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Summary
This position is located at Shiprock Service Unit, Northern Navajo Medical Center (NNMC), Division of Nursing Services, Obstetric (OB) inpatient Shiprock, New Mexico. The purpose of this position is to serve as a team leader and assess patients' nursing needs, develop and modify plans of care, direct and approve care, and delegate appropriate duties to ensure safe, effective, and efficient patient care.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
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Duties
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This is a competitive vacancy announcement advertised under Direct Hire Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served, and all other Federal entitlements would remain the same.
Lead Nurse:

• Serves as team leader by communicating organizational goals, priorities, assignments, deadlines, and expectations; coordinates workload, monitors progress, resolves routine work issues, and ensures timely, quality completion of team tasks.
• Coaches, mentors, and trains team members; facilitates problem-solving and consensus building; provides guidance to nurses and healthcare providers; and supports continuous improvement of workflows, standards of care, and team performance.
• Provides specialized professional nursing care to high-risk obstetric, maternal, and newborn patients, including management of complex conditions and emergencies such as preeclampsia, hemorrhage, fetal distress, sepsis, multiple gestation, and newborn respiratory/cardiac emergencies.
• Assesses patients and develops individualized plans of care by reviewing health needs and interviewing patients and families, while implementing appropriate nursing interventions to promote safe maternal and newborn outcomes.
• Observes patients closely, documents nursing interventions, therapeutic measures administered, the patient's reactions, patient teaching and understanding in paper form or use of Electronic Health Records.
• Collaborates with physicians, midwives, and the healthcare team to monitor patient status, implement care, document interventions, and ensure safe outcomes for mother and baby.

Total Compensation Package - Check out IHS's outstanding total compensation package for this job:

• Registered Nurse Total Compensation | Pay (ihs.gov)

Requirements
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Conditions of employment
Selectee may be subject to a probationary period
U.S. Citizenship is required
Selective Service Registration is required for males born after 12/31/1959
This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
Works on a regularly assigned or rotational basis to provide continuity of nursing services during days, evenings, nights, weekends, holidays, and other tours as required.
Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/.
Background Investigation Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.
A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.
Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.
Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.
Financial Suitability Requirement:
This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying.
Individuals with substantial delinquent or unresolved financial obligations-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).
Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.
Qualifications
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.
BASIC REQUIREMENT(S):
Education
A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.
Degree from Foreign Nursing School:
Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.
Licensure
For all grade levels and positions, applicants must have passed the National Council Licensure Examination. In addition, they must possess a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
Experience
The work experience must have equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. At the GS-9 and above grade level, many positions may require experience in a specialty area of nursing.
Basic Requirements for the GS-11 (or equivalent) Grade Level
In addition to the above requirements, applicants must meet one of the following requirements:

• Successful completion of a PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field; or
• At least one full year of professional nursing experience (equivalent to the GS-9 grade level) and possession of a diploma, associate degree, bachelor's degree, or master's degree from a professional nursing educational program.

In addition, to the Basic Requirements, you must also meet the Minimum Qualifications stated below-
MINIMUM QUALIFICATIONS:
Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:
GS-11: Providing professional nursing care and serving as a team lead for high-risk obstetric and newborn patients in Labor and Delivery, Obstetrical Triage, Postpartum, Newborn Nursery, and Neonatal Stabilization settings; managing complex maternal and neonatal conditions and emergencies; performing STAT cesarean section support, circulating/scrub nursing, newborn resuscitation, and stabilization; administering medications, IV fluids, blood products, and other prescribed treatments; developing and modifying individualized plans of care; mentoring and providing guidance to nursing staff; coordinating patient care and resources; and collaborating with physicians, midwives, and interdisciplinary teams to ensure safe, effective patient care.
Education
This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Additional information
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire CompetencyBased Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport-usastaffing.opm.gov/hc/en-us/sections/45063131363475-Reasonable-Accommodation-Information)
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

• This position is covered by a Bargaining Unit.
• Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required.

The Indian Health Service (IHS), National Health Service Corps (NHSC), and the Health Resources and Services Administration (HRSA) have student loan repayment programs for qualifying health disciplines. This is a competitive process separate from the hiring process. Opportunities for LRP are based on agency hiring priorities and availability of funds.

• For additional information please visit:For IHS - http://www.ihs.gov/loanrepayment/
• For NHSC - https://nhsc.hrsa.gov/loanrepayment/
• For HRSA Nurse Corps - https://bhw.hrsa.gov/loansscholarships/nursecorps

You will be evaluated for this position in accordance with the OPM Merit Hiring Plan.
As part of the application process, you will be asked to provide short essay responses (200 words or less each) to the following four questions.

1. How has your commitment to the Constitution and the founding principles of the United States inspired you to pursue this role within the Federal government?
2. In this role, how would you use your skills and experience to improve government efficiency and effectiveness?
3. How would you help advance the President's Executive Orders and policy priorities in this role?
4. How has a strong work ethic contributed to your professional, academic or personal achievements?

• Your responses are optional and will not be scored.
• However, they may be reviewed by hiring managers and agency leadership (or designees) during the evaluation process.
• You will be asked to certify that your responses are written in your own words and that you did not use a consultant or artificial intelligence (AI) tool (such as ChatGPT or Copilot).

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
IHS Selectees whose duties and responsibilities require them to work permanently, temporarily, or occasionally in an IHS healthcare facility must comply with the IHS Employee Immunization Policy related to vaccine-preventable diseases, consistent with recommendations for healthcare workers. Vaccine exemption requests may be available, as outlined in the IHS Employee Immunization Policy