Oversee the development, implementation, and management of all medical and psychiatric programming and services, ensuring high-quality care for individuals in acute mental or behavioral health crises.

Collaborate with the multidisciplinary team to ensure coordinated, patient-centered care and smooth transitions between services.

Medical Staff Leadership and Supervision:

Provide clinical oversight and direct supervision for all licensed medical staff, including Psychiatric Providers and the Nursing Manager.

Participate in the recruitment, training, and performance management of the medical team, fostering a culture of collaboration and professionalism.

Ensure all medical operations comply with applicable state, federal, and Tribal regulations (e.g., RCW 71.05, WAC standards, 42 CFR Part 2, and HIPAA).

Develop, implement, and contribute to the facility’s medical quality assurance and performance improvement initiatives.

Partner with clinical leadership to ensure treatment and stabilization services are patient-centered, evidence-based, and culturally appropriate.

May provide direct patient care via psychiatric intake assessments, individual, and group services as necessary.

Partner with Tribal representatives to integrate Tribal culture and values into medical care, training, and policies.

Demonstrate cultural humility and awareness when working with American Indian/Alaska Native patients and families.

Provide input into the budget process for medical services.

Provide after-hours medical and administrative support as required for the facility’s 24/7 operations.

Jamestown Salish Seasons 

Jamestown S’Klallam Tribe is expanding its healthcare offerings in the form of a brand new, state-of-the-art Evaluation and Treatment (E&T) Center, named Jamestown Salish Seasons, constructed on the Jamestown Healing Campus. The Medical Director role is scheduled to begin on March 1, 2026, as a full-time position. This start date provides a unique opportunity for the Medical Director to engage directly in pre-operational planning, including the completion of Policies and Procedures required for licensure, and to lead the critical recruitment, hiring, and training of the clinical staff they will supervise.

This is a unique and exciting opportunity:

This facility is the first and only Tribally owned and operated E&T in Washington State.

It is classified as a freestanding, 16-bed Residential Treatment Facility (RTF) designed to provide 24/7/365 behavioral health inpatient treatment, including crisis stabilization, diagnosis, medication management, and more.

The Center’s operational focus is on voluntary treatment as opposed to involuntary, ensuring our treatment offerings are designed from the ground up to provide world-class, recovery-oriented care.

We are committed to evidence-based, culturally responsive, and trauma-informed treatment that honors our mission, values, and standards for quality and safety.

We are seeking a highly experienced and licensed Medical Director to provide strategic clinical leadership and oversight of all medical and psychiatric services at the Jamestown Salish Seasons facility. This key leadership role is responsible for ensuring medical care aligns with the highest standards of quality, safety, and regulatory compliance in a patient-centered environment. The Medical Director collaborates closely with the Executive Director and other members of the leadership team to implement evidence-based practices, foster continuous quality improvement, and ensure compliance.

Doctor of Medicine (MD), Doctor of Osteopathy (DO), or Psychiatric Mental Health Nurse Practitioner (PMHNP).

Active Washington State licensure required.

Minimum of two (2) years of psychiatric leadership experience.

Experience in an inpatient, crisis stabilization, or institutional setting.

Comprehensive understanding of psychiatric treatment modalities, crisis intervention, de-escalation, and risk management strategies.

Strong clinical leadership, staff management, and team building skills.

Proficiency in Electronic Health Records (EHR) systems and documentation standards.

Deep knowledge of relevant legal and regulatory standards (e.g., RCW 71.05, HIPAA, 42 CFR Part 2).

Experience working with Tribal communities.

American Indian/Alaska Native preferences apply.

Jamestown Salish Seasons
706 S 9th Sequim, WA 98382
info@jamestownsalishseasons.org

Medical Director 

Provide patient-centered medical care within scope of license, training, and credentialing.

Assess patient health through interviews, physical exams, medical history reviews, and diagnostic testing.

Order, interpret, and act on diagnostic tests (e.g., labs, EKGs, x-rays).

Diagnose and treat acute and chronic conditions, including injuries and infections.

Administer injections, immunizations, and perform minor procedures (e.g., wound care, lesion removal).

Counsel patients on health promotion, disease prevention, family planning, and emotional well-being.

Ensure accurate, timely medical documentation and compliance with clinic policies.

Jamestown Family Health Clinic 

The Jamestown Family Health Clinic (JFHC) operates a nationally recognized model of care dedicated to delivering high-quality, patient-centered healthcare. Owned and operated by the Jamestown S’Klallam Tribe, JFHC is a Tribal Federally Qualified Health Center (FQHC) serving both Tribal citizens and non-Tribal community members. We provide care to over 18,000 patients with satisfaction scores that consistently exceed national benchmarks.

Rooted in the belief that community wellness is deeply connected to environmental health, JFHC offers a care experience built on relationships, collaboration, and long-term sustainability. As the largest family practice clinic on the Olympic Peninsula, we offer a team-based environment that supports both patients and providers alike.

Advanced Registered Nurse Practitioner (ARNP)

 with a strong clinical foundation to join our 

. This is an excellent opportunity for a 

 to deliver comprehensive, full-spectrum 

, supported by a resourceful medical group that includes an in-house 

orthopedist, chronic pain specialist, clinical pharmacist, behavioral health team, and tele-psych practitioners

 4-day work week with sustainable patient volumes (16–22 per day) and a 

competitive compensation model that rewards productivity

, offering greater earning potential based on the number of patients you see.

 No hospital rounding or inpatient responsibilities.

 High Nursing and MA-to-provider ratios, on-site Epic EHR support.

 Incentive opportunities, professional development, and continuing education support.

 Work closely with in-house and telehealth specialists for integrated care.

Nestled between the Olympic Mountains and the Strait of Juan de Fuca, Sequim, Washington offers an exceptional balance of professional fulfillment and outdoor adventure. Thanks to its unique position in the Olympic Rain Shadow, Sequim enjoys a mild, sunny climate and year-round recreational opportunities from hiking and biking to kayaking and fishing. Join a welcoming, close-knit community that values health, sustainability, and connection.

Certification by one of the following: AANPCB, ANCC, DNCB, NCC, PNCB, or ONCC.

Current DEA Certificate (without restriction) and 

Proficiency with Microsoft Office Suite and electronic medical records (EMR).

Strong interpersonal, communication, and collaborative skills.

The Jamestown Family Health Clinic (JFHC) is owned and operated by the Jamestown S’Klallam Tribe and provides primary medical services to both Tribal and non-Tribal community members seeking quality healthcare.

Surrounded by natural beauty and full of small-town charm; Sequim is a popular destination for outdoor enthusiasts and is one of the driest places in western Washington. An active arts community, vibrant downtown, and diverse culinary options make Sequim the cultural and commercial heart of the magnificent Olympic Peninsula. Moments away from the Olympic National Park and the Straits of Juan de Fuca you can enjoy all the spectacular views and activates from Sea to Ski.

Jamestown Family Health Clinic
808 N 5th Ave Sequim, WA 98382


Advanced Registered Nurse Practioner 

Conducting physical exams, diagnostic evaluations, and managing treatment plans.

Providing preventive care and patient education to promote long-term wellness.

Collaborating with our integrated care team to ensure coordinated, seamless patient experiences.

Managing medications in partnership with our on-site clinical pharmacists.

Maintaining accurate documentation within the EPIC electronic health record system.

Contributing to quality improvement and professional development initiatives.

We’ve built a professional environment designed to support clinical excellence and work-life balance:

 The average length of service for our physicians is 5 years and 4 months, reflecting a stable, supportive, and rewarding work culture.

 4-day work week with sustainable patient volumes (16–22 per day) and a competitive compensation model that rewards productivity offering greater earning potential based on the number of patients you see.

 No hospital rounding or inpatient duties.

 High nursing and MA-to-provider ratios, two on-site clinical pharmacists, and dedicated EHR “elbow support.”

 Work closely with on-site Behavioral Health, Orthopedics, Dermatology, and Chronic Pain Management.

 Certified Diabetes Education, Medication-Assisted Treatment (MAT), Dedicated Immunization RN Specialist, Drive-through Anti-Coag management, and Population Health and Preventative Health team. Nurse-facilitated Transitional Care Management, Behavioral Health support, Dedicated Tribal Health Nursing resource

 HRSA and IHS loan repayment eligibility available.

We are seeking a Family Practice Physician who values teamwork, connection, and compassionate care. In this role, you’ll provide comprehensive primary care for patients of all ages—from newborns to seniors—supported by an experienced, multidisciplinary care team and leadership committed to your success and well-being.

Completion of an accredited Family Medicine residency program.

Board Certified or Board Eligible in Family Medicine.

Active and unrestricted Washington State medical license (or eligibility to obtain).

Current DEA registration and BLS certification.

A compassionate, collaborative, and patient-centered approach to care.

Family Physician MD-DO 

Providing preventive care, chronic disease management, and patient education to promote long-term wellness.

Performing therapeutic procedures and managing acute illness and injury.

Managing medications in partnership with on-site clinical pharmacists.

Participating in quality improvement, professional development initiatives, and program development activities.

Assisting with after-hours and weekend on-call coverage as scheduled.

 4-day work week with sustainable patient volumes (16–18 per day) and a competitive compensation model.

 Primarily outpatient care with limited after-hours/on-call responsibilities; no inpatient rounding.

 High Nursing/MA-to-provider ratios, two on-site Clinical Pharmacists, and dedicated EHR “elbow support.”

 Work alongside Behavioral Health, Orthopedics, Dermatology, and Chronic Pain Management specialists.

 Certified Diabetes Education, Medication-Assisted Treatment (MAT), Dedicated Immunization RN Specialist, Transitional Care Management, and Population Health initiatives.

Rooted in the belief that community wellness is deeply connected to environmental health, JFHC offers a care experience built on relationships, collaboration, and long-term sustainability. As the largest family practice clinic on the Olympic Peninsula, we provide a team-based environment that supports both patients and providers alike.

We are seeking a Certified Physician Assistant (PA-C) who brings a strong clinical foundation to patient care and values teamwork, connection, and compassionate practice. In this role, you’ll provide comprehensive primary care for patients of all ages from newborns to seniors, supported by an experienced, multidisciplinary care team and leadership committed to your success and well-being.

Graduate of a Physician Assistant program accredited and recognized by the State of Washington.

National Certification (NCCPA) and active, unrestricted WA State PA license.

Current DEA registration and BLS/ACLS certification.

Clinical competence in primary care, chronic disease management, acute care, and medication administration.

Strong interpersonal, organizational, and communication skills.

Ability to work collaboratively in a multidisciplinary team and participate in program development.

Physician Assistant-Certified 

 Greet and attend to patients in person and over the phone in a professional and courteous manner.

 Check patients in and out of the clinic quickly and accurately.

 Scheduling and/or canceling appointments in the correct format for 25+ providers.

 Collect, verify, and update patient demographic data and insurance information (including adding and terming insurance coverage) and scan insurance cards into the electronic health record.

 Accurately collect and post patient co-payments and outstanding balances.

 Route and manage incoming calls from a multi-line phone system, composing and routing messages efficiently.

 Perform all duties within HIPAA regulations and adhere to all clinic policies and procedures.

 Assist patients with general tasks (paperwork, forms, calling a taxi, etc.) and perform other duties integral to the daily operations of the clinic.

The Jamestown Family Health Clinic is seeking a professional, empathetic, and detail-oriented full-time Patient Care Coordinator (PCC) to join our team. The standard schedule for this position is Monday through Friday, 8:00 AM – 5:00 PM, with occasional Saturdays from 10:00 AM – 3:00 PM.

 High School Diploma or equivalent required.

 Two (2) years of customer service experience required.

Basic money handling/management and experience with office equipment.

Excellent time management and computer proficiency in Microsoft Suites, 10-Key, and keyboarding at more than 40 wpm.

Exceptional interpersonal skills, including effective verbal and written communication.

Excellent organization skills and the ability to prioritize multiple tasks.

Washington State Medical Assistant Certification eligibility for level A. C. E. preferred

Knowledge of medical terminology and medical billing processes preferred

Effective time management, decision-making, and problem-solving skills

Patient Care Coordinator-Medical

Assist in the development, maintenance, and validation of recurring and ad hoc reports to support clinical quality, operational monitoring, and organizational performance.

Build and maintain dashboards in Power BI and other analytic tools to support provider, clinic, and leadership reporting needs, in alignment with established data definitions and quality standards.

Respond to and fulfill clinical, operational, and quality reporting requests in a timely manner, coordinating with the Quality Manager as needed to ensure accuracy and alignment with organizational priorities.

Conduct data validation, troubleshooting, and reconciliation to ensure accuracy and reliability.

Document data sources, definitions, and logic using standardized templates.

Assist with development of automated reporting processes and efficient data workflows.

Support extraction, analysis, and reporting of Quality data for internal quality improvement other regulatory or grant-driven measures.

Assist with chart abstraction, denominator validation, and clinical documentation workflow alignment.

Work with the Quality Manager to monitor provider- and clinic-level quality performance.

Contribute to identifying care gaps and supporting tools and workflows for panel management and population health activities

Maintain shared reporting resources such as data definitions, templates, and documentation to promote consistency.

Analyze operational and clinical workflow data (e.g., visit access, no-show trends, continuity of care, panel size, patient demographics) to help evaluate performance indicators and identify opportunities for improvement

Prepare summaries, trends, and performance insights for quality assurance and quality improvement initiatives.

Provide data needed for quality assurance and quality improvement projects

Collaborate with operational leaders to interpret data findings and support process improvement activities focused on efficiency, access, and patient experience

Assist in the development and maintenance of data definitions, data dictionaries, metadata, and documentation standards that support consistent reporting.

Support simple ETL processes and contribute to the creation of clean, structured datasets over time.

Promote compliance with standardized reporting logic, definitions, and governance practices across the organization.

Maintain organized workflows for receiving, tracking, and fulfilling reporting requests.

Assist in preparing accurate data submissions required for regulatory, accreditation, or grant reporting.

Support preparation for internal and external audits involving clinical documentation, quality metrics, or operational data.

Follow all applicable HIPAA, privacy, and data governance policies in all data handling activities.

Work in partnership with Quality, Clinical Informatics, operations, and providers to understand data needs and reporting requirements.

Communicate clearly about reporting timelines, challenges, and data interpretation with stakeholders across clinical, operational, and administrative departments.

Present data insights in clear, easy-to-understand formats for both technical and non-technical audiences.

Assist with staff training on data literacy and dashboard use as appropriate.

Participate in relevant committees, work groups, and QI initiatives.

Participate in continuing education and professional development aligned to analytics and healthcare quality.

Adhere to JST policies and procedures, including HIPAA and safety standards.

The Clinical Data Analyst is a key member of the healthcare team, contributing to a data-driven quality program by collecting, organizing, and analyzing clinical and operational data that inform quality improvement and organizational performance. The role collaborates with Quality, Clinical Informatics, and clinical teams to produce accurate reporting, generate meaningful insights, support quality initiatives, and enhance data accuracy across the organization

Bachelor’s or master’s degree in healthcare informatics, Data Science, Public Health, Statistics, or related field, or equivalent combination of education and healthcare analytics experience.

Experience working with clinical or healthcare operational data.

Proficiency with Power BI, Excel, or similar analytic tools.

Experience working with electronic health records (Epic preferred)

Familiarity with healthcare quality measures (e.g., UDS, eCQMs, MIPS) or willingness to learn.

Basic SQL knowledge or willingness and ability to learn quickly.

Strong analytical and problem-solving skills and attention to detail.

Ability to manage multiple tasks and meet deadlines with limited supervision.

Excellent communication skills with ability to translate data into meaningful information.

Understanding of HIPAA and data privacy requirements.

Ability to travel locally and regionally assigned

Successful completion of a criminal background check

American Indian/Alaska Native preferences apply

Experience with tribal healthcare programs, governments, or community health organizations (e.g., FQHCs).

Experience with DAX, SQL, or report automation.

Knowledge of value-based care models or population health analytics.

Experience building or maintaining data dictionaries, data standards, or documentation.

Training or certification in healthcare quality, informatics, or analytics (CPHQ, CHDA, etc.).

Clinical Data Analyst

Accounts Payable: Process, code, and pay bills through Bill.com; ensure timely and accurate vendor payments

Expense Management: Monitor, record, and reconcile expenses in Divvy and QuickBooks Online; follow up on incomplete or unapproved transactions

Monthly Reconciliations: Assist with account reconciliations and prepare monthly reconciliation reports

Audit & Compliance: Gather documentation for external auditors; assist with audit requests and ensure timely responses

Payroll Support: Serve as a backup for payroll processing

Financial Reporting: Draft monthly and interim financial statements for management review

Vendor Management: Maintain W-9 files, process and issue 1099s, and ensure vendor compliance

File Organization: Maintain and organize accounting files via Google Drive

Custom Reporting: Prepare tailored reports as needed

Inbox & Mail Oversight: Manage the accounting inbox

Credit Card Reconciliations: Collect, verify, and reconcile AMEX statements and assist with staff credit card reconciliations

Other Duties: Fulfill other finance and compliance-related tasks as assigned

Alliance For Tribal Clean Energy 

We are seeking a motivated and detail-oriented 

to join our remote finance team. This position is responsible for maintaining accurate accounting records, processing accounts payable, supporting audit-related activities, managing expense platforms, and assisting with financial reporting for our growing organization. The ideal candidate will be a proactive team player with prior nonprofit accounting experience, strong organizational skills, and proficiency with QuickBooks Online, Bill.com, Divvy, and Google Workspace.

Bachelor’s degree in Accounting, Finance, or related field (required)

2–4 years of professional accounting experience (required - nonprofit sector strongly preferred)

Direct experience processing accounts payable (required)

Ability to manage multiple deadlines and projects, working independently in a fully remote environment (required)Proficiency in QuickBooks Online, Bill.com, Divvy (Spend & Expense), and Google Sheets/Drive (required)

Strong knowledge of US GAAP and non profit accounting practices

Excellent attention to detail and organizational skills

Strong written and verbal communication skills

Demonstrated reliability and a genuine interest in supporting the organization’s mission and financial integrity

Experience with payroll, 1099/W9 compliance, and audit support is a plus

Staff Accountant 

To view a full listing of jobs with NCAI, visit:

 

NCAI welcomes American Indian, Native Hawaiian and Alaska Native businesses, governments and organizations to submit open positions to NCAI.


Employers are welcome to submit postings if they fit one of the following criteria:

Working in Indian Country

Medical Director

Jamestown Salish Seasons

Advanced Registered Nurse Practioner

Jamestown Family Health Clinic

Family Physician MD-DO

Jamestown Family Health Clinic

Physician Assistant-Certified

Jamestown Family Health Clinic

Patient Care Coordinator-Medical

Jamestown Family Health Clinic

Clinical Data Analyst

Jamestown Family Health Clinic

Staff Accountant

Alliance For Tribal Clean Energy

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