The Alabama-Coushatta Indian Tribal Council Employment & Training Program is a Tribal Program that was formed in 1973. The program was designed by the Department of Labor’s Division of Indian and Native American Programs (DINAP) and is managed by the Alabama-Coushatta Tribe of Texas.
Our program provides employment and training services to Native Americans/American Indians, Native Hawaiians, and Native Alaskans that reside within the 121 county service area of the State of Texas.
It is the mission of the Alabama-Coushatta Indian Tribal Council Employment & Training Program to provide quality educational and employment opportunities to our Native American/American Indian, Native Hawaiian, and Native Alaskan clients in our service delivery area by reaching out into communities and joining forces with business leaders, workforce boards, service providers, and educational institutions to ensure participants are well prepared to meet the opportunities of employment such that they may take advantage of progressive career opportunities.
You must be a member of a U.S. Federally recognized tribe with a supporting document from a federally recognized Tribe's Tribal Rolls and Records Office
Workforce Innovation and Opportunity Act Section 166, 20 CFR 684.300 (a) (1) An Indian, as determined by a policy of the INA program grantee; (2) Alaska Native; or (3) Native Hawaiian.
Our Services: EMPLOYMENT CAREER SERVICES - A wide range of services to assist Native Americans as they seek job placement or advancement in their career.
TRAINING SERVICES - Provide job readiness training as a means of better preparing Native Americans for the workforce.
EDUCATION SERVICES - A wide range of services to assist Native Americans as they seek job placement or advancement in their career.

DescriptionSummary: The Registered Nurse Lactation Counselor provides expert lactation support and education to breastfeeding mothers and infants, utilizing the nursing process to assess, plan, implement, and evaluate individualized care. This role involves providing in-person consultations, telephone follow-ups, and outpatient services to address lactation challenges, enhance breastfeeding success, and ensure mothers and infants receive optimal care. The Lactation Counselor works closely with lactation consultants, physicians, nursing staff, and other healthcare providers to coordinate care, provide education, and ensure continuity of lactation support after discharge. The role also includes patient education, staff training, and promotion of lactation resources. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Patient Education and Counseling: Educate mothers and families about proper breastfeeding techniques, infant feeding cues, and the benefits of breastfeeding. Develop and implement personalized care plans that support breastfeeding success. Provide emotional support and encouragement to empower families to meet their breastfeeding goals. Document all interactions, assessments, and care provided in accordance with hospital policies and patient privacy regulations. Offer timely and responsive assistance to mothers requiring follow-up care, ensuring they feel supported in their breastfeeding journey. Collaboration and Coordination of Care: Collaborate with physicians, nurses, and other healthcare providers to ensure seamless continuity of care for breastfeeding families. Communicate and coordinate effectively with hospital staff to ensure lactation needs are addressed during hospital stays and post-discharge. Follow up with patients to monitor progress, address any concerns, and adjust care plans as needed. Outpatient Lactation Support: Provide individualized lactation support to mothers and infants through outpatient follow-up, including in-person visits and telephone consultations. Assess breastfeeding techniques, infant latch, milk supply, and overall breastfeeding goals. Address common lactation challenges, including sore nipples, low milk supply, latch issues, and breastfeeding pain, using evidence-based strategies. Provide guidance and support for mothers and infants experiencing more complex issues. Training and Education for Staff: Assist in the training and education of hospital staff, including nurses and other healthcare providers, to ensure accurate and consistent lactation information is provided to patients. Promote best practices in lactation care across the hospital through in-service training and educational resources. Program Development and Improvement: Contribute to the development and improvement of lactation services, ensuring they align with current evidence-based guidelines. Participate in quality improvement initiatives and audits to enhance patient outcomes and satisfaction. Additional Responsibilities: Carries out other duties as assigned. Job Requirements: Education/Skills Associate Degree in Nursing (ADN) requiredBachelor’s degree in nursing or related field preferred Experience In hospital experience preferredOutpatient follow-up care experience preferredIn-depth knowledge of lactation practices, breastfeeding management, and maternal-infant health requiredMust have strong clinical assessment and critical thinking skills to address patient needs effectivelyExcellent communication, counseling, and interpersonal skills requiredMust be able to work collaboratively in a multidisciplinary team and support diverse patient populationsStrong organizational and documentation skills needed Licenses, Registrations, or Certifications RN License in the state of employment or compact requiredIBCLC (International Board-Certified Lactation Consultant) certification requiredBLS required Work Schedule: TBD Work Type: Part Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

DescriptionSummary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. This position is specific to the Labor and Delivery Department. Responsibilities: • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. • Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. • Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. • Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. • Documents patient history, symptoms, medication, and care given. • Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. CORE COMPETENCIESStandard I: Utilizes the Nursing Process• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families• Communicates findings to appropriate healthcare team members• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)• Performs timely reassessment and documentation• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient populationStandard II. Patient Throughput & Patient Flow Process• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow• Utilizes appropriate systems of communication and tools to facilitate the discharge process • Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracyStandard III. Unit Operations• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies• Assesses departmental staffing needs; actively participates in resourcing efforts. • Educates and trains others on the operations, ethics, and regulations within the industryStandard IV. Safe Practice/Quality Care/Regulations• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes• Demonstrates accountability for nursing research and quality improvement activities• Provides evidence-based nursing care• Communicates patient information effectively across the continuum of care• Educates and trains others on the operations, ethics, and regulations within the industry• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activitiesTECHNICAL COMPETENCIESClinical Policies and Standards• Follows a specific set of standards and associated clinical procedures• Analyzes policy and standards documentation and ensures organizational compliance• Provides feedback for improvement of procedures• Assists in the development and implementation of specific procedures• Works with control and monitoring mechanisms, tools and techniquesHealth Information Documentation• Shares experiences with maintaining paper and electronic patient documentation• Walk through the steps and procedures for receiving, validating and updating patient records• Describes the flow of information between various stations or units• Discusses the functions, features and document flow of electronic documentation• Transcribes verbal orders; explains techniques for ensuring their accuracy• Explains health information documentation best practices and their rationale across health care practicesMedical Equipment• Describes experience with basic medical equipment used in own unit or facility• Uses standard diagnostic tools and techniques to resolves common equipment problems• Educates patients about the appropriate use of home medical equipment• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety• Inspects, troubleshoots and evaluates incoming equipmentMedical Order Processing• Shares experiences with processing medical orders for one or more groups of patients or conditions• Describes functions and features of the system used to enter, validate, update and forward medical orders• Discusses common errors, their sources and procedures for correcting• Explains considerations for entering and following standing orders• Differentiates between standing orders and preprinted orders and considerations for eachPatient Chart Reading and Interpretation• Describes experiences in reading and interpreting patient charts for patients on unit and under own care• Reviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissions• Recognizes unexpected readings and alerts nursing or medical staff• Relates examples of mis-readings or misinterpretations and lessons learned• Reviews, discusses and validates own interpretation with othersPatient Safety• Shares experiences with ensuring safety for one or more patient groups or settings• Explains key features of safety guidelines and procedures for those groups and settings• Listens and responds to safety inquiries from patients and family members• Recognizes and addresses physiological and psychological signs of problems• Describes considerations for patients who can cause to harm to self, versus harm to others• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time Meets all requirements identified in this position description. Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferredAll newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Department-specific competency validation. Completion of all annual competency verification requirements. Experience 1 year of experience in the related nursing specialty preferredPerinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compactCurrent certification from NCC Electronic Fetal Monitoring (C-EFM) or one of the following AWHONN courses: Intermediate FHM, Intermediate FHM Instructor, Advanced FHM Instructor, or Instructor Trainer at the time of hire for experienced nurses. If previously uncertified, certification must be obtained within 30 days of hire as they cannot practice independently without it. For new graduates and experienced nurses new to the specialty, certification must be obtained within 4 months of hire and maintained thereafter. Current ACLS certification within 30 days of hire for experienced nurses; within 90 days of hire for new graduates then required to maintain certification thereafter. Current NRP certification at time of hire for experienced nurses; within 60 days for new graduates and experienced nurses new to the specialty then required to maintain certification thereafter. Work Schedule: 7PM - 7AM Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . #LI-KR2

DescriptionSummary: A Registered Professional Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. In addition, the Registered Professional Nurse prescribes, delegates, coordinates, supervises and evaluates patient teaching and the activities of the ancillary nursing personnel while maintaining the standards of professional nursing. The Registered Nurse is able to provide direct and indirect care to patients. Requirements: A. Education/Skills Graduate of a State Board School of Nursing or equivalent. B.Experience Six (6) months experience preferred. C. Licenses, Registrations, or Certifications RN : Emergency: · Valid Registered RN license to practice professional nursing in the State of Texas. · AHA BLS Certification – within two (2) weeks of employment · AHA ACLS Certification– within eight (8) weeks of employment · ENPC or PALS Certification – withintwelve (12) monthsof employment; eighteen (18) months for a new graduate nurse · TNCC Course – within twelve (12) months of employment; eighteen (18) months for a new graduate nurse · Arrhythmia Recognition Course – within eight (8) weeks of employment Work Type: Part Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

DescriptionSummary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. CORE COMPETENCIES Standard I: Utilizes the Nursing Process Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and familiesCommunicates findings to appropriate healthcare team membersDevelops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practiceImplements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goalsEvaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)Performs timely reassessment and documentationMust be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population Standard II. Patient Throughput & Patient Flow Process Anticipates and plans for admission/discharge/transfer needs to facilitate patient flowUtilizes appropriate systems of communication and tools to facilitate the discharge processCoaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy Standard III. Unit Operations Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shiftDemonstrates good stewardship in proper use and maintenance of equipment and SuppliesAssesses departmental staffing needs; actively participates in resourcing efforts. Educates and trains others on the operations, ethics, and regulations within the industry Standard IV. Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomesDemonstrates accountability for nursing research and quality improvement activitiesProvides evidence-based nursing careCommunicates patient information effectively across the continuum of careEducates and trains others on the operations, ethics, and regulations within the industryKnowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities TECHNICAL COMPETENCIES Clinical Policies and Standards Follows a specific set of standards and associated clinical proceduresAnalyzes policy and standards documentation and ensures organizational complianceProvides feedback for improvement of proceduresAssists in the development and implementation of specific proceduresWorks with control and monitoring mechanisms, tools and techniques Health Information Documentation Shares experiences with maintaining paper and electronic patient documentationWalk through the steps and procedures for receiving, validating and updating patient recordsDescribes the flow of information between various stations or unitsDiscusses the functions, features and document flow of electronic documentationTranscribes verbal orders; explains techniques for ensuring their accuracyExplains health information documentation best practices and their rationale across health care practices Medical Equipment Describes experience with basic medical equipment used in own unit or facilityUses standard diagnostic tools and techniques to resolves common equipment problemsEducates patients about the appropriate use of home medical equipmentEnsures that all equipment and related supplies are in proper working order prior to use to ensure patient safetyInspects, troubleshoots and evaluates incoming equipment Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditionsDescribes functions and features of the system used to enter, validate, update and forward medical ordersDiscusses common errors, their sources and procedures for correctingExplains considerations for entering and following standing ordersDifferentiates between standing orders and preprinted orders and considerations for each Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient charts for patients on unit and under own careReviews patients’ charts for completion and accuracy; identifies and alerts to mistakes or omissionsRecognizes unexpected readings and alerts nursing or medical staffRelates examples of mis-readings or misinterpretations and lessons learnedReviews, discusses and validates own interpretation with others Patient Safety Shares experiences with ensuring safety for one or more patient groups or settingsExplains key features of safety guidelines and procedures for those groups and settingsListens and responds to safety inquiries from patients and family membersRecognizes and addresses physiological and psychological signs of problemsDescribes considerations for patients who can cause to harm to self, versus harm to othersUtilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications Current certification from NCC Electronic Fetal Monitoring (C-EFM) or one of the following AWHONN courses: Intermediate FHM, Intermediate FHM Instructor, Advanced FHM Instructor, or Instructor Trainer at the time of hire for experienced nurses. If previously uncertified, certification must be obtained within 30 days of hire as they cannot practice independently without it. For new graduates and experienced nurses new to the specialty, certification must be obtained within 4 months of hire and maintained thereafter. Current ACLS certification within 30 days of hire for experienced nurses; within 90 days of hire for new graduates then required to maintain certification thereafter. Current NRP certification at time of hire for experienced nurses; within 60 days for new graduates and experienced nurses new to the specialty then required to maintain certification thereafter. Work Schedule: TBD Work Type: Part Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . #LI-KR2

DescriptionSummary: A health care professional who serves as a clinical resource for patient care in the area of expertise of a wound care. Provides direct patient care, consultation, and education in the area of select disorders and surgical procedures of the integumentary, gastrointestinal, and urinary systems. Requirements: A. Education/Skills • Graduate of a nursing school; Current RN licensure. B. Experience • Wound and Ostomy; Med/Surg Experience Preferred C. Licenses, Registrations, or Certifications •Certified in wound and ostomy care or actively pursuing licensure based on the guidelines determined at date of signature. Work Type: Full Time

DescriptionSummary: Provides care under supervision of physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic. Answers phone/records phone messages, and assists provider(s) with patient related calls. Assists in scheduling test appointment, results and pre-certification. Documents any information related to patient. Assists provider(s) with medication refills. Administers medications/immunizations according to provider order. Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol. Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms. Attends/completes required meetings and in-service training and performs other duties as assigned. Requirements: CERTLVN License in state of employment or compactBLS Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

DescriptionSummary: A Registered Professional Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. In addition, the Registered Professional Nurse prescribes, delegates, coordinates, supervises and evaluates patient teaching and the activities of the ancillary nursing personnel while maintaining the standards of professional nursing. The Registered Nurse is able to provide direct and indirect care to patients. Requirements: A.Education/Skills Graduate of a State Board School of Nursing or equivalent. B.Experience Six (6) months experience preferred. C.Licenses, Registrations, or Certifications RN : Emergency: · Valid Registered RN license to practice professional nursing in the State of Texas. · AHA BLS Certification – within two (2) weeks of employment · AHA ACLS Certification– within eight (8) weeks of employment ·ENPC or PALS Certification –within twelve (12) months of employment; eighteen(18) months for a new graduatenurse · TNCC Course – within twelve (12) months of employment; eighteen (18) months for a new graduate nurse · Arrhythmia Recognition Course – within eight (8) weeks of employment Work Type: Full Time

DescriptionSummary: A Registered Professional Nurse is responsible for the delivery of patient care through the process of assessment, diagnosis, planning, implementation and evaluation. In addition, the Registered Professional Nurse prescribes, delegates, coordinates, supervises and evaluates patient teaching and the activities of the ancillary nursing personnel while maintaining the standards of professional nursing. The Registered Nurse is able to provide direct and indirect care to patients. Requirements: A. Education/Skills Graduate of a State Board accredited School of Nursing or equivalent. B. Experience Six (6) months experience preferred. C. Licenses, Registrations, or Certifications Current RN license or permit to practice professional nursing in the State of Texas. American Heart Association BLS – within two (2) weeks of employment Work Type: Part Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

DescriptionSummary: This position is an Emergency Department Educator. The Educator will support and facilitate for the emergency department line. Responsible for coordination of orientation of all nursing personnel; representation of CHRISTUS in community activities; and planning, development, implementation, and evaluation of nursing continuing education programs. Responsibilities: • Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. • Plans and implements educational activities to meet identified learning needs, utilizing adult education principles. • Develops and utilized appropriate evaluative system to determine effectiveness of educational activities. • Promotes collaborative relationships among health care professionals. Participates in committees, task forces, meetings, and activities to assist in the development of staff, ultimately resulting in improved care. • Participates in activities that promote professional development through education and other activities that enhance the practice of nursing and education. Requirements: Education/Skills • Graduate of State Board accredited School of Nursing or equivalent. • BSN required or in progress, master’s preferred. B. Experience • Five years’ experience in specialty preferred. Licenses, Registrations, or Certifications • RN License in state of employment or compact. • BLS • Certification in area of specialty preferred. Work Type: Full Time EEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .