Certified Nurse Practitioner

State Role Title: RN II/Nurse Prct I/Phy Asst

Hiring Range: $50.87 - $55.00

Pay Band: 5

Agency: Virginia Department of Health

Location: Cent Shen-August/Staunton -TW

Agency Website: https://www.vdh.virginia.gov/central-shenandoah/

Recruitment Type: General Public - G

Job Duties

Performs patient care as a nurse practitioner with ready on site access to a physician for guidance and oversight. Performs physical examinations, orders diagnostic tests, prescribes controlled substances, may directly perform or direct others to perform nursing assessments, may perform lab tests, take measurements, develop and implement care plans, including the administration of medication and case management. Actions performed at this level require licensure as a Certified Nurse Practitioner by state code.

A. Direct Patient Care

Conducts physical examinations and health histories on patients in a Health Department clinical setting, within the NP scope of practice and recommended guidelines. Reviews all available medical records, interviews patient/parent/guardian to obtain relevant medical, social and family history; obtains full account of current complaint, and systems review; performs full physical examinations using appropriate equipment as per protocol. Interprets lab and other diagnostic tests/results as appropriate to physical findings. Documents findings from clinical exam/labs/diagnostic tests in format utilized by CDC such that documentation adequately supports any prescribed or recommended interventions; uses appropriate VDH forms specific to clinic programs. Develops and records recommended plan of care for patient according to evaluation of all information from history, physical examination and other available information; determines treatment and plan to follow-up, in accordance with established guidelines and standards of practice. Ensures appropriate referrals for effective disease management and prevention/health promotion. Ensures a preventive, population-based public health focus and incorporation of all public health strategies/policies promoted by the district to address community health priorities and to support agency mission. Incorporates strong preventive educational component into all patient interactions; teaches patients good health habits, giving information on disease process, and risk reduction; effectively uses written handouts and teaching materials as available.

Mobile Unit & Harm Reduction Program

Order supplies for the Mobile Unit as needed. Coordinate with community partners to organize mobile unit events. Provide programmatic assistance for harm reduction programs that involve the mobile unit. Facilitate Point of Contact Testing and conventional on the mobile unit as needed. Support data collection and entry for grant management purposes. Travel may involve extended hours, and variable schedules based on program needs. Any other duties as assigned. Initiate initial prescriptions for oral daily PrEP. Routine follow up and screening for PrEP clients.

C. Immunizations

Educates clients and parents about vaccine preventable diseases and recommended immunization schedules and provides current vaccine information statement sheets. Completes client assessments for foreign travel vaccinations and submits to district health director for recommendations. Administers foreign travel vaccinations to clients according to recommendations of health director. Administers post exposure prophylaxis according to direction of district health director. Assesses high risk patients for immunizations indicated for age. Administers vaccines on unit or refers to LHD for appointment.

D. Quality Assurance

Actively participates in quality assurance and improvement to ensure quality of care, efficiency and effectiveness of services. Provides input into clinical/nursing policies and procedures to ensure they are up-to-date, consistent and compliant with nursing practice standards, agency and program policy and guidelines, and relevant laws for clinical practice. Works in concert with clinic team to evaluate clinic efficiency and effectiveness and customer-oriented patient care. Conducts quarterly chart reviews to evaluate accuracy, adherence to clinical guidelines, and care standards.

E. Professional Leadership

Serves as a role model for clinic staff in actively demonstrating support for mission-driven initiates and activities. Works with management team to plan, prioritize, and implement an overall public health program to improve community health status. Participates in strategic planning, research & investigative activities, including community assessments to prioritize public health issues, and develop effective intervention strategies. Works to support alignment of clinical services with health department and agency mission, priorities and goals.

May be required to perform other duties as assigned. May be required to assist the agency or state government generally in the event of an emergency declaration by the Governor. May be required by VDH to adjust work hours, location, and job duties and participate in training to meet public health business needs, including emergencies. If this position is designated as a mobile worker, this includes both working in the field and teleworking at an alternate location when not in the field or during an emergency closing. You may be required to periodically come into your assigned office to attend meetings or training.

Minimum Qualifications

Knowledge of clinical medicine and clinical skills in pediatrics, family planning, gynecological services, STI and adult health services. Knowledge of nursing, physical examination techniques and findings, both normal and pathological, disease states, diagnostic testing and limits of testing, and pharmacology. Skills in interviewing, counseling, effective written and verbal communication. Ability to perform and interpret physical assessments, obtain medical history, perform and/or interpret diagnostic testing, formulate differential diagnoses and plan of care and provide health education to clients. Ability to work independently; ability to problem solve and to work effectively with others in a team environment. Current CPR/BLS certification.

Additional Considerations

Prior public health or community health experience.

Contact Information

Name: Michelle McKinney

Phone: 540-706-3307

Email: Michelle.McKinney@vdh.virginia.gov