Public Health Nurse II (Clinical & CAP)
Salary
$65,231.00 Annually
Location
Nashville, NC
Job Type
Full Time
Job Number
2026-00049
Department
Health Department
Opening Date
06/01/2026
Closing Date
Continuous
General Statement of Duties
To provide nursing services to all Nash County Health Department patients following agency policies, procedures and standing orders. Health department programs include Maternal Health, Family Planning, Womens Health, Adult Health, Child Health, Immunization, STD/HIV, Tuberculosis and Communicable Disease.
To provide the nursing portion of the annual multidisciplinary assessments for target patients as required per the most current NC Medicaid Community Alternatives Program for Disabled Adults and Children (CAP/DA and CAP/C) Clinical Coverage policies.
Community Alternative Program for Disabled Adults {CAP/DA) -A Medicaid Home and Community-Based Services (HCBS) Waiver authorized under section191S(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and community-based waiver services. This waiver program provides a cost-effective alternative to institutionalization for a beneficiary, in a specified target population, who is at risk for institutionalization if specialized waiver services were not available. These services allow this targeted individual to remain in or return to a home and community-based setting.
Community Alternative Program for Children (CAP/C) - A Medicaid Home and Community based Services (HCBS) program authorized under section1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-based Waiver Services. This waiver program provides a cost-effective alternative to institutionalization for a Medicaid beneficiary who is medically fragile and at risk for institutionalization if home- and community based services approved in the CAP/C waiver were not available. These services allow the beneficiary to remain in or return to a home and community-based setting. This waiver supplements, rather than replaces, the formal and informal services and supports already available to an approved Medicaid beneficiary.
Work Schedule:
8:00 a.m. - 5:00 p.m. Monday through Friday. Some duties require working occasional weekends and overnight travel. Employee may have to work emergency shelter or special clinics as necessary. Hours vary depending on the services of the department and the needs of patient.
Essential Duties and Tasks
40%CAP Public Health Nurse
Performs nursing assessments on patient at time of annual reassessments.
Expected total CAP/DA and CAP/C visits to be between 5-20 patients per month but may vary depending on available slots and changes in patient status.
Reviews patients current medications.
Enters data into EHR (eCap).
Documents date RN assessment completed in CAP/DA - CAP/C spreadsheet as notification to patient's CAP Case Manager that visit has been completed.
10%Womens Health Program
Completes an initial or interim medical and psychosocial history. Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding medical and psychosocial problems identified.
Provides education, counseling, and instructions regarding methods of birth control and method chosen.
Dispenses appropriate medications and/or birth control method according to the Departments Pharmacy Policy and Procedure and Family Planning Policy and Procedures and Standing Orders.
Updates immunizations per Standing Orders.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patients medical record according to the Departments Medical Record Policy.
10%Prenatal Program
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab test per standing orders and guidance from clinician. Provides education and counseling regarding medical and psychosocial problems identified.
Provides appropriate education and counseling. Assists physician with exam.
Dispenses appropriate medications and/or vitamins and iron according to the Departments Pharmacy Policy and Procedures and Maternity Policy and Procedures.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patients medical record according to the Departments Medical Record Policy and Procedures.
10%STD/HIV Program
Completes an initial or interim medical and sexual history. Orders appropriate lab tests.
Provides education and counseling regarding problems identified.
Dispenses or administers appropriate treatment according to the STD Policy, Procedures, and Standing Orders, and according to the Departments Pharmacy Policy and Procedures.
Updates immunizations per Standing Orders. Provides pre and post-test HIV counseling.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patients medical record according to the Departments Medical Record Policy.
Fills in as necessary to receive referrals from other health care facilities. Contacts patients needing medical treatment.
10%Child Health
Completes an initial or interim medical, psychosocial, and developmental history.
Performs visual acuity and hearing screening and takes blood pressure on children four years and older. Orders appropriate lab work.
Counsels parent regarding nutrition, growth and development, medical concerns, immunizations, care of the newborn and older child, etc.
Dispenses or administers medications and immunizations according to the Standing Orders of the Child Health Program and the Pharmacy Policy and Procedures.
Issues prescription according to the Standing Orders of the Child Health Program. Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patients medical record according to the Departments Medical Record Policy.
10%Adult Health Program
Completes an initial or interim medical and psychosocial history. Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding problems identified (ex., chronic disease and disease prevention).
Dispenses medications according to the Departments Standing Orders and Pharmacy Policy and Procedures.
Updates immunizations per Standing Orders. Initiates referrals.
Documents findings and all activities in the patients medical record according to the Departments Medical Record Policy.
5%Communicable Disease/COVID-19/Community Health
Administers immunizations per Standing Orders. Provides education and counseling.
Documents findings in the patients medical record according to the Departments Medical Record Policy.
Participates in disaster services as required.
Assists with department wide community activities, i.e.: community flu/pneumonia programs, COVID-19 vaccine and//or testing clinics, health fairs, etc.
Assists other Department staff with school activities; i.e.: immunizations, communicable disease services, etc.
Assist with Red Cross disaster sites/shelters as needed Participates in disaster services as required.
5%Other Duties
Assists with general clinic patients; i.e.: those presenting for pregnancy tests, TB medications, hepatitis B vaccine, blood pressure checks, B12 injections, etc.
Maintains required personnel records (ex., time, travel, and telephone logs).
Attends staff training and other continuing education programs and monthly staff meetings. Helps maintain a safe working environment.
Performs other duties as assigned by the supervisor or health director.
Knowledges, Skills and Abilities
A considerable knowledge of and skill in the application of nursing theory, practices, principles, and techniques employed in the field of public health and related programs is required and have the ability to apply these principles and practices of public health.
This position requires strong assessment skills and qualifications to perform adult and pediatric physical assessments. Ability to secure the cooperation of clients, to elicit needed information and to maintain effective working relationships; ability to record accurately services rendered and to interpret and explain records, reports, and medical instructions. Requires knowledge of available resources and appropriate referral methods. Requires the ability to plan and coordinate work with others, to deal tactfully with others, and to exercise good judgement in appraising situations and making decisions. Requires working knowledge of current social and economic problems relating to public health.
Accuracy Required in Work:
Accuracy is required when determining eligibility for case management services. Accuracy and sound judgement are required in all nursing interventions with patients. Accuracy is required in identifying patient needs through interview and for performing medical and psychosocial assessments, and for documentation, and referral process, as well as following agency policies and procedures.
Consequence of Error:
Errors could result in inappropriate or inadequate health services endangering the health and safety of patients. Errors may also precipitate malpractice lawsuits and/or disciplinary action by the North Carolina Board of Nursing resulting in serious ethical, legal and financial consequences. Failure to educate parents on domestic violence resources may have negative impact on clients safety.
Failure to report neglect/abuse may become life threatening to the child.
Instructions Provided to Employee:
General instructions and guidance provided by Social Work Supervisor, Nursing Supervisor,
Health Director, Program Consultants and Medical Consultants on an ongoing basis. Job description delineates responsibilities of position. Program and agency guidelines and protocols are available. Receives a twelve-week minimum orientation. Attends workshops related to job. In-house updates at monthly staff meetings or by written memo.
Guides. Regulations, Policies and References Used by Employee:
North Carolina Nursing Practice Act and Board of Nursing Directives
State Program Guidelines and Agreement Addenda for various programs
Local Personnel Policies
Federal and State Statutes and Rules
NC Public Health Children and Youth Branch
ACIP Manual
NC DHHS Womens Health Branch
NC Division of Medical Assistance for Clinical Coverage Policy
Supervision Received by Employee:
Nursing duties are supervised by Nurse Supervisor. Will require direct observation and evaluation of statistical program data, reports and record audit findings. Annual performance appraisals at least annually.
Variety and Purpose of Personal Contacts:
Requires continuous contact with staff within the Health Department on a daily basis and occasionally requires dealing with clients that are upset or dissatisfied, and with sensitive or volatile situations. Must have good communication and negotiation skills. This position also requires employee to develop and maintain ongoing working relations with other community agencies and service organizations, including physicians and hospitals. Works and interacts closely with the Social Work Supervisor, Nursing Supervisor, Health Director, Regional and State consultants.
Physical Effort:
Good physical health and stamina is needed. This position involves office and clinic duties that may include walking, sitting, stooping, bending, lifting, carrying, and other physical efforts. Some travel on rural roads is involved and may be during inclement weather (i.e., rain, extreme heat or cold, etc.). Requires the provision of patient services each day whether through applying direct clinical skills, phone calls, record management, or attending a continuing education workshop.
Work Environment and Conditions:
Some work will be conducted in various locations outside of the health department. The CAP/DA and CAP/C visits will be performed in the clients home and occasionally at Long Term Care Facilities. Some clients homes may be unkempt, unsanitary, and the building structure may be unsafe (i.e., loose boards of floor, dark, etc.). This position falls under Category I of the OSHA guidelines for exposure, meaning tasks will involve exposure to blood, body fluids, or tissue. Employee also attends appropriate seminars and workshops to remain abreast of program changes, updates and available resources. Employee may be exposed to bad weather, hazardous driving conditions, and hazardous social environments. There is a moderate level of stress to be anticipated due to the nature, scope, and complexity of the job functions.
Machines, Tools, Instruments, Equipment, and Materials Used:
Materials and equipment used mainly includes pens, paper, computer, telephone, automobile, and cellular telephone. Additionally, standard office and audio/visual equipment including: facsimile, photocopier could be used. Medical equipment that may be used include: Otoscope, Stethoscope, BP Cuff, syringes, needles, ophthalmoscope, scales, and stadiometer.
Visual Attention, Mental Concentration, and Manipulative Skills:
Concentration is required when listening to parents/caregivers and assessing what they are saying about their child/family member. Close visual attention is required in observing and assessing parental reactions to their child as well as assessing the home environment. Clients/parents may be unable to clearly express concerns.
Communicate with patient and other professionals. Must be able to organize, identify and complete the work process. Document in medical records.
Close visual attention is also a must in the clinic, home setting, office setting, as well as driving.
Safety for Others:
The part of the work which requires care to safeguard other people is continuous. Any clues of abuse or neglect must be identified and appropriately referred. Observing the clients and/or childs environment for safety is also essential. Maintaining confidentiality is also required to safeguard others. Complies with health and safety standards to safeguard the wellbeing of all clients and co workers according to state and local guidelines. Must be knowledgeable of safety policies and procedures of the department. Must be knowledgeable of local policies, procedures, and standing orders, and have the nursing expertise to provide appropriate medical care. Must be adequately immunized per Department policy. Adheres to Departments Bloodborne Pathogen Policy.
Dynamics of Work:
Changes in policy occur as state guidelines, Medicaid programs, State and local changes in policies and procedures, public demand, trends and numerous other factors are updated and the recommendations are incorporated into local policy. Changes may occur daily due to patients who require unforeseen demands. Changes also occur when recommended by the Departments local medical consultants.
This position requires the employee to be resourceful, versatile, self-motivated, energetic, competent, possess good communication skills, an ability to motivate others, and be able to work with individuals, organizations, and interested groups.
Desirable Education and Experience
REQUIRED MINIMUM TRAINING:
Graduation from an accredited school of professional nursing and one year of professional nursing experience
ADDITIONAL TRAINING/EXPERIENCE:
NC Credentialed Public Health Nursing Course (NCCPHN)
Introductions to Public Health in North Carolina Online Training Series, Certificate of Public Health Nursing in North Carolina
ICS Training 100, 200 and 700
Red Cross Disaster I and 11
CPR Certificate
CPR/Defibrillator training
HIV counseling and testing program
OAE Training
Breast exam Assessment Training
Equivalent Training and Experience: None.
License or Certification Required by Statute or Regulation:
Current license to practice as Registered Nurse in North Carolina by the North Carolina Board of Nursing.
Valid North Carolina Drivers License.
INSURANCE PROGRAMS
Nash County offers cafeteria-style benefits including:
and more!
FINANCIAL PROGRAMS
Retirement
Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.
NC401(k)
The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.
457 Deferred Compensation
The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.
Special Separation Allowance
The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.
125 Flexible Benefit Plan
Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.
Direct Deposit
Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.
LEAVE PROGRAMS
Vacation Leave
For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.
Sick Leave
For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.
Holidays
The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.
The following holidays are observed:
Military Leave
Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.
Active Duty - Reserves and National Guard - Ten paid workdays upon activation.
Civil Leave
Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.
Family Medical Leave Act
Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.
OTHER PROGRAMS
Employee Assistance Program (EAP)
The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.
Wellness Center and Telemedicine
We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.
All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.
NOTICE OF PRIVACY PRACTICES
The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.
Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.
Nash County is an Equal Opportunity Employer/Provider
In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDAs Target Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.
To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
fax: (202) 690-7442; or
email: program.intake@usda.gov
USDA is an equal opportunity provider, employer, and lender.
01
Are you currently licensed to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing?
02
Do you have a minimum of 12 months of professional nursing experience?
03
Do you have experience working with an electronic medical records system (EMR/EHR)?
04
If you answered yes, please describe your experience working with electronic medical records. Be sure to describe which medical records systems you have previously work with and to what extent.
Required Question
Employer Nash County
Address 120 W. Washington Street
Nashville, North Carolina, 27856
Phone 252-459-9853
Website http://www.nashcountync.gov