Tule River Indian Health Center logo
Tule River Indian Health Center
Tule River Reservation, California

Pediatric Nurse Practitioner

Nurse PractitionerFull-Time Physician-Supervised State

Listed compensation

$125K - $145K

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 5mo ago

Job Description

Position Description

Pediatric Nurse Practitioner

Reports To: Medical Director

FLSA Status: Exempt

Salary: 125,000.00/DOE

Position Summary

The Pediatric Nurse Practitioner (PNP) is responsible for providing high-quality, culturally competent primary care services to infants, children, and adolescents at Tule River Indian Health Center, Inc. (TRIHCI).

This role focuses on health promotion, disease prevention, and management of acute and chronic pediatric conditions, while ensuring alignment with Indian Health Service (IHS), AAAHC, and applicable federal and state standards.

The PNP collaborates with medical and behavioral health staff to provide holistic care to Native American and underserved pediatric populations.

Essential Duties & Responsibilities

1. Perform comprehensive pediatric health assessments, including physical exams, developmental screenings, and behavioral evaluations.

2. Diagnose and manage acute illnesses, injuries, and chronic pediatric conditions.

3. Prescribe medications, immunizations, and therapeutic interventions in accordance with scope of practice and clinical protocols.

4. Provide anticipatory guidance and health education to patients and families regarding nutrition, growth, safety, disease prevention, and development.

5. Collaborate with physicians, nurses, behavioral health clinicians, case managers, and community health staff to ensure coordinated care.

6. Document all clinical encounters accurately and in a timely manner within the electronic health record (EHR).

7. Monitor and ensure pediatric compliance with IHS immunization schedules and well-child visit standards.

8. Refer patients to appropriate specialists or services as needed and follow up on care plans.

9. Participate in quality improvement initiatives, chart reviews, and care coordination meetings.

10. Maintain compliance with AAAHC, IHS, HIPAA, and all other regulatory guidelines and clinic policies.

Education And/or Experience

1. Master’s or Doctoral degree in Nursing from an accredited Pediatric Nurse Practitioner program.

2. Certification as a Pediatric Nurse Practitioner (PNP) through a nationally recognized certifying body (e. g., PNCB or ANCC).

3. Active and unrestricted California Nurse Practitioner license with furnishing number.

4. Current DEA registration with authority to prescribe Schedule II-V substances.

5. Current Basic Life Support (BLS) certification; Pediatric Advanced Life Support (PALS) preferred.

6. Minimum of 5 years of clinical experience in pediatric primary care preferred.

7. Experience working with Native American or underserved pediatric populations is highly desirable.

Certificates, Licenses, Registrations

1. Possess a valid California Driver’s License.

2. Possess valid First Aid/CPR certification at the BCLS level or obtain within 3 months of hire.

Preferred Qualifications and Contingencies

  • 1. Master’s or Doctoral degree in Nursing
  • 2. Certified as a Pediatric Nurse Practitioner (PNP)
  • 3. Active California NP license with furnishing number
  • 4. Current DEA registration
  • 5. Pediatric care experience in tribal or underserved settings preferred

TRIHCI maintains a drug- and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post-offer drug test and physical, and verification of each candidate’s right to work in the United States.

Physical Work Environment: The description provided here is representative of those conditions in which the Pediatric Nurse Practitioner will be required to perform the essential functions of this position. As stated earlier, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

While performing the duties of this position, the Pediatric Nurse Practitioner is situated in a standard office environment within the health center as well as in a vehicle to travel through the community; there is little exposure to variations in the weather or other similar elements.

The Pediatric Nurse Practitioner will primarily be stationed in the Medical area of the health center, in the community or on transport but will also move about the health center to meet with physicians, patients, and co-workers. Consequently, the Pediatric Nurse Practitioner must:

1. Possess the mobility to work in a standard office setting (i. e. walk, stand, or sit for extended periods of time).

2. Possess the ability to use standard office equipment to write, type, copy, fax, or perform other duties.

3. Possess the strength to lift and carry supplies weighing up to 35 lb. repeatedly and up to 50 lbs. intermittently.

4. Possess the ability to navigate stairs on a regular basis.

5. Possess the visual acuity to read printed materials and a computer screen.

6. Demonstrate hearing and speech capabilities that allow him/her to communicate in person and over the telephone as required.

The clinical setting at TRIHCI is categorized by OSHA as a Blood-borne Pathogen Category I facility. Consequently, there exists the potential for exposure to blood, body fluid/tissue, and infectious wastes. There also exists the potential for exposure to chemicals, biologicals, toxicants, and irradiants found on-site.

Disclaimer

This position description lists the major duties and requirements for the Pediatric Nurse Practitioner position as established by subject-matter experts and the Human Resources Manager at the time of this document’s creation. This position may require additional performance of duties and responsibilities beyond those outlined in this document, and thus may require additional sets of knowledge, skills, and abilities not fully articulated herein.

TRIHCI maintains a drug- and alcohol-free workplace and all offers of employment are contingent on the successful completion of a criminal background check, a post offer drug test and physical, and verification of each candidate’s right to work in the United States.

Key Responsibilities

Provide high-quality primary care, health promotion, and disease management for infants, children, and adolescents. Collaborate with multidisciplinary teams to deliver holistic care to Native American and underserved populations.

Requirements

Requires a Master's or Doctoral degree in Nursing, PNP certification, and an active California Nurse Practitioner license. Preference is given to candidates with 5+ years of pediatric primary care experience, especially in tribal settings.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Chronic Condition ManagementPrescription ManagementPatient EducationClinical DocumentationDevelopmental ScreeningBehavioral EvaluationImmunization SchedulingCulturally Competent Care

Pediatrics — Nurse Practitioner Career Context

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$135k midpoint carries the purchasing power of roughly $122k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Pediatrics listings this role was benchmarked against, 18% are remote, 66% have no call, 70% require no weekends.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pediatric Nurse Practitioner at Tule River Indian Health Center a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Pediatrics (NP) — ranked against 253 active Pediatrics (NP) listings on WeekdayDoc.

Top Nurse Practitioner Jobs

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Salary Distribution37 jobs · 31 employers

12
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8
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6
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Annual compensation range

Benefits & Perks31 jobs

401k / retirement match
84% this job
CME allowance
52%
Sign-on bonus
48%
Loan repayment
16%
Relocation assistance
16%

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Work-life snapshot

median 6.0this job 7.2
Better work-life than 80% of Pediatrics (NP) listings

Listing-based score, 0–10, across 253 comparable listings. Shaded area = the share scoring below this one.

Tule River Indian Health Center logo

About Tule River Indian Health Center

Hospitals and Health Care
Porterville, California
51-200 employees

Benefits & Perks

Health Insurance
Dental
Vision
Retirement plan