Advanced Registered Nurse Practitioner

The Nisqually Health and Wellness Center is seeking an experienced and compassionate ARNP to join our collaborative primary care team. This is an opportunity to provide meaningful, relationship-focused care in a community-centered setting where providers are supported both professionally and personally.

At Nisqually Health and Wellness, we believe excellent patient care starts with healthy, balanced providers. Our team is committed to creating an environment that allows you to focus on quality care without the demands and burnout often found in larger healthcare systems.

Here, you'll have the opportunity to provide truly patient-centered care, build meaningful, long‑term relationships, collaborate with a supportive, experienced care team, and make a lasting impact in the community you serve.

• Predictable Monday–Friday schedule (8 AM–5 PM)
• No weekends or after‑hours shifts
• No hospital call responsibilities
• Supportive leadership and collaborative culture
• Patient‑centered approach to care
• Competitive compensation and benefits
• Beautiful Pacific Northwest location with access to outdoor recreation and a welcoming community

If you are passionate about primary care and looking for a position that offers both professional fulfillment and personal balance, we would love to hear from you.

Please note:

NSORNA Nisqually's Sex Offender Registration and Notification Act requires all individuals who have ever been convicted of a sex offense to register with our Public Safety Department. This is true whether or not you have to register with another jurisdiction.

This position has regular contact with or control over Indian Children and Vulnerable Adults. In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children.

This position is responsible for providing appropriate primary health care services to eligible patients at the Nisqually Tribal Health Clinic. The ARNP is responsible for performing wellness exams and supervising the Native Women's Wellness Program and its staff.

Primary responsibilities are the basic job duties that an employee must be able to perform. This list of responsibilities is intended to be representative of the duties performed within this classification. The omission of a function does not preclude management from assigning duties not listed if such duties relate to the position.

• Evaluate, diagnose, and treat acute and chronic health conditions of men, women, and children.
• Take medical history, gather subjective and objective medical data.
• Perform physical examinations, review of systems and current health and prevention indicators to diagnose and treat per the current and appropriate standards of care.
• Perform excisions, biopsies, incision and drainage, laceration repairs, casting and additional minor office procedures in accordance with training.
• Develop and coordinate comprehensive plan of care for assigned patients and in accordance with training and education.
• Educate patients and perform age‑appropriate preventive health measures such as vaccinations and cancer screenings.
• Manage acute, episodic, and chronic conditions occurring in assigned patients and refer patients when disease process exceeds education, training and/or experience.
• Perform phone, in‑person, home visits and emergency triage activities.
• Observe, record, and report patient conditions and reactions to medications and treatments.
• Order or perform and interpret results for laboratory, imaging and screening tests and other specialized tests such as ECGs and audiograms.
• Initiate and expedite appropriate specialist consultations and referrals.
• Prescribe and administer medications and treatments as necessary and appropriate for the treatment of patients.
• Provide direct counseling to patients and families on medical conditions and treatments.
• Document progress notes and summaries in the…