Nurse (Clinical Accountability & Metrics)

About the role

This position is located at Chinle Service Unit, Chinle Comprehensive Health Care Center, Division of Nursing Services, Outpatient Nursing Clinics, Tsaile, AZ.

Provides case management & care coordination services for patients, including patient assessments, follow-up care, & evaluation activities to support continuity of care & improve patient outcomes in outpatient clinical settings. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

What you will do

• Registered Nurse Total Compensation | Pay (ihs.gov) Coordinates comprehensive case management and care for high-risk and at-risk patients, including assessment, individualized care planning, referrals, follow-up, and evaluation of patient outcomes.
• Provides skilled direct nursing care across age groups, including triage, emergency treatment, clinical assessment, nursing interventions, and maintenance of accurate health records.
• Coordinates multidisciplinary services and continuity of care by collaborating with patients, families, providers, specialty services, outside facilities, transportation resources, and other healthcare agencies.
• Provides patient and family education, counseling, and preventive health support using culturally appropriate approaches to promote self-care, disease prevention, treatment adherence, and improved health outcomes.
• Supports quality improvement, patient safety, and administrative/community outreach activities through documentation review, performance improvement efforts, staff and community education, and collaboration with the multidisciplinary healthcare team.

Requirements

• 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 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.
• 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.
• Successfully pass the E-Verify employment verification check.
• To learn more about E-Verify, including your rights and responsibilities, visit ***
• 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).

Education

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: ***

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 ***

How you will be evaluated

This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position.

For more information, visit the USA Hire Applicant Resource Center. You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement.

Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Flexibility Integrity/Honesty Interpersonal Skills Reasoning Self-Management Stress Tolerance Teamwork Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration.

Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: *** Additional selections may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement.

By applying, you agree to have your application shared with interested selecting official(s) at HHS. Clearance of CTAP/ICTAP will be applied for similar positions across HHS. This position will be filled through the Office of Personnel Management's Direct Hire Authority.

Category rating and Veterans' Preference will not be considered in evaluating applicants. For more information on Direct Hire Authority, please see OPM Direct Hire Fact Sheet. Your application (resume and supporting documentation) will be evaluated to determine if you meet the minimum qualifications required as listed on the announcement under qualification requirements.

To be considered well qualified for the purposes of the Career Transition Assistance Program (CTAP) and the Interagency Career Transition Assistance Program (ICTAP), you must substantively exceed the basic qualifications and meet all eligibility, physical, medical, suitability, and any other requirements.

All documents above MUST be received by 11:59 (Eastern Standard Time) of the closing date of 09/17/2026, to be considered.

Documents you must provide

• 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.
• (***) Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume.
• USAJOBS Help Center - Update your resume now so it meets new resume requirements Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records.
• For detailed instructions, see form BIA-4432.
• Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: ***
• Transcripts: You are encouraged to submit copies of transcripts (official or unofficial) although not required at the time of application.
• You must list your courses including titles, credit hours completed, and grades.
• Official transcripts will be required after tentative selection and prior to issuing an official job offer.
• Licensure, Certifications: Applicants should list their license/certifications on their resume, along with the expiration date, if applicable.
• Certification of licensure/certification will be required after tentative selection and prior to issuing an official job offer.

Benefits

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.

What to expect next

Stay Updated with Text Alerts You can choose to receive text message notifications about your application status. To enable this feature: Log in to your USAJOBS account. Go to your Account Settings and select Notification Preferences.

Check the option to receive SMS/Text Messages. Text message updates are optional and provided in addition to email notifications. Standard messaging rates may apply.

You can track the progress of your application package via your USAJOBS account. You will receive an acknowledgement from USAJOBS that your submission was successful once we have received your on-line eligibility questionnaire, resume, and any supporting documentation.

You will be notified of the status of your application via your USAJOBS Account after we conduct a qualification review of your complete application package. You will be contacted if further evaluation or interviews are required. Any exaggeration of your experience, false statements, or attempt to conceal information may disqualify you for employment consideration.

We may verify all information you provide in your resume and questionnaire responses, through reference and/or background check, and/or verification of your education. If you are selected, you will be contacted personally by the human resources office posting this announcement. If all required documentation is not submitted with your application you will lose consideration.

It is the applicant's responsibility to verify that information and documents entered, uploaded, or faxed are received, legible and accurate.

Additional information

This position is covered by a Bargaining Unit. Works on regularly assigned, rotational or call back basis to provide continuity of nursing care during evening, nights, weekends, and holidays. May need to travel to other agencies and or private facilities to ensure continuity of patient care.

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 - *** For NHSC - *** For HRSA Nurse Corps - *** 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. 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?

In this role, how would you use your skills and experience to improve government efficiency and effectiveness? How would you help advance the President's Executive Orders and policy priorities in this role? 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).