Lead Mobile Nurse, Mobile Medical Unit

The Mobile Nurse Lead contributes to the calling of Medical Teams International by delivering high-quality, compassionate nursing care through Medical Teams’ Rural Access Mobile Health Program (RAMP). In addition to providing direct patient care, this position serves as the clinical lead for a mobile care team, providing day-to-day clinical oversight, coordinating clinic operations, supporting quality and regulatory compliance, mentoring team members, and serving as the primary clinical decision-maker during mobile clinic operations in collaboration with the Chief Medical Officer and Program leadership.

The Mobile Nurse Lead provides preventive and public health nursing services in underserved rural and frontier communities across Eastern Oregon. Responsibilities include conducting health assessments and chronic disease screenings, administering pediatric and adult immunizations, providing evidence-based health education and vaccine counseling, promoting vaccine confidence, delivering direct nursing care, and utilizing clinical judgment to determine appropriate follow-up, referrals, and care coordination. The Mobile Nurse Lead supports safe vaccine management and cold-chain practices, maintains accurate clinical documentation and reporting, and helps 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

• Serve as the clinical lead for assigned mobile clinic teams by coordinating daily clinical operations, staffing assignments, patient flow, and clinical workflows to ensure efficient, safe, and high-quality patient care.
• Provide day-to-day clinical leadership, mentorship, orientation, coaching, and support to Mobile Nurses, Medical Assistants, Community Health Workers, volunteers, students, and other assigned clinical personnel.
• Serve as the primary clinical decision-maker during mobile clinic operations within established standing orders, organizational policies, and scope of practice, in consultation with the Chief Medical Officer, Health Advisor or other designated medical providers as needed for complex clinical situations.
• Provide nursing assessment, planning and care coordination as needed.
• Provide direct nursing care, preventive health services, chronic disease screening, point-of-care testing, and pediatric and adult immunizations at Medical Teams' Care & Connect mobile health clinics.
• Apply Medical Team’s validated health screening tools.
• Oversee assessment of immunization status, screening 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.
• Establish collaborative partnerships with patients and families to promote positive health outcomes by assessing health needs, readiness for behavior change, and self-management goals, and providing individualized education and coaching.
• 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.
• 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. When assigned in a clinical leadership capacity, coordinate clinical workflows, support team safety and quality of care, and provide clinical guidance and escalation as appropriate.
• Ensure accurate and timely documentation of patient care, immunizations, vaccine inventory, and other required clinical information within the electronic health record, Oregon ALERT IIS, and other required reporting systems.
• Ensure compliance with organizational policies, standing orders, CDC/ACIP recommendations, OHA requirements, vaccine management and cold-chain protocols, infection prevention standards, documentation requirements, and applicable regulatory requirements while promoting continuous quality improvement.
• Support vaccine inventory management, storage, transport, cold-chain monitoring, temperature documentation, and inventory reconciliation in accordance with organizational policy and VFC/VAP requirements.
• Ensure mobile clinic readiness, including verification of clinical equipment, medications, vaccines, emergency supplies, and documentation prior to clinic operations.
• Maintain joint accountability to the clinic team and to the RAMP program as a whole, to include supporting colleagues throughout the organization either on site or remotely as needed.
• Identify clinical, operational, and quality improvement opportunities; communicate concerns to Program leadership; and participate in quality assurance, performance improvement, and implementation of process improvements.
• Serve as a preceptor or clinical resource for new staff, students, volunteers, and other team members while promoting a culture of safety, professionalism, and continuous learning.
• Collaborate with patients, clients, staff, and community partners to identify and address the ways that systemic racism and other forms of compounding bias are root causes of disparities in clinical/mental health and homelessness in Black, Indigenous, and other communities of color and other communities that have experienced historical and structural oppression.

Other Duties:

• 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.
• Ensure 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.
• Delegate responsibilities to Mobile Nurses, 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.