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Welcome to the Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians' (CTCLUSI) Job Opportunities page.


Jobs available in our Tribal Government and other Tribal Entities

Thank you for your interest in employment with CTCLUSI. We employ a broad range of qualified applicants with experience for positions at our different locations.

Jobs available in our Tribal Government and other Tribal Entities are as follows:

  • CTCLUSI - Tribal Government Offices
  • TRCR - Three Rivers Casino Resort (Florence and Coos Bay)

HR Recruitment
Monday - Friday
8am - 5pm 

For additional information

Attention Interested Job Applicants: You will need to register for a special login to apply for job postings. CTCLUSI members please note that this login is separate from your Citizen Portal login. Please fill out the New User registration to create a login for applying for job opportunities. Thank you

Advanced Practice Provider - Psychiatric

    • Job Tracking ID: 512409-863948
    • Job Location: Coos Bay, OR
    • Job Level: Mid Career (2+ years)
    • Level of Education: Masters Degree
    • Date Updated: September 08, 2023
    • Years of Experience: Not Applicable
    • Starting Date: ASAP
    • Close Date: Open Until Filled
    • Job Type: Full Time
    • Starting Salary: $128,800.00
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Job Description:


Under direct supervision, provides and manages direct health care for a specified patient population. The APP - Psychiatry serves as a staff provider for the outpatient tribal health clinic. The APP - Psychiatry primary duties involve carrying a caseload and providing support to Physician - Staff Psychiatrist as well as to other mental health and non-mental health clinical programs. Telemedicine approaches may be used to provide clinical care.


  • Core functions include diagnosing and treating acute and chronic health/mental health care problems, performing adult care check-ups and/or follow-up as indicated per treatment plan, prescribing medication when indicated, creating and updating treatment plans, acting as the Mental Health Treatment Coordinator when appropriate, and teaching health promotion and disease prevention to patients and/or family members.
  • Performs general evaluation for mental and medical health status, including but not limited to, completing full intake mental health evaluations, ordering of diagnostic procedures/labs/medical supplies, formulating plans of care, prescribing medication, making appropriate consults to specialty areas and ensuring that immunizations and PPD's are current as required or needed.
  • Completes all required documentation accurately, timely and thoroughly in accordance with department standards and to comply with electronic medical record requirements, including medication reconciliation, finalizing notes, clearing out personal pool, and participating in clinic pool.
  • Meets clinic site and organization needs in a reliable and flexible manner; prioritizes work and makes an effort to adhere to schedule.
  • Maintain behavioral standards, including (but not limited to), effective listening and communication skills and respectful interactions with colleagues and patients.
  • Assesses and intervenes for urgent and/or emergent mental health problems.
  • Provides nurse practitioner support and consultation to other outpatient clinics in area of expertise when available and appropriate.
  • Seeks physician consultation during scheduled supervision meetings or as needed when managing a medical or mental health condition that is not resolving as anticipated, feels adjustments in medication/therapy have not brought about the expected improvements, or any time the nurse practitioner seeks additional expertise on providing appropriate treatment for a specific condition.
  • Electronic progress notes will be in problem-oriented format and sufficiently detailed to obtain a clear picture of the patient's current health status. In addition, all patient contacts and visits with physician involvement must include the name of the physician in the progress notes.
  • Performs duties relying, as needed, on standardized procedures that allow for the collaborating physician to be available to the NP by phone or in person
  • Performs other duties as assigned.


  • Requires standing and walking for extensive periods of time.
  • Occasionally lifts and carries items weighing up to 10 pounds.
  • Requires corrected vision and hearing to normal range.
  • Requires working under stress in emergency situations and irregular hours.


  • Combination of exam rooms and medical offices.
  • Work involves considerable exposure to unusual elements, such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises.
  • Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.
  • Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment.
  • Will work with blood or blood-borne pathogens and will require OSHA training.

Conditions of Employment:

  • Successful candidate must submit to post offer, pre-employment physical examination/medical history check.
  • CPR Certified
  • Pre-employment background investigation may be required.
  • Able to obtain Oregon state licensure within 90 days of employment.


Three Rivers Health Center
150 S. Wall
Coos Bay, OR 97420

Apply online @ www.ctclusi.org

Open Until Filled

Experience and Skills:


  • Master’s or Doctorate Degree in Nursing with a focus on Psychiatric Nursing.
  • Graduation from a state-certified advanced practice program specializing in psychiatry/mental health.
  • At least 1-2 years providing direct client care to persons receiving treatment for psychiatric disorders.
  • Ability to work with both adult and youth/child populations.
  • 3+ years of experience as a psychiatric provider.
  • Experience in telemedicine.


  • Experience working in Tribal or Rural Clinic Environment

Employee Benefits

To view and apply for Three Rives Casino Resort (Florence and Coos Bay), click on the following link: Three Rivers Casino Careers
Available to ALL Team Members, such as

  • Competitive wages & advancement opportunities
  • 401(k) Deferred Compensation Plan
  • Workers’ Compensation Insurance Program
  • Professional uniforms (if required) - FREE
  • Monthly Team Member appreciation events
  • Orientation, including Guest Service Training
  • Employee Assistance Programs (EAP) - FREE to TMs and eligible dependents
  • Team Member break areas with free beverages and computer access. Coos Bay has a dining area with access to discounted shift meals; Florence has a dining area with free salad and soup and access to discounted shift meals.
  • Special prices and/or discounts on work shoes through Shoes for Crews
  • Wellness Fair activities
  • Payroll Direct Deposit
  • 24/7 internet access to your payroll records and Team Member informational documents and resources through Paylocity
  • Discounts at TRC Hotel, Gift Shop, Restaurants & Ocean Dunes Golf Course. Please ask each venue for discount availability prior to your visit.
  • Discounts and/or specials at Coastal Fitness, Oil Can Henry’s, On Your Feet with a Splash (Florence), CDW, Ferrallgas, Oregon Pacific Bank, AT&T and other community-wide merchants as they become available.

Additional Benefits for Team Members who meet Eligibility Requirements, such as

  • Health Insurance via the FEHB & access to Dental, Vision & FSA
  • Life Insurance, Short-Term & Long-Term Disability Income Protection
  • Personal Time Off accruals (aka PTO) for use as needed for vacation, sick time, and/or personal time off
  • FMLA, Medical, Personal, Bereavement & Jury Duty Leave
  • Team Member Recognition Programs
  • Training & Development

Team Members are invited to participate in TRC established committees that meet regularly. Check the bulletin boards for more information. For more information on the benefits listed above, check Paylocity or stop by Human Resources ~ M-F 8am to 5pm