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Nurse Practitioner/Physician Assistant at County of Grand Traverse

Nurse Practitioner/Physician Assistant

County of Grand Traverse Traverse City, MI Part-Time
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This is a 0.6 FTE (24 hour/wk) position.


Primary function of the job is to assume an advanced role in providing health care services, carrying out the major responsibility for the individual’s health care needs under the direction of the Medical Director. Employees in this job have no formal supervisory role, however, may train, guide, or lead employees in the designated work unit. Employees work as part of a team and are responsible for ensuring that the team meets its objectives. Assignments may include: Adolescent Health Clinics or Reproductive Health/Family Planning.
Employees must meet the minimum requirements, conditions of employment, and be able to perform successfully all essential duties and responsibilities with or without reasonable accommodations.
This position may require irregular hours. This position may require travel by the employee in the employee's own vehicle. Work may be at a Grand Traverse County Health Dept. site and may involve out of county travel.

PRIMARY DUTIES AND RESPONSIBILITIES (may include but are not limited to the following)

  • Elicits and evaluates medical history prior to performing physical examinations. Performs complete physical examinations on specified individuals. 
  • Facilitates patient referrals and follow-up when necessary. Collaborates with other health professionals and community agencies to ensure coordination of care .
  • Reviews laboratory testing and other pertinent medical information, and diagnoses and prescribes treatment for patient medical issues 
  • Counsels patients of all ages on appropriate health topics and risks.
  • May coordinate activities, groups, or meetings for students and the public to promote health awareness and for disease prevention.
  • Assists with researching, writing, and coordinating grants, including monitoring grant expenditures and preparing grant reports.
  • Promotes immunization recommendations.
  • Acts as a health advocate for individuals, families and the community.
  • Prepares, updates, and maintains records to ensure accuracy and completeness.
  • Complies with privacy and security laws (HIPAA), Federal, State, and Agency policies, and procedures.
  • Complies with all job safety requirements, including OSHA standards and quality control requirements. Participates in continuing education programs and self-directed education to keep skills and knowledge current.
  • Demonstrates appropriate communication skills in addressing co-workers, community members and partners, and clients.
  • Demonstrates basic computer skills and willingness to adapt to new software programs as indicated.
  • Demonstrates dependable and reliable attendance patterns.
  • Participates in trainings, drills, investigations, and team responses to public health emergencies and bioterrorism events.
  • Participates in Community Health Outreach activities and events.
  • All other duties as assigned or delegated.
  • Masters of Science in Nursing or Physician Assistant (MSPA) degree or equivalent
Two to four years of experience as a practitioner, including experience in area of assigned program

CERTIFICATIONS, LICENSES (minimum requirements)

  • Certification as Nurse Practitioner in the specific area required by the assigned program; or Certification as Physician Assistant National Commission on Certification of Physician Assistants or equivalent.
  • Licensure as Registered Nurse and Nurse Practitioner or Physician Assistant in the State of Michigan
Requires a valid driver's license and personal vehicle insurance and must maintain eligibility to drive as per the County's Vehicle policy.

CONDITIONS OF EMPLOYMENT (minimum qualification - legal or contractual pre-employment obligations and/or requirements, such as drug testing, background check, etc.)
A background check may be required initially and periodically for an individual hired, transferred, reclassified, promoted, or currently working in this job.   Appointment to or continued employment in this job is contingent upon a satisfactory background check which may include, but is not limited to: confirmation of a persons’ identity; review of criminal conviction records; verification of educational degree, license, or certificate required for the position; review of Department of Motor Vehicles records; Department of Justice fingerprint scan; and/or drug and alcohol testing as required and allowable by law.  A satisfactory background check is defined as the absence of a criminal history record which bears a demonstrable relationship to the applicant's or employee's suitability to perform the required duties and responsibilities of the position.


Work involves the origination of models, concepts, theories that are new to the field, and where no prototype exists in the overall organization and few, if any guidelines exist. Leadership judgment, and risk management skills are needed to deal with largely undefined issues or to find solutions to unyielding problems. Errors at this level could lead to the loss of life or major harm or life impairment.
Compared to the Registered Nurse classification, requires additional education, training, and licensure to diagnose and prescribe medications.


  • May be required to reach with hands and arms; sit; stand; stoop, kneel, or crouch; talk and hear; smell; use hands to finger, handle, or feel.
  • May be exposed to fumes or airborne particles, infectious diseases, and in isolated settings with minimal security. 
May occasionally be required to lift/move up to 50 pounds.


All Grand Traverse County Health Department employees are expected to provide professional preventative health services in a compassionate, efficient, progressive, comprehensive, and holistic manner. Additionally, all Grand Traverse County employees are expected to demonstrate a commitment to the following values:

  • Serve with Integrity
  • Be Innovative
  • Be Accountable
  • Engage the Team
  • Provide Service
  • Be Transparent
COMPETENCIES Position Specific Key Competencies for Public Health Professionals, also known as Core Competencies, are a consensus set of skills for the broad practice of public health, as defined by the 10 Essential Public Health Services:

Analytical/Assessment Skills

  • Assesses and describes community health status and factors influencing  the health of the community, including social determinants of health
  • Explains how community health assessments use information about health status, factors influencing health, assets, and resources
  • Identifies,analyzes, uses, interprets, and compares valid and reliable quantitative and qualitative data
  • Resolves gaps in data
  • Identifies assets and resources that can be used for improving the health of the community
  • Describes how evidence (e.g., data, findings reported in peer-reviewed literature, evidenced based practices) is used in decision making
  • Makes evidence-based decisions using data and other information
  • Applies ethical principles on the use of data and information
  • Advocates for the use of evidence in decision making using public health science skills
  • Uses information technology in accessing, collecting, analyzing, using, maintaining, and disseminating data and information
Policy Development/Program Planning Skills

  • Contributes to community health improvement planning 
  • Contributes to implementation of organizational strategic plan
  • Contributes to the development of program goals and objectives
  • Monitors current trends affecting the health of the community, with a focus on marginalized/disadvantaged population groups
  • Implements policies, programs and services
  • Develops options for policies, programs, and services
  • Explains the importance of and gathers information for evaluations to improve policies, programs, and services
  • Applies and implements strategies for continuous quality improvement
  • Uses public health informatics to develop, support, and improve policies, programs and services
Communication Skills

  • Assesses and ensures that the literacy of populations served (e.g., ability to obtain, interpret, and use health and other information; social media literacy) is reflected in the organization’s policies, programs, and services
  • Communicates in writing and orally with linguistic and cultural proficiency
  • Solicits input from individuals and organizations for improving the health of a community
  • Selects approaches for disseminating public health data and information
  • Conveys data and information to professionals and the public using a variety of approaches
  • Communicates information to influence behavior and improve health
  • Communicates the roles of governmental public health, health care, and other partners in improving the health of a community
Cultural Competency Skills

  • Describes the concept of diversity as it applies to individuals, populations, and the community served
  • Recognizes the ways diversity may influence policies, programs, services, and the health of the community
  • Supports diverse perspectives and ensures the diversity in individuals and populations when developing, implementing, and evaluating policies, programs, and services that affect the health of the community
  • Describes the effects of policies, programs, and services on different populations in the community
Community Dimensions of Practice Skills

  • Distinguishes the roles and responsibilities of governmental and non-governmental organizations to improve the health of a community
  • Identifies, suggests, establishes, and maintains relationships that affect and are needed to support health in the community
  • Uses community input for developing, implementing, evaluating, and improving policies, programs, and services
  • Uses and explains the way assets and resources to improve health in a community
  • Advocates for and informs the public about policies, programs, and resources that improve health in a community
  • Describes the importance of and may collaborate in community-based participatory research
Public Health Sciences Skills

  • Discusses the scientific foundation of and describes prominent events in public health
  • Retrieves evidence from multiple sources to support decision making
  • Applies public health sciences in the delivery of public health services
  • Determines limitations of evidence (e.g., validity, reliability, sample size, bias, generalizability)
  • Uses evidence in developing, implementing, evaluating, and improving policies, programs, and services
  • Contributes to the public health evidence base
Financial Planning and Management Skills

  • Explains public health funding mechanisms and identifies governmental agencies with authority to impact the health of a community
  • Adheres to organizational policies and procedures
  • Describes how teams achieve program performance standards and measures
  • Motivates colleagues for the purpose of achieving program and organization goals
  • Uses evaluation results to improve program and organizational performance
Leadership and Systems Thinking Skills

  • Incorporates ethical standards of practice into all interactions
  • Describes public health as part of a larger inter-related system of organizations working together or individually to impact the health of populations at local, national, and global levels.
  • Collaborates with individuals and organizations in developing a vision for a healthy community (e.g. emphasis on prevention, health equity for all, excellence, and innovation)
  • Advocates for the role of public health in population health
  • Participates in professional development opportunities
  • Contributes to continuous improvement of individual, program, and organizational performance


Recommended skills

Community Health
Public Health
Organizational Performance
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