collaborative decisions that are consistent with appropriate vocational rehabilitation practice Knowledge of community organizations and training/employment resources Ability to establish and maintain effective working relationships Manage multiple and competing priorities within prescribed timeframes. Ability to work independently and exercise good judgment in making decisions Professional experience providing excellent customer service Must be able to keep an organized calendar. This position serves Native Americans with disabilities. Must have the ability to show compassion and sensitivity. MINIMUM QUALIFICATIONS: Undergraduate Degree (i.e. 4-year degree from an accredited college or university) Two years of relevant experience, such as paid or volunteer experience with people living with disabilities, case management, etc. Must be able to pass a drug test and background checks as required by the Spokane Tribe of Indians Valid driver's license and good driving record, or ability to obtain within 90 days of hire. Communicate effectively with all levels of team members, guests, and outside contacts. Work effectively in a professional environment Able to work periodically under conditions of urgency. PREFERRED QUALIFICATIONS: Undergraduate and/or graduate degree in any of the following fields: Helping fields such as social work, education, rehabilitation, or employment-related fields such as business, human services, or public administration Certified Rehabilitation Counselor Two years of continuous experience working in a tribal government or tribal social service program Four years working in a vocational rehabilitation program as a Vocational Rehabilitation Counselor. *Indian Preference Applies - Indian Preference grants preference to any enrolled member of a federally recognized tribe. *Safety Sensitive Background - Requires a higher standard of performance and behavior. Contact: Empero Corral P.O. Box 206 Wellpinit, WA 99040 ************ E-mail: **************************** Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-22-068 TITLE: EMERGENCY HIRE APPLICANT POOL STATUS: TEMPORARY RATE OF PAY: DOE/DOQ DEFINITION: An Emergency Hire (E-hire) is a temporary STOI employee who will fill a vacant position within a tribal department for up to 60 days. The positions, locations, hours, and rate of pay will vary, depending on the department and its operations. REASON: There are instances when a job vacancy needs to be filled as quickly as possible, so the department in need will request an "Emergency Hire". By applying here, all applicants' submissions will be available to the Hiring Managers to review when an Emergency Hire position becomes available. PROCESS: If you are selected as an Emergency Hire, and you agree to the position duties, hours, and rate of pay, you will be subject to a required pre-employment screening that includes drug-test and criminal background screening. Upon successful clearance, you will be able to work in the position as a temporary Emergency Hire for up to 60 days. In most instances, the job will need to be filled permanently. In this case the Hiring Manager will have 60 days to submit a complete job posting request to STOI HR for the purpose of opening and announcing the position to the public, as per STOI policy. The Emergency Hire employee will have the same opportunity to apply for the posted position and interview, along with any other qualified applicants that are screened in after the posting closes. The benefit of being selected as an Emergency Hire is the opportunity to meet the department team, learn the position duties, become familiar with the department culture, and gain valuable on the job experience, before the position is even posted and advertised to the public. To be considered for Emergency Hire positions please submit a detailed resume outlining your skills, abilities, education, work experience, professional achievements, and any information you would like to have considered. Contact: Kammi Rosenbaum or Tashina Hobbs ************ E-mail: **************************** Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test, Safety Sensitive Positions Also Test for Marijuana All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANNC. #: STOI-25-066 TITLE: PERSONAL CARE PROVIDER DEPARTMENT: HEALTH AND HUMAN SERVICES SUPERVISOR: ELDERLY SERVICES DIRECTOR STATUS: PART-TIME RATE OF PAY: $20.00 / PER HOUR This culturally relevant, tribal managed program will coordinate medical services with the Indian Health Service (IHS). The Personal Care Program will provide individuals residing on the Spokane Tribe of Indians Reservation located in Steven's County with services in daily living activities care and supervision, medical assistance; and provide referral information for other licensed home Health Care facilities in the service area. MAJOR DUTIES: Incumbent will provide basic and advanced personal care services to eligible elderly and developmentally delayed individuals residing on the Spokane Indian Reservation in the areas of: 1. PERSONAL HYGIENE means assistance with care of hair, teeth, dentures, shaving filing of nails, other basic personal hygiene, and grooming needs. Personal hygiene includes supervising client when performing grooming tasks for consumer when unable to care for own appearance. 2. DRESSING means assistance with dressing and undressing. Dressing includes supervising and guiding consumer when consumer is dressing and undressing, assisting with difficult tasks such as tying shoes and buttoning, and completely dressing or undressing consumer when unable to participate in dressing or undressing self. 3. BATHING means assisting consumer to wash self. Bathing includes supervising consumer to bathe self when guided, assisting consumer with difficult tasks such as getting in or out of the tub or washing back, and completely bathing the consumer if totally unable to wash self. Bathing will also include giving the consumer a bed bath when bathing in the tub is not a feasible alternative. 4. EATING means assistance eating. Eating includes supervising consumer when able to feed self if guided, assisting, with difficult tasks such as cutting food or buttering bread, and feeding the consumer when unable to feed self. 5. TOILETING means assistance with bladder or bowel problems. Toileting includes supervising the consumer when able to care for own toileting needs if guided, helping consumer to and from the bathroom, assisting with bedpan routines, diapering and lifting client on and off the toilet. Toileting may include performing routine peri/colostomy/catheter tasks, for consumer when consumer is able to supervise the activities. 6. AMBULATING means assisting the consumer to move around. Ambulating includes supervising the consumer when walking alone or with the help of a mechanical device such as a walker if guided, assisting with difficult parts of walking such as climbing stairs, supervising the consumer if the consumer is able to propel a wheelchair if guided, pushing the wheelchair, and providing constant physical assistance to the consumer if totally unable to walk alone with mechanical device. 7. TRANSFER means assistance with getting in and out of bed or wheelchair or on and off the toilet or in and out of the bathtub. Transfer includes supervising the consumer when able to transfer if guided, providing steadying, and helping the consumer when consumer assists in own transfer. Lifting the consumer when consumer is unable to assist in their own transfer requires specialized training. 8. POSITIONING means assisting the consumer to assume a desired position. Positioning includes assistance in turning and positioning to prevent secondary disabilities, such as contractures and balance deficits. 9. SELF-MEDICATION means assisting the consumer to self-administer medications prescribed by attending physician. Self-medication includes reminding the consumer of when it is time to take prescribed medication, handling the medication container to the consumer, and opening the container. 10. BODY CARE means assisting the consumer with exercises, skin care including the application of ointments or lotions, changing dry bandages or dressing not requiring professional judgment. Body care excludes foot care for consumers who are diabetic or have poor circulation. Body care excludes changing bandages or dressing when sterile procedure are required. Provision of body care tasks is limited. The consumer must be able to supervise the provision of these tasks. 11. TRAVEL TO MEDICAL SERVICES means accompanying or transporting the consumer to a physician's office or clinic in the local area to obtain medical diagnosis or treatment. 12. ESSENTIAL SHOPPING means assistance with shopping to meet the consumer's health care or nutritional needs. Limited to brief, occasional trips in the local area to shop for food, medical necessities, and household items required specifically for the health and maintenance of the consumer. Essential shopping includes assisting when the consumer can participate in shopping and doing the shopping when the consumer is unable to participate. Subordinate tasks are to be performed only when at least one task in the preceding section is authorized. Those tasks are to include: 13. MEAL PREPARATION means assistance with preparing meals. Meal preparation includes (1) planning meals, including special diet, (2) assisting consumer when able to participate in meal preparation, (3) preparing meals for consumer when unable to participate in meal preparation, and cleaning up after meals. The consumer must need assistance with actual meal preparation. 14. LAUNDRY means washing, drying, ironing, and mending clothes and linens used by the consumer or helping the consumer perform these tasks. 15. HOUSEWORK means performing or helping the consumer perform those periodic tasks required to maintain the consumer in a safe and healthy environment. Activities performed include such things as cleaning the kitchen and bathroom, sweeping, vacuuming, mopping, cleaning the oven, defrosting the freezer and shoveling the snow. Washing inside windows and walls is allowed, but is limited to twice a year. Assistance with housework is limited to those areas of the home which are actually used by the consumer. This task is not a maid service and does not include yard care. 16. WOOD SUPPLY means splitting, stacking, or carrying wood for the consumer and used as the sole source of fuel for heating and/or cooking. This task is limited to splitting, stacking or carrying wood the consumer has at own home. Using chain saw or falling trees in not allowable. 17. SUPERVISION means being available to: (1) Help the consumer with personal care tasks that cannot be scheduled (toileting, ambulating, transfer, positioning, some medication assistance;) and/or (2) Provide protective supervision to a consumer who cannot be left alone because of confusion, forgetfulness or lack of judgment. KNOWLEDGE, SKILLS & ABILITIES REQUIRED: Must complete Advanced Personal Care Aide II Training. Ability to work under stressful conditions. Willingness and ability to be on-call for emergencies, including evening and weekends as a substitute. Adequate physical health to meet the needs of the consumer, (i.e., appropriate for age and any special need of the consumer). Knowledge of how and when to use a telephone; and how to seek help from others (e.g., doctor, nurse, case manager, consumer's representative or appropriate others). Willingness to participate in a training program when required. Knowledge and ability to perform personal care tasks gained from experience or training; or the capacity to learn how to perform such tasks. Knowledge of acceptable standards of performance, dependable, report punctually, maintain flexibility, and to demonstrate kindliness and caring to the consumer. Sufficient communication skill to convey and understand information required to implement written plans of care and/or verbal instructions. Must be able to read, speak, write and understand English well enough to communicate effectively. Ability to observe the consumer for a change in health status such as weakness, confusion, loss of appetite, etc. Ability to respond to emergencies without direct supervision in accordance with agency policies. Acceptance of consumers' individual differences and preferences when performing routine tasks. Ability to work independently. Ability to establish and maintain effective/ cooperative-working relationships with other (peers, clientele/public) Willingness to provide references. MINIMUM REQUIREMENTS: High School Diploma or equivalent; Over the age of 18. Will be required to obtain first-aid / CPR and food handler's card; Must successfully clear criminal history / background check at time of interview and maintain such for duration of employment with the program; Must possess a valid Washington State driver license and good driving record for Tribal insurance purposes; Ability to lift up to 50 pounds Have previous experience working with Native American clientele and understand cultural needs; Ability to maintain confidentiality and stay calm during emergency or danger; *Tribal Preference Applies - Tribal Preference grants preference in employment to qualified enrolled Spokane Tribal Citizens, Spouses of Spokane Tribal Citizens, First Line Descendants of Spokane Tribal Citizens, and Citizens of other Tribes and Other Applicants, in that order. *Safety Sensitive Background - Requires a higher standard of performance and behavior. Confirmation receipt of on-line submission and interview status will be sent to the applicants e-mail address used when applying. Applicants are responsible to regularly monitor their e-mails. Contacts: Sabrina McCoy ************** or Kammi Rosenbaum ************** Email: **************************** Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-25-064 TITLE: PHARMACY TECH DEPARTMENT: DCWMHC SUPERVISOR: PHARMACY DIRECTOR STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $30-$36/DOQ PER HOUR CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: David C Wynecoop Memorial Health Center provides healthcare for the Spokane Tribe of Indians and the surrounding areas. Pharmacy Techs have a critical role in the delivery of these services and are highly trusted resources by our community. The pharmacy utilizes robotics and other technologies to aid in patient care. David C Wynecoop Memorial Health Center is a tribally run health facility that provides medical, dental, laboratory, imaging, pharmacy, behavioral health, and community support services. We are a rural facility that provides critical services and provides care for an underserved population. MAJOR DUTIES AND RESPONSIBILITIES: Under the supervision of the Pharmacy Director, performs all duties necessary to provide effective daily operations. Assist pharmacists to fill and dispense prescribed medications ensuring compliance with all regulatory agencies. Maintains a professional, helpful, and courteous relationship with all patients and staff of the pharmacy/health center. Ensure that Point-of-Sale billing is optimal and third-party processing is up to date. Endorses policies and procedures of the pharmacy and health center. Ensures the maintenance and proper operation of equipment and supplies in the pharmacy. Maintains PAR levels of medications and supplies for the pharmacy; places orders as needed. Maintains established procedures concerning infection and quality control, security of controlled substances and disposal of hazardous waste. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Stays current in the pharmaceutical field through continuing education, conferences, professional journals, and societies. Answer all telephone calls in a professional manner. Take prescriptions over the phone from healthcare professionals who are authorized to prescribe medications. Obtains and enters patients' demographic and insurance information into the computer system. Able to operate a cash register; able to manage cash, check and charge card sales accurately. Knowledgeable of the layout of the clinic; able to direct customers to products. Assist in maintaining and reporting 340b inventory and compliance. MINIMUM QUALIFICATIONS: Certified by the Pharmacy Technician Certification Board (PTCB) with a current license. Critical thinking skills to provide effective patient care with limited resources. PREFERRED QUALIFICATIONS: Experience in outpatient pharmacy setting Skills and desire to assist in teaching/precepting pharmacy tech students. If you are an initiative-taking Pharmacy Tech looking for an opportunity to have influence in patient care, we encourage you to apply. Join our team and contribute to the well-being of our community through your expertise in pharmaceutical care. Must provide documentation of immunity to measles, and rubella, or become vaccinated with the recommended vaccines and hepatitis B vaccine Must test for Tuberculosis (TB) at time of hire and per the National Centers for Disease Control (CDC) guidelines as required. Must have an annual health exam and a flu immunization and Coronavirus Disease (COVID-19) vaccination or exemption as required. Must successfully pass a Pre-employment drug screen test and submit to a criminal background check Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ ext.767 Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

VACANCY ANN#: STOI-25-058 TITLE: MEDICAL ASSISTANT(S) CERTIFIED DEPARTMENT: DCWMHC SUPERVISOR: CHIEF NURSING OFFICER STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $23.00 - $30.00 PER HOUR The Certified Medical Assistant will work under the supervision of the RN and provide support to the provider (e.g. physician, dentist, and nurse practitioner). Medical assistants perform a broad range of administrative and clinical duties to facilitate the work of the provider. The Certified Medical Assistant will be responsible for gathering necessary vital signs from patients, taking, preparing and sending laboratory specimens for routine tests, sets up and cleans examination room after each patient, maintains par supply stock , and records data in patient EHR. MAJOR DUTIES AND RESPONSIBILITIES: * Assists with direct patient care procedures and related tasks; checks patients in, assists in obtaining patient histories, takes vital signs, prepares records and assists with medical examinations. Responsible for obtaining and recording (into the electronic health record) patient information as assigned by policy (i.e., vital signs, height, weight, etc.). * Provides care to assigned patients. Provides basic care to patients with a variety of conditions, illnesses and/or injuries (i.e. apply and remove dressings, slings, braces, apply heat and cold packs; assist patient in ambulation, transferring, positioning, etc.). * Assist the Provider in examination of patients by explaining procedures, positioning, draping and assembling instruments and supplies. * Performs the following procedures, * Performs waived testing (e.g., glucometer testing, rapid strep testing and colorimetric urinalysis and other as required) records the results in compliance with regulations/standards. Complies with the laboratory requirements (i.e., CLIA, AAAHC) for quality control of waived testing for accuracy and record keeping. * Performs blood draws when required * Obtains bacteriologic specimens such as clean-catch urine specimens and topical cultures. Assists with incision and drainage procedures. * Performs EKGs * Performs less complex dressings and treatments without assistance. Assists with cleaning, irrigating, and dressing complex wounds. * Prepare and administer medication as directed by the provider. Administer injections - IM (intermuscular), SQ (Subcutaneous), and ID (Intradermal). * Instruct patients in proper collection of urine samples. Prepares samples for analysis (e.g., labels specimen tubes). * Shares the responsibility for reporting observations by observing the patient's conditions and reactions, and by keeping the provider informed of changes in clinical condition. * Schedules and monitors patient appointments. Ensures reminders are sent and appts verified and confirmed * May coordinate routine office activities and administrative functions with supplemental staff of the clinic. * Preps charts the day before patient visit. Identifying patient required preventive exams. Communicate to provider on day of visit. * Shares the responsibility of maintenance of clinical records. Utilizes established software to enter immunizations, follow-up on laboratory and radiological exams, or other computer functions as required by clinical services or department. * Educates and advises patients on specified medical issues within established parameters. Practices safety, environmental, and/or infection control methods. Prepare any patient related documentation for the provider or patient. * Ensures patients are provided with educational materials on discharge * Maintains a courteous and professional manner in contact with patients, family, and other clients. Assists in answering telephones and supplying routine information per policy. * Performs general non-direct patient care duties at the clinic including cleaning, arranging, and restocking supply cabinets from supplies; cleaning and sorting supplies, instruments and equipment; calling attention to deficiencies in supplies and equipment; cleaning refrigerators and assisting with maintenance of temperature logs; and maintains a clean and safe patient environment. * Participates in performance improvement activities and data management responsibilities. Fosters a collaborative environment, using a team approach to share ideas and to promote safe, patient centered care. * Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield as required for situation. * Completes all electronic health record entries accurately and timely pertinent to patient care role. * Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. * Performs miscellaneous job-related duties as assigned. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: * Successful and positive working relationships; seen as a team player * Possession of high ethical standards and no history of ethics complaints * Reliable and dependable; reports to work as scheduled without excessive absences * Ability to read, analyze and interpret the most complex documents and respond effectively to the most sensitive inquiries or complaints * Excellent customer service skills and telephone etiquette * Proficient in the use of Microsoft Suite applications and EHR system. * Knowledge of infection control procedures, Personal Protective Equipment (PPE) and safety precautions MINIMUM QUALIFICATIONS: * Must have High School Diploma or GED * Must be a Certified Medical Assistant from one of the following accrediting bodies: American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), National Center for Competency Testing (NCCT), or National Health Center Association (NHA) * Approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP); the Accrediting Bureau of Health Education Schools (ABHES); a medical assisting program accredited by any accrediting agency recognized by the USD of Education or a training program the meets or exceeds and verifies the entry-level competencies of a medical assistant . * Must have and maintain a current Basic Life Support (BLS) certification by the American Heart Association (AHA) Must provide documentation of immunity to measles, and rubella, or become vaccinated with the recommended vaccines and hepatitis B vaccine Must test for Tuberculosis (TB) at time of hire and per the National Centers for Disease Control (CDC) guidelines as required. Must have an annual health exam and a flu immunization and Coronavirus Disease (COVID-19) vaccination or exemption as required. Must successfully pass a Pre-employment drug screen test and submit to a criminal background check * Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. * Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ ext.767 Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

VACANCY ANN#: STOI-25-112 TITLE: FACILITIES OPERATIONS MANAGER DEPARTMENT: DCWMHC SUPERVISOR: CEO STATUS: EXEMPT, FULL-TIME RATE OF PAY: $34 - $51/hr DOQ CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Facilities Operations Manager oversees the maintenance, safety, cleanliness, and operational reliability of all Tribal Health Cener facilities, grounds, and related infrastructure. This position supports delivery of high-quality patient care by ensuring buildings and equipment meet Tribal, federal, and state regulatory requirements, as well as the standards of the Indian Health Service (IHS) and 638 ISDEAA program guidelines. The Manager is responsible for housekeeping, equipment repair, preventive maintenance, vendor contracting, disaster preparedness, and fire/life-safety programs. The role supports culturally respectful operations and collaborates closely with Tribal leadership, clinic staff, and community partners. MAJOR DUTIES AND RESPONSIBILITIES: Facilities Management & Maintenance Oversee all facility operations for Tribal Health Center buildings, dental, behavioral health, administrative, and community health sites. Implement preventive maintenance programs for HVAC, electrical, plumbing, and mechanical systems, consistent with Tribal and IHS facility standards. Perform or coordinate basic repairs and carpentry, including patching, painting, doors, flooring, fixtures, and minor construction tasks. Ensure timely maintenance and repair of equipment, coordinating with biomedical services when required. Manage snow removal, ice mitigation, and seasonal grounds care to ensure safe access for patients, staff, and Elders. Maintain accurate work order logs, equipment inventories, and facility records to support 638 reporting and federal audits. Housekeeping & Environmental Services Supervise housekeeping and custodial staff to maintain a clean, hygienic, and culturally respectful environment. Ensure infection control cleaning practices meet clinic standards, IHS guidance, and OSHA/CDC requirements. Conduct regular inspections for cleanliness, safety, and environmental quality. Safety, Emergency Preparedness & Compliance Ensure compliance with Tribal regulations, federal requirements (OSHA, NFPA, ADA, CMS), and any accrediting bodies (AAAHC, HRSA). Lead disaster planning for the clinic, including fire, utility failure, severe weather, earthquake, evacuation, and continuity of operations. Conduct and document fire drills, emergency response exercises, and safety rounds in accordance with Tribal policies and 638 requirements. Maintain facility readiness for IHS environmental health visits, state inspections, and accreditation surveys. Collaborate with Infection Control, Public Health, and Tribal Emergency Management partners on environmental safety. Vendor & Contracting Oversight Oversee contracting and procurement for facility services including HVAC, electrical, plumbing, landscaping, snow removal, waste disposal, pest control, and cleaning supplies. Obtain bids, negotiate service agreements, and ensure contractors follow Tribal procurement policies and comply with safety rules. Monitor vendor performance and resolve service issues promptly. Maintain contracts and documentation required for 638 program compliance and audit readiness. Team Leadership Supervise maintenance, housekeeping, and facilities staff, including performance evaluations, training, and scheduling. Promote a safe, culturally aware, and customer-service-focused work environment. Coordinate staff participation in Tribal trainings (safety, cultural awareness, emergency preparedness). Capital Projects & Improvements Assist with planning and overseeing construction, renovation, and expansion projects at Tribal health sites. Coordinate access, safety, and communication with contractors and Tribal departments. Ensure projects meet Tribal building codes, federal standards, and environmental health requirements. Operational Support Respond to after-hours emergencies, service interruptions, and weather-related incidents as needed. Support moves, space planning, security access, signage, and furniture/equipment installation. Work collaboratively with clinical, dental, IT, and behavioral health teams to meet facility needs. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: Technical Proficiency: Knowledge and ability to work with various tools, machinery, and building systems. Problem-Solving: Strong ability to diagnose and resolve complex technical issues effectively. Attention to Detail: Meticulous approach to inspections, repairs, and record-keeping. Communication: Ability to clearly convey information to supervisors, team members, and other departments. Physical Stamina: Capacity to perform physically demanding tasks and lift heavy objects. Time Management: Effectively prioritize tasks and manage time to complete work efficiently. MINIMUM QUALIFICATIONS: Education Associate or Bachelor's degree in Facilities Management, Engineering, Construction Management, Business Administration, or related field preferred. HS Diploma or equivalent required. Experience 5+ years of facilities, maintenance, or operations management experience required. Experience in Tribal health, IHS, FQHC, government, or clinic environment highly preferred. 2+ years of Supervisory experience required. Valid Driver License required and must be Tribally insurable Physical capability (to perform duties as mentioned above) Knowledge & Skills Knowledge of building systems, preventive maintenance, and basic repair/carpentry. Understanding of Tribal governance structures, procurement processes, and 638 ISDEAA reporting (preferred). Familiarity with accrediting standards (AAAHC, HRSA, CMS, OSHA, NFPA). Ability to read blueprints, interpret technical manuals, and manage multiple projects. Strong communication, organizational, and leadership skills. Proficiency with CMMS/work order tracking systems preferred. Certifications (Preferred but Not Required) OSHA 10 or OSHA 30 Facilities Management Professional (FMP) or Certified Facility Manager (CFM) EPA 608 Certification (HVAC) CPR/First Aid FEMA ICS/IS courses for Tribal emergency management (preferred) Work Environment Onsite role across Tribal clinic and program locations. Exposure to mechanical rooms, outdoor conditions, snow/ice, and active construction areas. Requires lifting up to 50 lbs, climbing ladders, and performing hands-on tasks. Periodic on-call and after-hours responsibilities. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. APPLY ONLINE:

VACANCY ANN#: STOI-24-072 TITLE: HEALTH & DISABILITIES COORDINATOR DEPARTMENT: CHILDREN OF THE SUN HEAD START SUPERVISOR: HEAD START DIRECTOR STATUS: REGULAR, FULL-TIME, NON-EXEMPT RATE OF PAY: $22.00 - $23.36 / PER HOUR CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: Under the supervision and direction of the Head Start Director, the Health and Disabilities Coordinator promotes over-sight in compliance with all regulations per applicable Performance Standards; ensures monitoring, agency collaboration and tracking of health and disability services; identifies children who may have a disability, assuring appropriate intervention and services; and manages, implements, and evaluates comprehensive programs for children with disabilities and their families enrolled in the Spokane Tribe of Indians Head Start Program. Planning children's readiness to learn involves culturally responsive, trauma informed, integrated service delivery of child development, disabilities, and mental health that support learning environments. MAJOR DUTIES AND RESPONSIBILITIES: Ensure operations will be in accordance with the Tribal Plans of Operations, Head Start Performance Standards, USDA, Washington Administrative code (WAC) disability laws/mandates and related Tribal, State & Federal regulations. Verify and coordinate care to ensure that all Head Start Children receive a health examination within 90 days of enrollment. Ensure that each child receives a nutrition assessment which shall include a growth assessment, hemoglobin check, diet assessment and nutrition education. Organize a health advisory committee with the assistance of the program director. Develop and assist in implementation of a health education curriculum in the areas of health, dental and safety. Conduct daily health checks of all Head Start students to look for head lice, possible contagious illness and overall wellbeing. Conduct immunization review, vision and hearing screenings with the children. Make referrals, develop Health Alert lists and Emergency Care Plans as necessary. Facilitate health related home visits and promote parental involvement. Monitor health and safety checklist, fire drills, evacuation routes/procedures and playground safety inspections. Respond appropriately to crisis or emergency situations that may occur-to include providing minor first aid, communicating with parents and coordinating care. Regularly monitor the classroom environment, disabilities services, screening and assessment tools and methods. Ensure accurate reports, documentation and compliance with applicable State, Federal and Tribal laws, policies and procedures. Enter all health screening, treatment and other health related information into Child Plus (data entry program). Monitor and re-stock First Aid kits in classrooms and school buses to ensure compliance with licensing guidelines. Act as an advocate for parents and children with special needs, and provide referrals to appropriate resources. Assist in providing appropriate disabilities information and referrals for staff, parents, and collaborating agencies. Assist with ongoing assessment of health education needs and assist with the distribution of health information to children, staff and parents as necessary or requested. Assist in establishing MOUs in collaboration with local school districts, Indian Health Service, and Health and Human Services. Develop and distribute written and web-based materials for child, parents, employees and community partners within the areas of developmentally appropriate practices, screening, assessment, health, behavior management, learning environments, special education, disability laws and services. Utilize the identified data management system to track, monitor and follow-up on cases with identified concerns and for those children receiving services. Actively work in the classrooms with teachers and students assisting with observations, assessing needs and filling in as needed. Report suspected cases of child abuse and neglect by serving as a mandated reporter. Participate in the recruitment and enrollment of children and families. KNOWLEDGE, SKILLS & ABILITIES REQUIRED: Training and experience in public health, nursing, health education, maternal and child health, or health administration. Excellent written and verbal communication skills along with human relation skills with both children and adults Possess skills adequate to manage the agency to serve children with disabilities (including coordination with other program components and community agencies) and work with parents. Successful clearance of Criminal History and Background inquiry with no findings of child abuse and neglect. Familiarity with Head Start Performance Standards. Must maintain strict confidentiality. Understanding of Early childhood Developmental Stages and appropriate preschool practices Able to contribute to the Head Start team in a positive and productive manner with reliability, patience and consistency. MINIMUM REQUIREMENTS: Baccalaureate or advanced degree (Preferably in in the fields of public health, nursing, health education maternal and child health or health administration or equivalent). First Aid, CPR and Blood Borne certification, Food Handlers Permit, Mandated Reporter Training to be obtained during orientation period. TB test and Immunization record. Successful clearance of criminal history and background check PREFERRED REQUISITES: Possess a basic understanding of the scope of the Head Start effort and Trauma informed practices. Demonstrated ability to relate well to, and coordinate with the population served, especially low-income Spokane Indian Reservation population. *Indian Preference Applies - Indian Preference grants preference to any enrolled member of a federally recognized tribe. *Safety Sensitive Background - Requires a higher standard of performance and behavior. Contact: Sabrina McCoy or Empero Corral P.O. Box 206 Wellpinit, WA 99040 ************ or 458-6527 E-mail: **************************** Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-25-113 TITLE: MEDICAL LABORATORY TECHNICIAN DEPARTMENT: DCWMHC SUPERVISOR: CEO STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ The Medical Laboratory Technician performs clinical laboratory testing and phlebotomy services to support patient diagnosis and treatment in a Tribal health clinic. Responsibilities include specimen collection, processing, quality control, regulatory compliance, equipment maintenance, and management of laboratory inventory, supplies, and ordering. The role supports accurate and timely reporting while maintaining a safe and patient-centered environment. MAJOR DUTIES AND RESPONSIBILITIES: Phlebotomy and Specimen Collection * Perform venipuncture and capillary blood collection on patients of all ages. * Verify patient identity and ensure proper labeling of all specimens. * Prepare specimens for transport, processing, and analysis. * Follow infection control practices and maintain a clean, safe phlebotomy area. * Provide excellent patient service, ensuring comfort and safety during specimen collection. * Document collection activities in the Electronic Health Record (EHR). Clinical Laboratory Testing * Perform routine and moderate-complexity laboratory tests in chemistry, hematology, urinalysis, immunology, and microbiology. * Operate and maintain laboratory instruments and ensure proper functioning prior to testing. * Process, prepare, and analyze specimens following laboratory procedures. * Enter and verify laboratory results in the EHR with accuracy and confidentiality. Quality and Compliance * Follow CLIA, OSHA, HIPAA, AAAHC and Tribal health regulatory requirements. * Perform daily quality control checks, proficiency testing, and instrument calibrations. * Maintain accurate logs, worksheets, and documentation required for accreditation compliance. * Participate in quality improvement initiatives to ensure accuracy and reliability of results. Equipment and Supply Management * Monitor inventory of reagents, test kits, supplies, and phlebotomy materials. * Order laboratory and phlebotomy supplies and coordinate vendor deliveries. * Maintain equipment logs, perform routine maintenance, and document service activities. * Identify equipment malfunctions and coordinate repairs or replacements. Operational Support * Communicate critical lab values and abnormal results according to clinic protocols. * Collaborate with providers, nursing staff, and administrative teams to support patient care needs. * Maintain a clean, organized, and safe laboratory and phlebotomy environment. * Assist in training new staff on lab procedures and safety protocols, as needed. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: * Knowledge of laboratory testing procedures, phlebotomy techniques, and safety protocols. * Ability to collect specimens safely and accurately from diverse patient populations. * Ability to operate and troubleshoot laboratory instruments. * Strong organizational skills for managing inventory and equipment. * Effective communication and teamwork skills. * Cultural sensitivity and ability to work effectively with Tribal communities and diverse patients. Working Conditions * Exposure to bloodborne pathogens, biohazards, and chemicals. * Standing for extended periods and occasional lifting of 25-40 lbs. * Frequent interaction with patients requiring phlebotomy services. MINIMUM QUALIFICATIONS: Associate degree in Medical Laboratory Technology or related field. Certification MLT (ASCP), AMT preferred. Achieve certification within 6 months of employment required. Phlebotomy certification preferred (CPT-I/CPT-II, PBT(ASCP), or equivalent). Experience Previous clinical laboratory experience preferred. Phlebotomy experience in outpatient or clinical settings preferred. Experience in Tribal or community health clinics is beneficial. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. APPLY ONLINE:

VACANCY ANN#: STOI-25-083 TITLE: FAMILY NURSE PRACTITIONER DEPARTMENT: DCWMHC SUPERVISOR: CHIEF MEDICAL OFFICER STATUS: FULL-TIME RATE OF PAY: UP TO $160,000/yr CLOSING DATE: OPEN UNTIL FILLED Join Our Team at the David C. Wynecoop Memorial Health Center! Be a part of something meaningful - we're growing! The David C. Wynecoop Memorial Health Center (DCWMHC) is seeking compassionate, dedicated individuals to join our exceptional team. As we expand our services to better meet the needs of our community, we're looking for team members who are passionate about providing high-quality, culturally competent care. If you're ready to be part of a mission-driven organization that values service, respect, and community - we'd love to hear from you! *SIGN ON BONUS for this position is $15,000 INTRODUCTION: Under the direction of the Chief Medical Officer, The Family Nurse Practitioner serves as a medical provider at the David C. Wynecoop Memorial Health Center and will provide care for acute and chronic medical conditions within their scope of practice. MAJOR DUTIES AND RESPONSIBILITIES: Provides medical screenings, evaluations, diagnoses, and treatment of health problems. Performs routine minor outpatient surgeries and procedures. Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs. Prescribes appropriate pharmacologic and non-pharmacologic treatments. Facilitates staff, patient, and family decision making by providing educational tools. Performs the required medical treatment on patients in an efficient, effective, and professional manner. Provides emergency medical care when necessary. Coordinates referral services with appropriate staff. Obtains and documents medical history of each patient, including patient's chief complaint, present condition, patient's individual history, and family history. Provides positive participation in committees, as assigned. Assists with safety emergency preparedness and disaster planning. Other duties as assigned. The above statements are intended to describe the general nature and level of work being performed by employee. They are not intended to be construed as an exhaustive list of all responsibilities, duties and/or skills required. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: Demonstrated competency dealing with all age groups including neonates, infants, children, adolescents, adults, and geriatric patients. Independent, mature judgment is required in dealing with individual patients, treatment plans, and referral of complex cases. Ability to examine, diagnose, and provide medical treatment, seeking consultation as needed. Ability to develop and maintain positive working relations with the Clinic staff, Tribal members and their families, as well as outside health professionals. Ability to communicate effectively and relate to Tribal and community members, staff, and federal, state, and local health agencies. Knowledge of medical equipment and instruments to administer patient care, including EKG machine, PFT machine, AED, and Nebulizer. Ability to operate an electronic health records system and/or electronic patient management system. Ability to foster an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the Coquille Indian Tribe. Capacity to develop the ability of others to perform and contribute to the organization by providing ongoing feedback and by providing opportunities to learn through formal and informal methods. Knowledge of medications and injection procedures. Ability to assess the specific age-related needs of patients. Possess awareness and sensitivity of Indian traditions, customs, and socioeconomic needs and ability to work effectively with diverse cultures. Knowledge of regulations on the confidentiality of medical records and Personal Health Information in alignment with HIPAA standards. Knowledge of medical terminology. Ability to maintain professionalism, confidentiality, and objectivity under constant pressure and crisis situations. Ability to make decisions independently in accordance with established medical protocol, standing orders, and policy and procedures. Exhibit a level of computer literacy sufficient to use software such as word processing, spreadsheets, and databases to produce correspondence, documents, and reports. Ability to read and understand complex documents and manuals, as well as the ability to write such documents for use by others. MINIMUM QUALIFICATIONS: Requires a Master's degree in Nursing (MSN) or Doctoral degree in Nursing (DNP) from an accredited college or university. Ability to obtain and maintain appropriated Board certification and licensure with the State of Washington. At least one (1) years of experience as Nurse Practitioner in outpatient setting. Must have or be able to obtain proper licensure and registration for the prescription and dispensing of narcotics and controlled drugs. ACLS certification required or ability to obtain within 90 days of employment. Must be eligible for malpractice insurance. Current and valid Washington State driver's license in good standing with no insurability issues as determined by the Tribe's insurance carrier is required. Required to accept the responsibility of a mandatory reporter of abuse and neglect of infants and children, people who are elderly or dependent, individuals with mental illness or development disabilities or residents of nursing homes and other health care facilities. This includes reporting any evidence of physical injury, neglect, sexual or emotional abuse or financial exploitation. Must provide documentation of immunity to measles, and rubella, or become vaccinated with the recommended vaccines and hepatitis B vaccine Must test for Tuberculosis (TB) at time of hire and per the National Centers for Disease Control (CDC) guidelines as required. Must have an annual health exam and a flu immunization and Coronavirus Disease (COVID-19) vaccination or exemption as required. Must successfully pass a Pre-employment drug screen test and submit to a criminal background check Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ ext.767 Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

Job DescriptionSalary: $17 - $20 PER HOUR VACANCY ANN#: STOI-26-001 TITLE: COMMUNITY HEALTH REPRESENTATIVE DEPARTMENT: DCWMHC SUPERVISOR: COMMUNITY HEALTH NURSE STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $17- $20 PER HOUR/DOQ OPENING DATE: JANUARY 20, 2026 CLOSING DATE: FEBRUARY 3, 2026 INTRODUCTION: The Community Health Representative (CHR) will serve as a liaison between individuals and families in the community and the healthcare center. They will provide basic health care and education to individuals, families, and groups in the home and community to improve health knowledge, attitudes, and practices, and offer support to overcome health barriers. The CHR will provide quality outreach, connection to resources, basic personal care services, and transportation to healthcare services based on individual and family needs. Essential Duties & Responsibilities Patient Care (60%) Educate individuals, families, and communities about available health and social service systems. Connect individuals and families to resources and advocate for basic needs (such as food and housing). Home visiting to identify individual and family needs and refer to available services and resources as appropriate including housing, food, transportation, and emergency services. Work closely with Community Health Nurse to identify home health and safety needs. Coordinate services including assisting to schedule specialty appointments and ensuring transportation is available to scheduled appointments and accompanying patients to appointments if they need assistance. Motivate and encourage individuals and families to become more active in their own health care and support them in a healthy lifestyle. Assist with medications including taking medications to homes, setting up medication boxes, reviewing prescription directions to help with understanding how to take medications, requesting medication renewals from pharmacy. Perform basic personal care when other resources are not available (including personal hygiene, dressing, bathing, toileting), housekeeping (including meal preparation, laundry, and housework), and transportation (including transportation for medical appointments and essential shopping) to help with individual health and safety. Support individuals, families, and community while helping to navigate healthcare systems. Work closely with Tribal programs, County Health Department, Adult and Child Protective Services, health care centers, hospital discharge planners, in-home care, and other programs to connect individuals/families/community with available services. Community Health Education (25%) Educate community members on available health programs in the community. Work closely with Community Health Nurse to plan and implement community health education programs. Once trained, take part in teaching health-related programs to help the community, for example fall risk prevention, exercise classes, and safety programs for all ages. Conduct health-related activities and events for community with focus on high-risk community members. Provide community outreach education to local schools. Transportation (15%) Provide transportation to services and healthcare appointments for individuals who have no other transportation resources. Be willing and able to drive in all weather conditions and in both rural and city settings. Work flexible hours to accommodate appointments. Help individuals with their appointments by going in with them and assisting them, if needed, to complete medical forms. Help with care-coordination for any follow-up needed after appointments including finding and accessing resources, and overcoming barriers to care. General Duties: Understand and adhere to HIPAA rights and responsibilities and show professionalism while representing the health center. Communicate effectively and in a professional manner with patients, other staff, supervisors, providers, and outside organizations or agencies as needed. Respond to phone calls, voicemails, mail, and email messages from patients and staff in a prompt and professional manner. Work independently and in partnership with individuals, families, and groups to improve the overall health and wellbeing of the community. Accepts other duties or responsibilities as assigned. MINIMUM REQUIREMENTS: High school diploma or GED. Over the age of 18. Nursing Assistant Certification or willingness to attend certification class within 6 months of employment preferred. Ability to lift to 30 pounds. Basic computer skills. Demonstrated problem-solving ability including planning, organizing, and prioritizing. Ability to identify basic changes in health status of individuals such as weakness, confusion, loss of appetite, and respond appropriately. Basic understanding of Adult Protective Services and Child Protective Services and responsibilities associated with these programs. Required to complete CHR level I, CPR, First Aid, bloodborne pathogen/universal precautions, and defensive driving training within 6 months of hire. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veterans Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veterans Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

VACANCY ANN#: STOI- 25-034 TITLE: SUBSTANCE USE DISORDER COUNSELOR DEPARTMENT: BEHAVORIAL HEALTH STATUS: FULL-TIME RATE OF PAY: DOE/DOQ Spokane Tribe of Indians is looking for a dedicated Substance Use Disorder Counseling Professional to join the Behavioral Health Program. In this role, you'll provide counseling, support, and guidance to individuals affected by substance use, with a focus on culturally grounded care. Our program works to address substance use challenges in a way that respects and incorporates Spokane Tribe traditions and values. We aim to support healing, strengthen resilience, and help community members move toward recovery and wellness. This position involves delivering evidence-based interventions, facilitating groups, and providing one-on-one counseling to help clients overcome obstacles, build on their strengths, and reach their goals. We are seeking someone who brings both skill and compassion, and who is committed to making a real difference in the lives of the people we serve. If you have the experience, empathy, and dedication to support recovery in our community, we invite you to apply and be part of this important work. MAJOR DUTIES AND RESPONSIBILITIES: As a Substance Use Disorder Professional serving the Spokane Tribe community, major duties encompass a comprehensive approach to addressing the complex needs of clients diagnosed with substance use disorders. This includes: Conduct comprehensive assessments of clients' substance use history Develop individualized treatment plans in collaboration with clients, incorporating evidence-based interventions and cultural considerations Facilitate individual and group counseling sessions to address substance use issues, co-occurring mental health disorders, and related challenges Collaborate with multidisciplinary teams, including healthcare providers, tribal agencies, and community organizations, to coordinate care and support services for clients Monitor and evaluate clients' progress in treatment, adjusting treatment plans as needed to optimize outcomes Conduct crisis intervention and provide referrals to additional resources, including detoxification services, residential treatment programs, and mental health services Maintain accurate and up-to-date documentation of client assessments, treatment plans, progress notes, and discharge summaries in compliance with regulatory requirements Maintain compliance reports for DOC and probation Provide supervision to Substance Use Disorder Professional Trainee (SUDPT) counselors, as needed Participate in ongoing professional development and training to enhance clinical skills and stay abreast of best practices in substance use disorder treatment Foster a culturally responsive and trauma-informed approach to care, recognizing and respecting the unique cultural values and traditions of the Spokane Tribe community The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment KNOWLEDGE, SKILLS & ABILITIES REQUIRED: Knowledge of patient evaluation and plan of care procedures Knowledge of patient outreach services and activities Knowledge and understanding of clinical counseling principles, and methodologies in substance use disorder treatment and recovery support Knowledge and familiarity with substance use disorder diagnostic assessments and placement criteria Skill in completing documentation in an electronic health record system Skill in de-escalation and crisis intervention Ability to development, implement, and evaluate the effectiveness of individualized treatment plans Ability to apply evidence-based counseling methods and techniques Ability to develop and present educational programs and workshops Ability to build rapport quickly and effectively with clients and those involved in their care Ability to establish and maintain professional relationships and contribute to the creation of an inclusive environment Ability to communicate effectively both verbally and in writing Ability to exercise independent judgment Ability to gather data, compile information, and prepare reports Ability to handle multiple tasks and meet deadlines Knowledge of tribal customs and traditions MINIMUM QUALIFICATIONS: Bachelor's Degree in Addiction Studies Minimum of three years' work experience as a Certified Substance Use Disorder Professional Certified Substance Use Disorder Professional (SUDP) in Washington State required Valid driver's license is required PREFERRED QUALIFICATIONS: Experience working within American Indian and/or Alaska Native communities Experience working with youth diagnosed with substance use disorder *Indian Preference Applies - Indian Preference grants preference to any enrolled member of a federally recognized tribe. *Safety Sensitive Background - Requires a higher standard of performance and behavior. *FBI Background - Positions involving regular contact with, or control over, Indian Children in accordance with the Federal Indian Child Protection and Family Violence Prevention Act, Public Law 101-630 Confirmation receipt of on-line application submission and interview status will be sent to all applicants e-mail address used when applying. Applicants are responsible to regularly monitor their e-mail for interview notifications. Contact: Donnie Lebret, DCWMHC HR Director E-mail: ************************ Phone: ************ ext.767 Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-22-068 TITLE: EMERGENCY HIRE APPLICANT POOL STATUS: TEMPORARY RATE OF PAY: DOE/DOQ DEFINITION: An Emergency Hire (E-hire) is a temporary STOI employee who will fill a vacant position within a tribal department for up to 60 days. The positions, locations, hours, and rate of pay will vary, depending on the department and its operations. REASON: There are instances when a job vacancy needs to be filled as quickly as possible, so the department in need will request an “Emergency Hire”. By applying here, all applicants' submissions will be available to the Hiring Managers to review when an Emergency Hire position becomes available. PROCESS: If you are selected as an Emergency Hire, and you agree to the position duties, hours, and rate of pay, you will be subject to a required pre-employment screening that includes drug-test and criminal background screening. Upon successful clearance, you will be able to work in the position as a temporary Emergency Hire for up to 60 days. In most instances, the job will need to be filled permanently. In this case the Hiring Manager will have 60 days to submit a complete job posting request to STOI HR for the purpose of opening and announcing the position to the public, as per STOI policy. The Emergency Hire employee will have the same opportunity to apply for the posted position and interview, along with any other qualified applicants that are screened in after the posting closes. The benefit of being selected as an Emergency Hire is the opportunity to meet the department team, learn the position duties, become familiar with the department culture, and gain valuable on the job experience, before the position is even posted and advertised to the public. To be considered for Emergency Hire positions please submit a detailed resume outlining your skills, abilities, education, work experience, professional achievements, and any information you would like to have considered. Contact: Kammi Rosenbaum or Tashina Hobbs ************ E-mail: **************************** Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test, Safety Sensitive Positions Also Test for Marijuana All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI- 25-093 TITLE: MENTAL HEALTH CLINICAL COUNSELOR DEPARTMENT: BEHAVIORAL HEALTH STATUS: FULL-TIME RATE OF PAY: $27 - $45 / HOUR DOE CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The David C. Wynecoop Memorial Health Center is seeking a mental health clinical counselor to join the Behavioral Health department. This position reports to the Behavioral Health Manager . The position provides outpatient counseling support to clients of the Health Center individuals residing on or around the Spokane Indian Reservation. MAJOR DUTIES AND RESPONSIBILITIES: Provides direct outpatient psychotherapy services to individuals, couples, families and groups, by performing mental health and substance abuse assessments, develops and implements treatment plans and evaluates treatment outcomes with the ability to assess both mental health and substance abuse diagnoses. Develops appropriate treatment plans for clients. Maintains all notes of sessions current with no greater than a 72 hour lag from pt session. Carries a client workload sufficient to generate on average 7-8 sessions daily. Develops and facilitates individual and group sessions according to the needs of the client population as well as being able to facilitate these groups. Which may include both mental health and substance abuse counseling, using a multi-modality approach. Provide counseling for all areas of mental illness including but not limited to individual, marital/family dysfunction, child, abuse/neglect and substance issues (including urine drug screens as indicated). Provides substance abuse/addictions education to clients and families. Recommends and arranges referrals for specialized treatment and provides follow-up care. Functions as a primary therapist and case manager for a given number of clients. Participates in case conference and provides consultation to other professional staff. Follows all policies of DCWMHC, including strict compliance with HIPAA , is up to date clinical records, and other documentation as required. Provides pre-admission screening and aftercare counseling in conjunction with community-based clinics. Attends all mandatory staff meetings and in-services. Work to promote cooperative staff efforts to provide and maintain high quality service to patients. Works within the parameters of health insurance mandates as well as managed care programs. Implements approved methods of treatment to meet goals and objectives, with completed regular reporting requirements. Performs other duties as assigned. KNOWLEDGE SKILLS AND ABILITIES REQUIRED: Providing a comprehensive interdisciplinary service to David C. Wynecoop Memorial Health Center clients with mental health, substance or alcohol abuse and co-occurring disorders. Responsible for conducting initial assessments, evaluations and interpretation in developing appropriate interventions and/or treatment/recovery plan for client through individual or group therapy plans. An understanding of the concepts related to cultural components, medical and social factors influencing the lives of persons who are suffering from substance or alcohol abuse and mental health issues as well as how it affects families. Knowledge and experience in clinical interviewing practices and procedures; working with diverse mental health issues including trauma and generational trauma. Ability to effectively communicate the goals of the treatment program to clients, maintain effective relationships with community organizations and agencies, addictions screening and generates referrals as required. Facilitate an effective interpersonal relationship with clients, families and community in maximizing continued interest while keeping professional boundaries. Skills in organizing, planning, and facilitating support/therapy groups. Ability to complete accurate documentation such as but limited to, comprehensive assessments, treatment plans, progress notes, correspondences, group therapy notes, and all other required documentation in a timely manner per the established policies, procedures and requirements related to client electronic medical record keeping. MINIMUM QUALIFICATIONS: May be LPCC, LMHC, LMFT, LICSW-R, LICSW, Or Associate in any of these areas. Master's degree required with ability to obtain licensure in WA. Candidate must have ability to work with all ages, possess knowledge of the counseling process to meet the needs of awareness of family systems, therapy techniques, and treatment of substance abuse/dependence, family violence, and sexual abuse. Required to travel as needed for departmental operational demands Valid WA driver's license required. Ability to be insured in WA Able to pass federal background check, and drug screening *Tribal Preference Applies - Tribal Preference grants preference in employment to qualified enrolled Spokane Tribal Citizens, Spouses of Spokane Tribal Citizens, First Line Descendants of Spokane Tribal Citizens, and Citizens of other Tribes and Other Applicants, in that order. *Safety Sensitive Background - Requires a higher standard of performance and behavior. Confirmation receipt of on-line application submission and interview status will be sent to all applicants e-mail address used when applying. Applicants are responsible to regularly monitor their e-mail for interview notifications. Contact: Donnie Lebret, DCWMHC HR Director E-mail: ************************ Phone: ************ ext.767 Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

Job DescriptionSalary: $23.00 - $30.00 VACANCY ANN#: STOI-25-058 TITLE: MEDICAL ASSISTANT(S) CERTIFIED DEPARTMENT: DCWMHC SUPERVISOR: CHIEF NURSING OFFICER STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $23.00 - $30.00 PER HOUR OPENING DATE: AUGUST 4, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Certified Medical Assistant will work under the supervision of the RN and provide support to the provider (e.g. physician, dentist, and nurse practitioner). Medical assistants perform a broad range of administrative and clinical duties to facilitate the work of the provider. The Certified Medical Assistant will be responsible for gathering necessary vital signs from patients, taking, preparing and sending laboratory specimens for routine tests, sets up and cleans examination room after each patient, maintains par supply stock , and records data in patient EHR. MAJOR DUTIES AND RESPONSIBILITIES: Assists with direct patient care procedures and related tasks; checks patients in, assists in obtaining patient histories, takes vital signs, prepares records and assists with medical examinations. Responsible for obtaining and recording (into the electronic health record) patient information as assigned by policy (i.e., vital signs, height, weight, etc.). Provides care to assigned patients. Provides basic care to patients with a variety of conditions, illnesses and/or injuries (i.e. apply and remove dressings, slings, braces, apply heat and cold packs; assist patient in ambulation, transferring, positioning, etc.). Assist the Provider in examination of patients by explaining procedures, positioning, draping and assembling instruments and supplies. Performs the following procedures, Performs waived testing (e.g., glucometer testing, rapid strep testing and colorimetric urinalysis and other as required) records the results in compliance with regulations/standards. Complies with the laboratory requirements (i.e., CLIA, AAAHC) for quality control of waived testing for accuracy and record keeping. Performs blood draws when required Obtains bacteriologic specimens such as clean-catch urine specimens and topical cultures. Assists with incision and drainage procedures. Performs EKGs Performs less complex dressings and treatments without assistance. Assists with cleaning, irrigating, and dressing complex wounds. Prepare and administer medication as directed by the provider. Administer injections IM (intermuscular), SQ (Subcutaneous), and ID (Intradermal). Instruct patients in proper collection of urine samples. Prepares samples for analysis (e.g., labels specimen tubes). Shares the responsibility for reporting observations by observing the patients conditions and reactions, and by keeping the provider informed of changes in clinical condition. Schedules and monitors patient appointments. Ensures reminders are sent and appts verified and confirmed May coordinate routine office activities and administrative functions with supplemental staff of the clinic. Preps charts the day before patient visit. Identifying patient required preventive exams. Communicate to provider on day of visit. Shares the responsibility of maintenance of clinical records. Utilizes established software to enter immunizations, follow-up on laboratory and radiological exams, or other computer functions as required by clinical services or department. Educates and advises patients on specified medical issues within established parameters. Practices safety, environmental, and/or infection control methods. Prepare any patient related documentation for the provider or patient. Ensures patients are provided with educational materials on discharge Maintains a courteous and professional manner in contact with patients, family, and other clients. Assists in answering telephones and supplying routine information per policy. Performs general non-direct patient care duties at the clinic including cleaning, arranging, and restocking supply cabinets from supplies; cleaning and sorting supplies, instruments and equipment; calling attention to deficiencies in supplies and equipment; cleaning refrigerators and assisting with maintenance of temperature logs; and maintains a clean and safe patient environment. Participates in performance improvement activities and data management responsibilities. Fosters a collaborative environment, using a team approach to share ideas and to promote safe, patient centered care. Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield as required for situation. Completes all electronic health record entries accurately and timely pertinent to patient care role. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives. Performs miscellaneous job-related duties as assigned. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: Successful and positive working relationships; seen as a team player Possession of high ethical standards and no history of ethics complaints Reliable and dependable; reports to work as scheduled without excessive absences Ability to read, analyze and interpret the most complex documents and respond effectively to the most sensitive inquiries or complaints Excellent customer service skills and telephone etiquette Proficient in the use of Microsoft Suite applications and EHR system. Knowledge of infection control procedures, Personal Protective Equipment (PPE) and safety precautions MINIMUM QUALIFICATIONS: Must have High School Diploma or GED Must be a Certified Medical Assistant from one of the following accrediting bodies: American Association of Medical Assistants (AAMA), American Medical Technologists (AMT), National Center for Competency Testing (NCCT), or National Health Center Association (NHA) Approved medical assistant training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP); the Accrediting Bureau of Health Education Schools (ABHES); a medical assisting program accredited by any accrediting agency recognized by the USD of Education or a training program the meets or exceeds and verifies the entry-level competencies of a medical assistant . Must have and maintain a current Basic Life Support (BLS) certification by the American Heart Association (AHA) Must provide documentation of immunity to measles, and rubella, or become vaccinated with the recommended vaccines and hepatitis B vaccine Must test for Tuberculosis (TB) at time of hire and per the National Centers for Disease Control (CDC) guidelines as required. Must have an annual health exam and a flu immunization and Coronavirus Disease (COVID-19) vaccination or exemption as required. Must successfully pass a Pre-employment drug screen test and submit to a criminal background check *Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. *Veterans Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veterans Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ ext.767 Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

VACANCY ANN#: STOI-25-064 TITLE: PHARMACY TECH DEPARTMENT: DCWMHC SUPERVISOR: PHARMACY DIRECTOR STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $30-$36/DOQ PER HOUR David C Wynecoop Memorial Health Center provides healthcare for the Spokane Tribe of Indians and the surrounding areas. Pharmacy Techs have a critical role in the delivery of these services and are highly trusted resources by our community. The pharmacy utilizes robotics and other technologies to aid in patient care. David C Wynecoop Memorial Health Center is a tribally run health facility that provides medical, dental, laboratory, imaging, pharmacy, behavioral health, and community support services. We are a rural facility that provides critical services and provides care for an underserved population. MAJOR DUTIES AND RESPONSIBILITIES: * Under the supervision of the Pharmacy Director, performs all duties necessary to provide effective daily operations. * Assist pharmacists to fill and dispense prescribed medications ensuring compliance with all regulatory agencies. * Maintains a professional, helpful, and courteous relationship with all patients and staff of the pharmacy/health center. * Ensure that Point-of-Sale billing is optimal and third-party processing is up to date. * Endorses policies and procedures of the pharmacy and health center. * Ensures the maintenance and proper operation of equipment and supplies in the pharmacy. * Maintains PAR levels of medications and supplies for the pharmacy; places orders as needed. * Maintains established procedures concerning infection and quality control, security of controlled substances and disposal of hazardous waste. * Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. * Stays current in the pharmaceutical field through continuing education, conferences, professional journals, and societies. * Answer all telephone calls in a professional manner. Take prescriptions over the phone from healthcare professionals who are authorized to prescribe medications. * Obtains and enters patients' demographic and insurance information into the computer system. * Able to operate a cash register; able to manage cash, check and charge card sales accurately. * Knowledgeable of the layout of the clinic; able to direct customers to products. * Assist in maintaining and reporting 340b inventory and compliance. MINIMUM QUALIFICATIONS: * Certified by the Pharmacy Technician Certification Board (PTCB) with a current license. * Critical thinking skills to provide effective patient care with limited resources. PREFERRED QUALIFICATIONS: * Experience in outpatient pharmacy setting * Skills and desire to assist in teaching/precepting pharmacy tech students. If you are an initiative-taking Pharmacy Tech looking for an opportunity to have influence in patient care, we encourage you to apply. Join our team and contribute to the well-being of our community through your expertise in pharmaceutical care. Must provide documentation of immunity to measles, and rubella, or become vaccinated with the recommended vaccines and hepatitis B vaccine Must test for Tuberculosis (TB) at time of hire and per the National Centers for Disease Control (CDC) guidelines as required. Must have an annual health exam and a flu immunization and Coronavirus Disease (COVID-19) vaccination or exemption as required. Must successfully pass a Pre-employment drug screen test and submit to a criminal background check Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. Contact: Donnie Lebret E-mail: ************************ Phone: ************ ext.767 Applications Must Be Received In The Human Resources Department No Later Than 4:30 P.M. On The Closing Date The Spokane Tribe Reserves The Right To Hire According To Its Tribal Preference Policy All Positions With The Spokane Tribe Are Subject To A-90 Day Orientation Period

Job DescriptionSalary: $25 - $35 / DOQ VACANCY ANN#: STOI-25-113 TITLE: MEDICAL LABORATORY TECHNICIAN DEPARTMENT: DCWMHC SUPERVISOR: CEO STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ OPENING DATE: DECEMBER 5, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Medical Laboratory Technician performs clinical laboratory testing and phlebotomy services to support patient diagnosis and treatment in a Tribal health clinic. Responsibilities include specimen collection, processing, quality control, regulatory compliance, equipment maintenance, and management of laboratory inventory, supplies, and ordering. The role supports accurate and timely reporting while maintaining a safe and patient-centered environment. MAJOR DUTIES AND RESPONSIBILITIES: Phlebotomy and Specimen Collection Perform venipuncture and capillary blood collection on patients of all ages. Verify patient identity and ensure proper labeling of all specimens. Prepare specimens for transport, processing, and analysis. Follow infection control practices and maintain a clean, safe phlebotomy area. Provide excellent patient service, ensuring comfort and safety during specimen collection. Document collection activities in the Electronic Health Record (EHR). Clinical Laboratory Testing Perform routine and moderate-complexity laboratory tests in chemistry, hematology, urinalysis, immunology, and microbiology. Operate and maintain laboratory instruments and ensure proper functioning prior to testing. Process, prepare, and analyze specimens following laboratory procedures. Enter and verify laboratory results in the EHR with accuracy and confidentiality. Quality and Compliance Follow CLIA, OSHA, HIPAA, AAAHC and Tribal health regulatory requirements. Perform daily quality control checks, proficiency testing, and instrument calibrations. Maintain accurate logs, worksheets, and documentation required for accreditation compliance. Participate in quality improvement initiatives to ensure accuracy and reliability of results. Equipment and Supply Management Monitor inventory of reagents, test kits, supplies, and phlebotomy materials. Order laboratory and phlebotomy supplies and coordinate vendor deliveries. Maintain equipment logs, perform routine maintenance, and document service activities. Identify equipment malfunctions and coordinate repairs or replacements. Operational Support Communicate critical lab values and abnormal results according to clinic protocols. Collaborate with providers, nursing staff, and administrative teams to support patient care needs. Maintain a clean, organized, and safe laboratory and phlebotomy environment. Assist in training new staff on lab procedures and safety protocols, as needed. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: Knowledge of laboratory testing procedures, phlebotomy techniques, and safety protocols. Ability to collect specimens safely and accurately from diverse patient populations. Ability to operate and troubleshoot laboratory instruments. Strong organizational skills for managing inventory and equipment. Effective communication and teamwork skills. Cultural sensitivity and ability to work effectively with Tribal communities and diverse patients. Working Conditions Exposure to bloodborne pathogens, biohazards, and chemicals. Standing for extended periods and occasional lifting of 2540 lbs. Frequent interaction with patients requiring phlebotomy services. MINIMUM QUALIFICATIONS: Associate degree in Medical Laboratory Technology or related field. Certification MLT (ASCP), AMT preferred. Achieve certification within 6 months of employment required. Phlebotomy certification preferred (CPT-I/CPT-II, PBT(ASCP), or equivalent). Experience Previous clinical laboratory experience preferred. Phlebotomy experience in outpatient or clinical settings preferred. Experience in Tribal or community health clinics is beneficial. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veterans Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veterans Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. APPLY ONLINE:

Job DescriptionSalary: DOE/DOQ VACANCY ANN#: STOI- 25-034 TITLE: SUBSTANCE USE DISORDER COUNSELOR DEPARTMENT: BEHAVORIAL HEALTH STATUS: FULL-TIME RATE OF PAY: DOE/DOQ OPENING DATE: DECEMBER 9, 2025 CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: Spokane Tribe of Indians is looking for a dedicated Substance Use Disorder Counseling Professional to join the Behavioral Health Program. In this role, youll provide counseling, support, and guidance to individuals affected by substance use, with a focus on culturally grounded care. Our program works to address substance use challenges in a way that respects and incorporates Spokane Tribe traditions and values. We aim to support healing, strengthen resilience, and help community members move toward recovery and wellness. This position involves delivering evidence-based interventions, facilitating groups, and providing one-on-one counseling to help clients overcome obstacles, build on their strengths, and reach their goals. We are seeking someone who brings both skill and compassion, and who is committed to making a real difference in the lives of the people we serve. If you have the experience, empathy, and dedication to support recovery in our community, we invite you to apply and be part of this important work. MAJOR DUTIES AND RESPONSIBILITIES: As a Substance Use Disorder Professional serving the Spokane Tribe community, major duties encompass a comprehensive approach to addressing the complex needs of clients diagnosed with substance use disorders. This includes: Conduct comprehensive assessments of clients' substance use history Develop individualized treatment plans in collaboration with clients, incorporating evidence-based interventions and cultural considerations Facilitate individual and group counseling sessions to address substance use issues, co-occurring mental health disorders, and related challenges Collaborate with multidisciplinary teams, including healthcare providers, tribal agencies, and community organizations, to coordinate care and support services for clients Monitor and evaluate clients' progress in treatment, adjusting treatment plans as needed to optimize outcomes Conduct crisis intervention and provide referrals to additional resources, including detoxification services, residential treatment programs, and mental health services Maintain accurate and up-to-date documentation of client assessments, treatment plans, progress notes, and discharge summaries in compliance with regulatory requirements Maintain compliance reports for DOC and probation Provide supervision to Substance Use Disorder Professional Trainee (SUDPT) counselors, as needed Participate in ongoing professional development and training to enhance clinical skills and stay abreast of best practices in substance use disorder treatment Foster a culturally responsive and trauma-informed approach to care, recognizing and respecting the unique cultural values and traditions of the Spokane Tribe community The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment KNOWLEDGE, SKILLS & ABILITIES REQUIRED: Knowledge of patient evaluation and plan of care procedures Knowledge of patient outreach services and activities Knowledge and understanding of clinical counseling principles, and methodologies in substance use disorder treatment and recovery support Knowledge and familiarity with substance use disorder diagnostic assessments and placement criteria Skill in completing documentation in an electronic health record system Skill in de-escalation and crisis intervention Ability to development, implement, and evaluate the effectiveness of individualized treatment plans Ability to apply evidence-based counseling methods and techniques Ability to develop and present educational programs and workshops Ability to build rapport quickly and effectively with clients and those involved in their care Ability to establish and maintain professional relationships and contribute to the creation of an inclusive environment Ability to communicate effectively both verbally and in writing Ability to exercise independent judgment Ability to gather data, compile information, and prepare reports Ability to handle multiple tasks and meet deadlines Knowledge of tribal customs and traditions MINIMUM QUALIFICATIONS: Bachelor's Degree in Addiction Studies Minimum of three years' work experience as a Certified Substance Use Disorder Professional Certified Substance Use Disorder Professional (SUDP) in Washington State required Valid drivers license is required PREFERRED QUALIFICATIONS: Experience working within American Indian and/or Alaska Native communities Experience working with youth diagnosed with substance use disorder *Indian Preference Applies Indian Preference grants preference to any enrolled member of a federally recognized tribe. *Safety Sensitive Background Requires a higher standard of performance and behavior. *FBI Background Positions involving regular contact with, or control over, Indian Children in accordance with the Federal Indian Child Protection and Family Violence Prevention Act, Public Law 101-630 Confirmation receipt of on-line application submission and interview status will be sent to all applicants e-mail address used when applying. Applicants are responsible to regularly monitor their e-mail for interview notifications. Contact: Donnie Lebret, DCWMHC HR Director E-mail: ************************ Phone: ************ ext.767 Applications must be received in the Human Resource Department no later than 4:30 p.m. on the closing date. The Spokane Tribe reserves the right to hire according to its Indian Preference Policy All Applicants are subject to a Pre-Employment Drug Test All Positions with the Spokane tribe of Indians are subject to a 90-day orientation period

VACANCY ANN#: STOI-25-113 TITLE: MEDICAL LABORATORY TECHNICIAN DEPARTMENT: DCWMHC SUPERVISOR: CEO STATUS: NON-EXEMPT, FULL-TIME RATE OF PAY: $25-$35 PER HOUR/DOQ CLOSING DATE: OPEN UNTIL FILLED INTRODUCTION: The Medical Laboratory Technician performs clinical laboratory testing and phlebotomy services to support patient diagnosis and treatment in a Tribal health clinic. Responsibilities include specimen collection, processing, quality control, regulatory compliance, equipment maintenance, and management of laboratory inventory, supplies, and ordering. The role supports accurate and timely reporting while maintaining a safe and patient-centered environment. MAJOR DUTIES AND RESPONSIBILITIES: Phlebotomy and Specimen Collection Perform venipuncture and capillary blood collection on patients of all ages. Verify patient identity and ensure proper labeling of all specimens. Prepare specimens for transport, processing, and analysis. Follow infection control practices and maintain a clean, safe phlebotomy area. Provide excellent patient service, ensuring comfort and safety during specimen collection. Document collection activities in the Electronic Health Record (EHR). Clinical Laboratory Testing Perform routine and moderate-complexity laboratory tests in chemistry, hematology, urinalysis, immunology, and microbiology. Operate and maintain laboratory instruments and ensure proper functioning prior to testing. Process, prepare, and analyze specimens following laboratory procedures. Enter and verify laboratory results in the EHR with accuracy and confidentiality. Quality and Compliance Follow CLIA, OSHA, HIPAA, AAAHC and Tribal health regulatory requirements. Perform daily quality control checks, proficiency testing, and instrument calibrations. Maintain accurate logs, worksheets, and documentation required for accreditation compliance. Participate in quality improvement initiatives to ensure accuracy and reliability of results. Equipment and Supply Management Monitor inventory of reagents, test kits, supplies, and phlebotomy materials. Order laboratory and phlebotomy supplies and coordinate vendor deliveries. Maintain equipment logs, perform routine maintenance, and document service activities. Identify equipment malfunctions and coordinate repairs or replacements. Operational Support Communicate critical lab values and abnormal results according to clinic protocols. Collaborate with providers, nursing staff, and administrative teams to support patient care needs. Maintain a clean, organized, and safe laboratory and phlebotomy environment. Assist in training new staff on lab procedures and safety protocols, as needed. KNOWLEDGE AND SKILLS REQUIRED FOR POSITION: Knowledge of laboratory testing procedures, phlebotomy techniques, and safety protocols. Ability to collect specimens safely and accurately from diverse patient populations. Ability to operate and troubleshoot laboratory instruments. Strong organizational skills for managing inventory and equipment. Effective communication and teamwork skills. Cultural sensitivity and ability to work effectively with Tribal communities and diverse patients. Working Conditions Exposure to bloodborne pathogens, biohazards, and chemicals. Standing for extended periods and occasional lifting of 25-40 lbs. Frequent interaction with patients requiring phlebotomy services. MINIMUM QUALIFICATIONS: Associate degree in Medical Laboratory Technology or related field. Certification MLT (ASCP), AMT preferred. Achieve certification within 6 months of employment required. Phlebotomy certification preferred (CPT-I/CPT-II, PBT(ASCP), or equivalent). Experience Previous clinical laboratory experience preferred. Phlebotomy experience in outpatient or clinical settings preferred. Experience in Tribal or community health clinics is beneficial. In accordance with the requirements of the Health Center Manual, employee of this position, as a condition of employment, must document immunity to Rubella & Measles. Influenza vaccine is recommended for all health workers in contact with patients. The employee must be suitable for Tribal employment in your position as determined by fingerprint check results and appropriate background investigation. An incumbent found not suitable after hire will be removed from this position. The employee is required to operate a tribal-owned or leased motor vehicle, commercial motor vehicle, rental motor vehicle or privately owned motor vehicle in the performance of official duties. An appropriate, valid driver's license is required for the position. Tribal Preference Policy: In accordance with the Spokane Tribal Employment Rights Ordinance Tribal Preference will be observed in hiring. Veteran's Preference: It shall be the policy of the Spokane Tribe to provide preference in hiring to qualified applicants claiming Veteran's Preference who have been discharged from the United States Armed Forces with honor and under honorable conditions. APPLY ONLINE: