Mobile Nurse, Mobile Medical Unit

The Mobile Nurse contributes to the calling of Medical Teams International by delivering high-quality, compassionate nursing care through Medical Teams’ Rural Access Mobile Health Program (RAMP). Working collaboratively with Community Health Workers, public health agencies, and community partners, the Mobile Nurse provides preventive and public health nursing services in underserved rural and frontier communities, helping expand equitable access to preventive health services while fostering trusted relationships within the communities served.

Medical Teams International Calling:

Daring to love like Jesus, we boldly break barriers to health and restore wholeness in a hurting world.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provide direct nursing care, preventive health services, chronic disease screening, point-of-care testing, and pediatric and adult immunizations at Medical Teams' mobile health clinics.
• Administer nursing care and immunizations in accordance with Medical Teams' Health Guidelines, standing orders, CDC/ACIP recommendations, Oregon Health Authority (OHA) requirements, and evidence-based clinical practices.
• Assess patient immunization status; screen for vaccine eligibility, contraindications, and precautions; administer pediatric and adult vaccines; monitor for adverse reactions; and provide appropriate post-vaccination education and follow-up.
• Provide evidence-based health education regarding immunizations, chronic disease prevention, and healthy lifestyles. Utilize motivational interviewing and culturally responsive communication techniques to address questions, reduce misinformation, support informed decision-making, and build confidence in preventive health services.
• Apply Medical Team’s validated health screening tools.
• Ensure all patient care is accurately documented in the patient’s record.
• Document immunizations, vaccine inventory, and required clinical information accurately within the electronic health record and Oregon's ALERT Immunization Information System (IIS) in accordance with regulatory requirements.
• Establish collaborative partnerships with patients and families for positive outcomes in health status; identify patient goals for improving health status and management of chronic physical and mental health conditions.
• Coordinate with Community Health Worker to refer and connect patients to primary care providers, Federally Qualified Health Centers (FQHCs), behavioral health providers, specialty care, public health services, and community resources as appropriate.
• Participate in community outreach events, school-based clinics, health fairs, and other mobile clinic activities in collaboration with public health agencies, schools, community-based organizations, and tribal partners.
• Assess patient understanding of health conditions, preventive care needs, immunization recommendations, and readiness for behavior change. Provide individualized education, coaching, and self-management support to promote healthy behaviors and chronic disease management.
• Support vaccine inventory management, storage, transport, cold-chain monitoring, temperature documentation, and inventory reconciliation in accordance with organizational policy and VFC/VAP requirements.
• Respond appropriately to medical emergencies arising during clinic operations by assessing patients, providing first aid and Basic Life Support within scope of practice, initiating emergency response procedures, and coordinating escalation to EMS or other higher levels of care as indicated.
• Maintain joint accountability to the clinic team and to the RAMP program including supporting colleagues throughout the organization either on site or remotely as needed.
• Provide nursing assessment, planning, and care coordination as needed.
• Collaborate with team members and leaders to define and reassess priorities and plan, communicate, and execute care delivery.
• Contribute to Quality and Performance Improvement efforts at the site/program to improve patient outcomes as requested.
• Maintain compliance with applicable federal, state, organizational, and program requirements, including clinical practice standards, immunization protocols, infection prevention, standing orders, vaccine management and cold-chain procedures, required documentation, and quality assurance activities. Participate in ongoing competency development and continuous quality improvement initiatives.
• Act as a focal point for new staff and/or students who are assigned to Medical Teams as part of their professional education.
• Support Medical Teams’ emergency and disaster response operations as assigned, including deployment to affected communities and provision of nursing assessment, triage, first aid, preventive and public health services, health education, care coordination, and other clinical services within scope of practice and organizational response protocols.

Other Duties:

• Support the safeguarding of program participants and employees through promoting an environment of awareness and upholding the code of conduct provisions of Medical Teams Protection from Sexual Exploitation, Abuse & Harassment, Child & Vulnerable Adult protection, and harassment-free workplace policies. Incumbents will remain alert and responsive to any child and adult safeguarding risks, acquire relevant knowledge and skills which will enable you to promote strong safeguarding practices, understand the child and adult safeguarding policy and procedures, and conduct yourself in a manner consistent with the Safeguarding code of conduct and behavior expectations.
• In collaboration with the Community Health Worker and other clinic staff, monitor, track and follow-up with patients to ensure care needs are met and referrals are completed and followed through using practice unit Resource Guides and electronic care coordination platforms.
• Delegate responsibilities appropriately to Medical Assistants, Community Health Workers, volunteers, and students in accordance with scope of practice, competency, and organizational policy.
• Collaborate with US Programs leadership to provide surge support in the event of a domestic disaster, as needed.
• Utilize volunteers when appropriate.
• Additional duties as assigned.

Qualifications

Safety-Sensitive Position Notice

A “Safety Sensitive Position” is a position in which performance by a person under the influence of drugs or alcohol would create an immediate or direct threat of injury or death to that person or another person. For Medical Teams’ purposes, this includes all personnel who operate vehicles or heavy machinery as part of their job or who provide clinical services that could result in injury or death.

• This position is designated as safety-sensitive and requires successful completion of a pre-employment drug screen.
  

EDUCATION, LICENSES & CERTIFICATIONS

Required:

• Graduation from an accredited nursing program
• State (OR) RN license in good standing
• Active CPR/BLS Certificate
• Valid driver's license with a clean driving record

Preferred:

• Bachelor’s degree in Nursing
• Master’s degree in Public Health
• Care Coordination or Case Management Certification

EXPERIENCE

Required:

• Minimum 2 years’ work experience working in public health, primary care, community health, ambulatory care, emergency care, mobile healthcare, or a related clinical setting
• Experience working effectively as part of an interdisciplinary healthcare team

Preferred:

• Experience providing healthcare services in rural, frontier, mobile, community-based, or other resource-constrained settings
• Experience providing immunizations or supporting immunization clinics or vaccine programs
• Experience supporting emergency preparedness, disaster response, humanitarian response, emergency management, or other incident-based healthcare operations
• Bilingual in English and Spanish

KNOWLEDGE, SKILLS & ABILITIES

Knowledge:

• Knowledge of evidence-based immunization practices, CDC/ACIP recommendations, vaccine administration, storage and handling, and vaccine safety principles
• Knowledge of chronic disease prevention, health promotion, motivational interviewing, and patient education strategies
• Knowledge of quality improvement principles, infection prevention and control, and regulatory standards applicable to community-based nursing practice
• Knowledge and understanding of a broad range of physical and mental health conditions throughout the lifespan
• Knowledge of best practices in primary prevention, screening, and patient education
• Familiar with the principles of trauma-informed practice and culturally responsive care

Skills:

• Skilled in clinical documentation, electronic health record use, quality reporting, and data collection.
• Skilled in administering immunizations and performing point-of-care testing.
• Moderate skilled with Microsoft Office Suite (Outlook, Teams, Word, Excel, Powerpoint) and use of electronic health records systems.

Abilities:

• Ability to exercise sound clinical judgment and practice independently within established standing orders, organizational policies, and scope of practice in mobile and community-based settings.
• Ability to establish trusting, respectful, and compassionate relationships and communicate health information effectively with patients, families, and community partners from diverse cultural, linguistic, educational, socioeconomic, and lived-experience backgrounds using culturally responsive, trauma-informed approaches and interpreters as appropriate
• Ability to work effectively both independently and collaboratively with interdisciplinary teams, Community Health Workers, volunteers, public health agencies, schools, and community partners
• Ability to work effectively in mobile, community-based, rural, and resource-constrained settings; adapt to changing clinical and operational conditions; and manage competing priorities while maintaining patient safety and quality of care
• Ability to respond appropriately to medical emergencies, including performing CPR, providing basic first aid, and operating emergency equipment within scope of practice
• Ability and willingness to support emergency and disaster response operations, including deployment to affected communities on short notice and work in dynamic, resource-constrained, and potentially austere environments, as operationally required
• Ability to maintain confidentiality and handle protected health information and other sensitive information in accordance with HIPAA, organizational policies, and applicable requirements
• Ability and willingness to travel throughout rural and frontier communities in Eastern Oregon and work a flexible schedule, including occasional evenings and weekends, as required
• Ability to embrace Medical Teams’ Calling and Core Values and represent the organization professionally with patients, partners, volunteers, donors, and the public

TRAVEL REQUIREMENTS:

This position is a 40 hours per week, hourly position which includes frequent regional travel of up to 2-4 hours per week, with occasional overnight stays as needed.

SAFEGUARDING PRINCIPLES:

Medical Teams International holds strict child and vulnerable adult safeguarding principles and a zero-tolerance policy for misconduct related to sexual harassment, exploitation and abuse in the workplace and other places where the organization’s activities are rendered. Parallel to technical competence, recruitment and selection, hiring decisions will give due emphasis to assessing candidates’ eligibility, thorough background checks, police clearance, and professional reference check processes.

PHYSICAL REQUIREMENTS & WORKING CONDITIONS

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.