Employment Center

Public Health Department Job

Senior Public Health Nurse

Union, NC (Union County)

Posted 07/08/2022

Senior Public Health Nurse

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


The Senior 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 Public Health 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 program manager, project manager and or clinic coordinator. Employee has strong input into administrative and personnel duties and responsibilities. Employee will complete supervisory level task as assigned. These will be monitored by Public Health Nurse Supervisor.

Functions in the expanded nursing role with duties related to the employee's area of expertise in the practice area supported by the Division of Public Health. Current practice areas supported by the Division of Public Health are Physical Assessment of Adults, Child Health and Sexually Transmitted Infection. Work is performed in accordance with the North Carolina Nurse Practice Act,North Carolina Pharmacy Act, North Carolina Public Health Nurse dispensing rules, agency regulations, program policies, provider orders and evidence based public health nursing practice. Work requires performing a great variety of duties, responsibilities and coordination of work with others. Employee must have thorough understanding of public health concepts, nursing theory, evidence-based practice and administrative responsibilities. Interprets and implements public health laws, regulations and policies related to specific programs as they affect individuals, families and population systems, specialized expanded role and administrative guidelines.

Public Health is responsible for preparedness activities in the event of a natural disaster and disease outbreaks Employee must exercise initiative and independent judgment in applying and other threats to the health of the public. This position 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.


Manages program (s), service area as assigned. Program and service areas are as follows: 1) Care Management which includes Care Coordination for Children and Pregnancy Care Management. 2) Child Health Program includes Childhood Lead Program, Sudden Infant Death Program and Sickle Cell Program. 3) Family Planning Program which includes Abnormal Pap Smear follow-up, Colposcopy Services, TANIFF and Title X Compliance. 4) Maternal Health Program 5) Communicable Disease Program  which includes Sexually Transmitted Disease, Vaccine Preventable Disease, Employee Health, Tuberculosis Control and Epidemiology and Refugee Health 6) Pharmacy Program 7) Triage 8) Staff Training and Education, 9) Electronic Health Information which includes Electronic Health Record Development and  Support, Health Information Exchange and Centers for Medicaid and Medicare Incentive Programs 10) Breast and Cervical Cancer Control 11) Emergency Orders and Protocols.

The duties of this position include, but are not limited to:   

Plans and oversees the work of others. Delegates and coordinates work assignments. Provides supportive counseling and supervision of Public Health Nurses, Medical Office and Clinical Assistants.

Assures compliance with rules, regulations, guidance related to assigned program and   service area.

Conducts performance appraisals on assigned staff under direction of Public Health Nursing Supervisor.

Collaborates with clinical leaders and peers to provide population management in various programs.

Promotes a culture of quality improvement focused on quality/ effectiveness of service delivery. Initiates quality improvement activities in assigned program and service area(s) to assure access, efficiency and measure effectiveness of care.

Obtains client assessment, including family history, medical history, interval history, nutritional history, psychosocial history, health literacy and current status.

Assist supervisor in determining staffing and resource needs.

Collaborates with other community professionals to devise strategies to meet program goals.

Coordinates and provides community education and outreach, functioning independently outside of the department.

Maintains awareness of health trends and practices that are pertinent to populations served and participates in strategic planning.

Provides staff education and training, including orientation for new staff and students.

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 OSHA and HIPAA policy, standards and guidelines.

Complies with North Carolina Nurse Practice Act.

Assist with coordination and or oversee specific operations related to preparedness response drills and activities including disaster sheltering.

Completes home-visits, clinic visits and or phone visits as needed or assigned with appropriate assessment, education, referral and follow-up.

Maintains accurate medical records by recording all provision of care and, communication regarding care accurately and timely in the appropriate format.

Performs other related duties as assigned.

This position is lead nurse for the Maternal Health program.


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 BSN Degree 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.


Education and Experience:

Bachelor’s degree in Nursing which includes a Public Health Nursing rotation and two (2) years of Public Health, Maternal Health, and leadership/supervisory nursing experience.

Licenses or Certifications:

None Specified.

Special Requirements:

None Specified.


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 is performed in a dynamic environment that requires the need to be sensitive to change and responsive to changing goals, priorities, and needs.

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