Wind River Cares, click for home. Wind River Cares, click for home.

14 Great Plains Road
Arapahoe, WY 82510
(307) 856-9281

P.O. Box 1310
Riverton, WY 82501

Hours of Operation:
Mon-Fri: 8-5

Program: Wind River Family and Community Healthcare
Salary: Depending on Experience (D.O.E.)
Opening Date: March 25, 2019
Closing Date: Open until filled
Hours: Monday-Friday 8:00 am-4:45 pm, with some variation and with on-call rotation

Job summary

The Wind River Family and Community Health Care (WRFCHC) is located on the Wind River Indian Reservation located in southcentral Wyoming. We provide healthcare services to Northern Arapaho tribal members and to other federally-recognized tribal members and their descendants living on the Wind River Indian Reservation.

This position is responsible for providing outpatient medical nutrition therapy appropriate to medical diagnosis; providing diabetes self-management education; and using public health approaches to prevent and treat obesity, diabetes, and complications of diabetes.Provides care management services for a sub-population of patients with diabetes, e.g. newly diagnosed, patients who are pregnant, diabetes in youth, uncontrolled T2DM, and for patients with other acute or chronic disease conditions that require medical nutrition therapy and dietetic instruction including but not limited to patients with cancer, congestive heart disease, etc. These services promote efficient and effective use of a variety of health resources by focusing on the whole patient to provide a seamless continuum of care. The goals are the provision of quality health care, decreased fragmentation of care, enhancement of a patient’s self-care, and quality of life and cost containment.

This position requires:

Wide knowledge of methods and principles of their own medical specialty.
Ability to analyze situations accurately, maintain patient confidentiality, and to contribute to a positive work environment.
Knowledge of the principles and practices of public health and medicine and willingness to comply with all related laws and regulations.

Duties and Responsibilities

Provides outpatient and/or telemedicine medical nutrition therapy and self-management education for those with diabetes.
Performs individual patient needs assessment to evaluate intervention priorities.
Assesses patient needs, medical condition, lab values, nutrition and weight status, self-management abilities, psychosocial concerns, learning factors, mental and emotional health status, access to health care and behavioral health care resources, and glycemic control.
Provides appropriate level and frequency of care for patients and their families as identified in the individual assessment.
In collaboration with the patient, family and integrated patient centered medical home care team, identifies realistic and appropriate interventions and goals based on needs assessment.
Supports the patient and health care team in completing the intervention and meetings goals
Provides diabetes self-management education in both individual, family and groups setting
Provide self-management education for patients with acute or chronic disease conditions that require medical nutrition therapy or dietetic instruction.
Work closely with health and allied health professionals (Case manager, Maternal Child Health nursing, public health nursing, behavioral health counselors, patient educators, public health nursing, etc.)

The candidate will demonstrate competencies in the following areas:

Provides direct patient care and develops effective therapeutic relations with patients who are predominantly American Indian
Provides or refers patients for preventative care and treatment
Assesses patient’s educational needs and refers for additional health education, behavioral health, and maternal-child-health services as appropriate.
Promptly documents in the electronic health record and accurately documents for appropriate billing for services delivered following all applicable federal and state regulations.
Strives to meet all current national patient care standards.
Refers patients as appropriate.
Complies with computer policies and learns to utilize telemedicine resources
Assists patients regardless of age, gender, sexual orientation, nationality or disability without prejudice or bias
Mains good working relationships within the department and with other departments
Treats all patients and staff members with respect and dignity
Follows established WRFCHC policies and procedures for safety and infection control standards.
Performs all duties using safe practices for employees and patients.
Demonstrates the ability to be flexible, organized and function under stressful situations.
Readily performs other duties as assigned within scope of practice.

Professional requirements

Appearance is neat and clean
Completes educational requirements including annual continuing professional education
Maintains regulatory requirements, including but not limited to CPR certification, annual physical assessment and PPD testing requirements.
Wears identification while on duty
Reports to work on time and as scheduled
Attends clinic and clinician meetings, annual review, cultural trainings, and in-services as scheduled
Maintains patient confidentiality at all times and follow HIPAA and Code of Conduct requirements
Communicates and abides by WRFCHC mission, vision, values, ethics and guiding principles.
Personal Effectiveness-take initiative to do more than is required in job assignment.
Expresses self confidence in stating opinions and when called upon to make decisions.
Handle failure constructively with emphasis on opportunity to learn from mistakes.


Must have a Bachelor’s Degree in Dietetics and be a current Registered Dietitian in good standing with the Commission on Dietetic Registration (CDR) Must have and maintain current BLS/CPR certification or, if none, must obtain within 3 months from the date of hire.

Experience and skills:

Must have at least (2) years of experience as a clinical dietitian with the majority of experience in the field of diabetes self-management.
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each of the following areas:
Possession of high ethical standards;
Reliable and dependable; reports to work as scheduled without excessive absences;
Effective verbal and written communication skills; exceptional communication and interpersonal skills are essential.
Ability to prioritize duties and work independently; must be self-motivated.
Experience with Microsoft Office, Goggle Docs and other computer applications.
Excellent clinical skills and judgement;
Experience working with Native American populations a plus;

Position Requirements


WRFCHC Clinical sites on the Wind River Indian Reservation or Addition


The applicant must participate in and qualify for their position pursuant to the WRFCHC Child Background and Character Investigation Participation policy and procedure which includes a Central Registry Child Protection and adjudicated background check.
American Indian Preference

How to apply:

Complete a Northern Arapaho Tribal application form and submit it to the Northern Arapaho Human Resources program. Applications can also be hand delivered to Northern Arapaho Human Resources at the Tribal Complex Building, located at 533 Ethete Road, Ethete, WY., or to the WRFCHC HR Department, 120 North 6th East, Riverton, WY.

Application forms and the full job description can be obtained on the Tribe’s website at or at

For more information please call 307-856-9281 Ext 134.