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Ambulatory Care Program Director (DH4602) 

About the Organization Thank you for your interest in exploring the professionally rewarding and personally fulfilling benefits with Tuba City Regional Health Care Corp. We look forward to continuing our discussion about the opportunity and purpose health professionals experience as valued members of TCRHCC team.

A TCRHCC career offers a chance to live and work within or near Native communities, providing clinicians/nurses/administrators with a unique opportunity to learn the heritage of the tribes we serve, discover traditions that have been carried down for generations and gain cultural insight into the beliefs and values of a deserving and appreciative patient population.


The Program Director is responsible for the daily clinical administrative operations of a designated Ambulatory Care service line group. The incumbent ensures clinical and service quality in collaboration with the designated Medical Director. The incumbent develops, maintains, and is responsible for an annual department budget to include: Capital, Operations, staffing, and the departmental strategic goals. Ensures clinic flow is established by serving as a liaison between provider needs and clinical resources. Accomplishes department objectives by supervising staff and organizing and monitoring work processes. Provide professional services that complement the clinic team’s role of delivering primary health care services that is patient centered. Demonstrates a willingness to problem solve, inquire about or seek innovative ideas to improve and enhance ambulatory patient care services.


  1. Defines personnel requirements and position competencies for the clinic with the Medical Director of the service line team. Objectively evaluates/documents performance of assigned personnel and takes corrective action as appropriate.
  2. Continuously monitors staffing levels and adjusts as appropriate to meet various clinical care and financial objectives. Promptly interviews, hires and orients assigned personnel in conjunction with Medical Director and other pertinent parties.
  3. The ability to create supportive relationships, have relevant knowledge/clinical skills, expressing a commitment to providing supervision.
  4. Maintain an effective corrective/disciplinary process; know the disciplinary action policy, rules of conduct, and corrective/disciplinary process of TCRHCC; inform employees of expected standards of conduct and performance; counsel and coach employees as problems occur; recognize the need for initiating corrective/disciplinary action and intervene in a timely manner
  5. Participates in group practice, clinical department, and hospital-wide programs affecting the delivery of care and business practices.
  6. Works with the management team to develop/modify supply, personnel, capital equipment, and special program budgets under the guidance of Senior Leadership and the Medical Director.  Creatively identifies opportunities for improvement in all aspects of practice. Recognizes needs and responds in a timely manner, to inform senior management of operational issues within areas of responsibility. Provides monthly (and as requested) productivity reports to senior leaders and healthcare providers.
  7. Monitors and reports revenues and expenses on an on-going basis.  Takes appropriate action to ensure practice is within budgetary guidelines. Ensures appropriate information is gathered and transmitted in support of Revenue Cycle functions.
  8. Develops, plans, and schedules clinic workflow.  Facilitates patient flow communication and problem resolution. Tracks the flow of Health Information Management (HIM/Medical Records) and patient information through the clinic in coordination with TCRHCC central support departments.  Maintains compliance with all TCRHCC policies and procedures with regard to Patient Registration and HIM.
  9. Functions independently to assure planning, development, implementation, and evaluation of vital aspects of clinic programs including continuing education, career development, peer review, and performance improvement.  Develops and implements staff development programs for the continued enrichment of the staff and the program
  10. Responsible for the implementation of Joint Commission, OSHA, emergency preparedness, infection control and regulatory compliance for the service line team. Identifies appropriate internal controls for department; provides mechanisms to monitor and enforce compliance
  11. Ensures Evidence-Base standards of care are implemented and compliant with all state and federal regulations, standards of practice, and TCRHCC policies and procedures.   Develops and maintains policies and procedures to assure compliance with regulatory standards of The Joint Commission (TJC) and The Centers for Medicare and Medicaid Services (CMS).  Plans and prepares for periodic accreditation review.  Resolves critical problems which may arise within the clinic program. 
  12. Works with projects to a timely resolution and completes assignments according to agreed deadlines.  Works diligently with other departments on various projects as needed or assigned and updates the appropriate persons of the progress of the project(s) in a timely manner.
  13. Demonstrates the ability to research and apply theoretical approaches to clinical outcomes and graphically represent the results of the research.  Applies theoretical approach such as change theories and empowerment theory to facilitate positive behavior changes.  Effectively communicates with patients/families in a culturally sensitive manner and support staff in applying similar approaches in working with patients and customers.
  14. Must ensure the clinic delivers high quality patient centered care and excellent customer service.
  15. Actively participates in new learning opportunities and strives to enhance the ambulatory care business services to a service of excellence.
  16. Completes all electronic health record entries accurately and timely pertinent to patient care role.
  17. Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives.
  18. Ensure proper PPE is always worn while on duty including but not limited to face mask, gloves, gown, NIOSH-approved N95 filtering respirator or higher (if available), and eye or face shield.
  19. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (See CDC website for most current updates).
  20. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
  21. Ensure all “red zone” tasks and call backs are per House Supervisor’s and Department Manager’s PPE requirements.
  22. Other duties as assigned or directed.


The Program Director must be able to address a complex range of issues/problems typically found in the provision of care for patients involved in a Clinic/Medical Office setting.


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


The position requires an individual of high energy that can maintain a long and flexible schedule to meet the leadership requirements, including long periods sitting, work on a computer; frequent prolonged standing; walking to reach locations in the facility; talking or hearing; occasional reaching, bending, pushing, pulling, use of hands to feel, handle and finger objects. Requires the ability to carry and lift up to 25 pounds. Requires prolonged use of both hands and feet in repetitive actions. Individual must be able to use both hands in prolonged repetitive motions to grasp objects: simple/light; grasp: firm/heavy; and, utilize fine dexterity. Individual must have close, distant, color, peripheral, depth vision and be able to adjust focus when needed. Individual must be able to hear alarms of equipment, overhead pages, client calls, and instructions given by providers/department staff. The employee will be expected to assist patients, clinic staff, medical providers and move equipment and supplies commensurate with the demands of a Clinic.


Uses independent judgment and analytical skills to make decisions that impact the delivery of patient care and customer service within the organization and to carry out all responsibilities related to this position.


Individual can expect to occasionally work in outdoor weather conditions. Must also be able to work in Moderate noise level.


The purpose of this position is to provide management of services to clinic patients that promotes and carry out the mission, goals and objectives of the corporation to ensure maximum health care services to the service community and the Navajo region.


TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy.  Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position and applicants who are enrolled members of any other tribe who meet the necessary qualifications will be given secondary preference.


In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:

  • Adhere to all professional and ethical behavior standards of the healthcare industry.
  • Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
  • Possess cultural awareness and sensitivity.

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles may be grounds for immediate termination.

I have read the qualifications and requirements for the position of Ambulatory Care Program Director.  To the best of my knowledge, I believe I can perform these duties.

Position Requirements



The incumbent must possess a Baccalaureate degree in Nursing or Baccalaureate degree Health Care Administration.


  • Must have a valid, current, unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States or a Baccalaureate degree Health Care Administration.
  • Must have five (5) years of work experience in a direct patient care clinic/unit, with three (3) years of leadership experience, including three (3) years’ experience in financial management. The incumbent must also demonstrate experience in healthcare and laboratory accreditation survey process and requirements.
  • Must have and maintain a current, valid Basic Life Support (BLS) from the American Heart Association (AHA).

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

  • Positive working relationships with Medical Staff Providers, front line staff and others.
  • Possession of high ethical standards and no history of complaints.
  • Reliable and dependable; reports to work as scheduled without excessive absences.
  • Ability to work under conditions of frequent interruptions and willingness to work flexible schedule.
  • Possess expertise in communication, interpersonal, organizational leadership, and team building skills as demonstrated success in past positions as evidenced by references.
  • Ability to positively motivate individuals and teams to meet or exceed program/project expectations.
  • Demonstrated skill working successfully within a complex integrated health system by achieving goals through coordination with system departments and administration.
  • Ability to analyze budgetary data, develop operational and capital budgetary proposals, and an ability to provide recommendations regarding the allocation of budgetary funds.
  • Responds positively to supervision to enhance and improve job performance outcomes of self and team.
  • Familiar with Patient Centered Medical Home (PCMH) Model concept and accreditation requirements.


Preferred Education:

A Master’s degree in Nursing, Health Care Administration, Business Administration or equivalent in a related field.

Preferred Experience:

Ten (10) years of experience in a healthcare setting, with supervisory and financial experience.

Other Preferred Skills and Abilities:

Ability to speak Navajo

Close Date 6/12/2021  
EOE Statement The Tuba City Regional Health Care Corporation (TCRHCC) is committed to equal opportunity employment. In accordance with the Navajo Preference in Employment Act (NPEA) and TCRHCC policy, preference is given to qualified Navajo and Native American candidates. Those applicants requiring reasonable accommodations(s) during the application and/or interview process should notify a representative in the Human Resources Department.  
Exempt/Non-Exempt Exempt  
Full-Time/Part-Time Full-Time  
Location Tuba City Regional Health Care Corporation  
Navajo/Indian Preference Applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position.  
Open Date 4/30/2021  

This position is currently not accepting applications.

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