Employment Center

Public Health Department Job

Public Health Nurse

Union, NC (Union County)

Posted 07/08/2022

Public Health Nurse

This position is classified as Public Health Nurse II by the North Carolina Division of Public Health.

CLASSIFICATION SUMMARY

The Public Health Nurse, under general supervision, provides advanced level of primary and preventive professional nursing work to individuals and families served by Union County Division of programs.  Independently demonstrates and implements techniques of professional nursing work and counsel for promotion of health, prevention of disease and protection of the health of the public.  Serves as team lead for a sub-group within a larger project and/or serves as lead nurse in designated program. Assist in data collection and review associated with clinics and projects. Work is performed in accordance with the North Carolina Nurse Practice Act, agency regulations, program policies, provider orders and evidence-based public health nursing practice. Work is accomplished through clinic assignments, home visits, project assignments or contact with community providers and agencies. Employee must have strong understanding of public health concepts, nursing theory and practice.  Employee must apply critical thinking skills ensuring orders, policies and procedures are followed. Interprets and implements public health laws, regulations and policies related to specific programs as they affect individuals, families and population systems.

Public Health is responsible for preparedness activities in the event of a natural disaster, disease outbreaks and other threats to the health of the public. Individuals in this role will be required to participate in preparedness response activities which may include mass vaccination clinics, sheltering and or dispensing medications from the Strategic National Stockpile.

ESSENTIAL FUNCTIONS

Functions as a lead nurse in assigned program.  
 
Makes short-range plans and adjusts to meet the needs of the program and clients.
 
Manages nurse-screening clinics, as applicable, based on policy, standing orders and NC PH Law.
 
Takes lead role in coordinating and planning referrals and resources for clients.
 
Provides community outreach, functioning independently outside of the department.
 
Works with program lead in program development and development of community partnerships.
 
Takes active role in quality assurance and quality improvement activities as assigned.
 
Co-coordinates and/or oversees specific operations related to preparedness response drills and activities including disaster sheltering.
 
Obtains client assessment, including family history, medical history, interval history, nutritional history, psychosocial history, health literacy, and current status.
 
Performs testing and completes procedural processes per program requirements/needs.
 
Manages sub-group programs i.e. Newborn Screens, Lead, and/or as assigned. 
 
Assesses clients' needs for services and/or follow-up based on department standing orders, policies and procedures.
 
Adapts Public Health Nursing care to individuals, families and groups based on cultural needs and differences.
 
Is mindful of cultural considerations while communicating with clients.
 
Dispenses medications according to the North Carolina Pharmacy Act / North Carolina Public Health Nurse dispensing rules.
 
Administers vaccines according to department standing orders, policy and procedures and North Carolina Vaccine for Children law.
 
Maintains medical records per EHR Policy.
 
Follows all departmental policies and procedures.
 
Participates in community outreach events and department strategic planning as assigned.
 
Participates in UCDPH emergency response activities as needed.
 
Follows OSHA and HIPAA policy, standards and guidelines.
 
Complies with the North Carolina Nurse Practice Act.
 
Performs other related duties as assigned.
 
Additional essential functions based on assigned department:

Child Health

Completes orientation and assumes program lead for one or more of the following programs: Lead, Sickle Cell, Abnormal New Born Screenings, Treehouse, Records and Referral, SIDS, Foster Child Care Coordination and/or Immunization Benchmark.
 

CMARC Program

Reviews data reports received from Care Impact, VH and CMARC referrals from providers and community members to identify children birth to five who would benefit from care management based on the Standardized Plan.

Evaluates priority risk factors identified by claims data analysis, hospital records and referrals, then contact the family of the child and evaluate for needs based on program guidelines.

Initiates Comprehensive Health Assessments on all clients determined to be at risk. Establishes processes to support care management based upon risk stratification guidelines outlined in Standardized Plan.  Complete LSP and SWYC face to face as appropriate.

Engages clients in care management services by making timely contacts as outlined in the Standardized Plan based on needs and identified risks. Develops and documents patient–centered care plans by addressing barriers and determining interventions based on client needs. Refers clients to local community resources to meet the specific needs and follows-up to evaluate outcomes.

Supports Public Health in preparedness exercises.

Communicable Disease

Responsible for communicable disease reporting and investigation as reflected in the Agreement Addendum for the program under the supervision of the program’s lead nurse.  Communicable disease nurses may have duties related to general communicable disease, tuberculosis, sexually transmitted infections and immunizations.  Other areas of responsibility may include employee health, infection control, rabies control and refugee health.  This nurse will work in coordination with the lead nurses for those programs to help insure that clinics are maintained, deliverables are met, and manuals with standing orders are kept current. 

Family Planning

The Family Planning nurse in addition to clinical duties performs daily chart review for billing/coding errors, manages the Teen Intervention Program (TIPS) by performing monthly calls to enrolled clients, maintain logs and inventory for incentive cards for participants.  Creates random audits for incentive card inventory, reconciles discrepancies if needed. 

Maintains system that tracks expiring Long Acting Reversible Contraception (LARC) and mails reminder letters to clients to schedule return appointments.

Assists with appointment scheduling and modifications to maintain efficient clinic flow.

Maternal Health

Co-leads and audits the routine and High Risk Maternal Health clinics
 
Maintains awareness and understanding of standing orders, policies, and current Agreement Addenda and serves as a resource to maternity staff to ensure compliance.  Stays abreast of clinic and program changes and assists Program Lead with communicating changes to all maternity staff.  Monitors staff and clinic workflow for quality assurance and provides feedback to Program Lead and Nursing Supervisor as appropriate to ensure clinic efficiency. Maintains pharmaceutical inventory applicable to the program area.  Confirms that all maternity notes, educational materials, and consents are up-to-date and accurate.  Completes quarterly maternity chart audits.
 
Assesses scheduling needs and appointment availability and adjusts clinic calendars as necessary to meet current demand, clinic capacity, and to ensure availability of maternity intake appointments within 2 weeks. Assesses requests for Maternity Intake appointments to determine when appointment should be scheduled or if patient should be referred to external OB office.  Schedules NST's at hospital as necessary in the event of clinic closures for holidays or inclement weather.  Ensures no-show appointments are rescheduled by fee window or nursing staff promptly.
 
Maintains continual awareness of clinic status and flow.  Adjusts lunch breaks to ensure at least one maternity nurse is present from the time of each patient's arrival until the end of their appointment. Screens patients for the provider, provide appropriate patient education as needed and follow-up as ordered, and remains centrally located and accessible to staff during clinic hours.  Assists with screening maternity intake patients.  Serves as liaison between clinic and local hospitals to coordinate referrals and care of patients.
 
Ensures clinic rooms remain stocked with supplies, equipment, and educational materials.  Processes labs by reviewing all incoming lab results, updating Lab Flowsheet in EHR, notifying maternity provider of abnormal lab results, and completing follow-up as ordered.  Serves as back up as needed to Clinic Co-Lead for labs to ensure all patient, scheduling, and referral issue follow-up is completed promptly.
 
Provides coverage in the Triage, Family Planning clinics as assigned.

Newborn Postpartum Home Visit Nurse

Completes home visit for mother and newborn within 7-10 days of discharge to provide health assessment, social support and educational services to families in their homes.

Provides Coverage in Triage and Immunization Clinic as assigned.

OB Care Management

Reviews data reports received from Care Impact and pregnancy risk screening forms received from OB providers and community members to help identify pregnant women who would benefit from care management based on Standardized Plan.
 
Contacts clients who have priority risk factors as identified by claims data analysis, risk screens and referrals and evaluates for needs based on program guidelines.
 
Completes face to face Comprehensive Health Assessments on all clients with determined risk factors. Establishes processes to support the care management based upon risk stratification guidelines outlined in Standardized Plan for Pregnancy Care Management.
 
Engages clients in care management services by making timely contacts as outlined in the Standardized Plan based on implacability scores and identified risks. Develops and documents patient–centered care plans by addressing barriers and determining interventions based on client needs. Refers clients to local community resources to meet the specific needs and follow-up to evaluate outcomes.

Works with clients face-to-face in OB provider offices, home visits, WIC visits, community encounters, and by phone.

Documents each client's assessment and plan of care accurately and timely in Virtual Health. Creates the plan of care to meet the clients' needs.

Identifies problems across the spectrum from issues related to the social determinants of health to psychosocial impacts which impede a patient's recovery as well as acute and chronic health care issues.

Recognizes negligent, physically abusive situations in order to safeguard the patient and/or family members.

Sees other health department patients as referred by clinic staff.

MINIMUM QUALIFICATIONS

Education and Experience:

Bachelor’s degree in Nursing which includes a Public Health Nursing rotation and two (2) years of Public Health nursing experience; Master's in Public Health and graduation from a school of professional nursing and two (2) years of professional nursing experience; or Graduation from a school of professional nursing and three (3) years of professional nursing experience including two (2) years of Public Health nursing experience or an equivalent combination of training and experience.

Licenses or Certifications:

Licensed to practice as a registered nurse in North Carolina by the North Carolina Board of Nursing.

Must have a valid Driver’s License and be able to maintain a safe driving history as defined by the Union County Vehicle Use Policy.

Basic Life Support - CPR

Special Requirements:

Individuals employed in a local Health Department without a BSNDegree which includes a Public Health Nursing rotation or a Master's in Public Health, will be required to successfully complete the "Introduction to Public Health Nursing" course within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule.

Completion of didactic and on the job supervision phase of expanded role specialty to program which assigned, as applicable.

PREFERRED QUALIFICATIONS

Education and Experience:

Requires a B.S. in Nursing which includes a Public Health Nursing rotation and two (2) years of Public Health nursing experience.

Licenses or Certifications:

Licensed to practice as a registered nurse in North Carolina by the North Carolina Board of Nursing.

Must have a valid Driver’s License and be able to maintain a safe driving history as defined by the Union County Vehicle Use Policy.

Basic Life Support - CPR

Special Requirements:

Individuals employed in a local Health Department without a BSNDegree which includes a Public Health Nursing rotation or a Master's in Public Health, will be required to successfully complete the "Introduction to Public Health Nursing" course within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule.

Completion of didactic and on the job supervision phase of expanded role specialty to program which assigned, as applicable.

PHYSICAL DEMANDS

Must be physically able to operate, maneuver and/or control the actions of equipment, machinery, tools, and/or materials used in performing essential functions including computers, stethoscope, hemostat, portable scales, emergency cart, telephones, etc. Must be able to exert up to 50 pounds of force occasionally, and/or a negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Light Work. Light Work usually requires walking or standing to a significant degree.

WORK ENVIRONMENT

Work is performed in a safe and secure work environment that may periodically have unpredicted requirements or demands.

Union County has the right to revise this classification description at any time. This description does not represent in any way a contract of employment.

Equal employment opportunities are allowed without regard to sex, race, religion, color, national origin, age, non-disqualifying handicap, or uniformed service.

To apply, please visit: https://www.governmentjobs.com/careers/unioncounty