Certified Nurse Practitioner

Title: 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: vdh.virginia.gov

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.

This position will be measured through the following Opioid Abatement metrics

• Individuals that have participated in prevention education programing
• Efforts directed towards pregnant/nursing woman with substance use disorders
• Efforts directed towards adults with substance use disorders who are not incarcerated or pregnant/nursing

• Other harm reduction effort

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 (ref CCPHP 1B4, 1B8, 1B11, 3B1, 3B2, 3B6, 4B3)

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 (ref CCPHP 1A11, 3A6, 4A1, 4A2, 4A3, 7A3)

• 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 (ref CCPHP 2A7,2B7,2A8,2A10,2A11,3A4)

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.

VDH requires all Health-Care Personnel (HCP) to provide documentation of immunization or evidence of immunity to the following: hepatitis B, measles, mumps, rubella, and varicella; a one-time dose of tetanus, diphtheria, and pertussis (Tdap) vaccine regardless of the interval since the last dose of tetanus-diphtheria (Td) vaccine was administered (Td or Tdap boosters shall be received every 10 years); and the current year's seasonal influenza vaccination.

Wage employees are subject to the following conditions of employment:

• Wage employees serve at the will and pleasure of the appointing authority.
• Continuing employment is based on available funding and business need.
• Wage employees are not covered by the provisions of the Virginia Personnel Act. Therefore, they are not eligible for benefits which are provided to salaried employees, such as leave credits, holiday pay, insurance, access to the grievance procedure, etc.

• Wage employees are paid only for the hours they actually work.
• Virginia state law currently requires that agencies not permit wage employees to work in excess of 29 hours per week on average over the course of a year.

Wage employees may not work for VDH beyond 1,500 hours during the period of May 1 – April 30 of the following year (the Standard Measurement Period).

• Once a wage employee works the maximum of 1,500 hours during the Standard Measurement Period, the employee may be rehired as a wage employee of VDH only after the next Standard Measurement Period has begun.

• Wage employees are eligible to apply for all classified positions for which recruitment has been initiated, including those limited to State Employees Only.

• If a wage employee becomes employed in a classified position, he/she will be eligible to purchase retirement credit for the time worked as a wage employee.

• Continuing employment is based on available funding and business need.

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

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

VDH accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered.

Applications are accepted until 11:55 p. m. on the job closing date. Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service’s Child Abuse and Neglect Central Registry check, U.S. HHSIG Exclusion List check, employment reference check and E-Verify. Other financial, credit, driving, background checks or completion of Statement of Economic Interests may be required for certain positions.

It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and