Advanced Practice Provider II (Part-time)

Note: If we are unable to recruit a fully qualified candidate for the Advanced Practice Provider II position, we are open to considering applicants for a related role with growth potential.I. A. Primary Purpose of Organizational Unit: The Jones County Health Department staff serves around 9,500 citizens with the primary missiondevoted to promoting sound health policies within the community, to preventing and controlling thespread of disease, to facilitating rehabilitation of the disabled and to safeguarding the integrity of theenvironment. Employees and contracted staff provide a myriad of health and environmental services tothe residents of Jones County. B. Primary Purpose of Position: The purpose of this position involves performing advanced level of professional medical acts to includemaking medical diagnoses and dispensing medical treatment. Position serves as an extension of aphysician providing services in all health department personal care programs. Position is alsoaccountable for assisting staff nurses when decisions are beyond their scope of practice. Employeesupervises medical acts of the public health nurses and assists with the formulation of policies and/orprocedures. C. Work Schedule Normal working hours are Monday through Thursday, 8:00 am to 5:00 pm and Fridays 8:00 am toNoon. On occasion, circumstances may require the employee to work extended hours or to participatein services offered after 5:00 pm or weekend work, as needed. Scheduled hours may be amended toaccommodate special or additional services. All nurses and physician extenders are required to staffemergency shelters during disasters which require working extended hours. Employee is required towork in any public health emergency including, but not limited to natural disasters, man-madedisasters, influenza pandemics (e.g. COVID-19) or other outbreaks of communicable diseases. D. Change in Responsibilities or Organizational Relationship: To reflect a change in classification title from Physician Extender II to Advance Practice Provider II bythe NC Office of State Human Resources (NC OSHR), effective 10/31/2022. II. A. DESCRIPTION OF RESPONSIBILITIES AND DUTIES: Employee performs complete physical examinations, monitors chronic illnesses, prescribes appropriatemedications, obtains complete medical histories, collects laboratory data, performs appropriatediagnostic and therapeutic procedures such as laboratory specimens and assists with management ofsimple and common illnesses such as urinary tract infections and upper respiratory infections.APPLY HEREEmployee performs these duties in a variety of health department clinics and programs to include ChildHealth, Family Planning, Maternity, Communicable Disease, Adult Health and Primary Care offered tocitizens of all ages. Employee must be knowledgeable of all services and is assigned tasks in allhealth department personal care services. Responsible for diagnosing and treating through administering and prescribing drugs under approveddrug formulary by the Board of Medical Examiners and clinic physician. Day-to-day responsibilities arecarried out with considerable independence and when problem situations occur, employee wouldtypically consult physician. Duties require appropriate follow-up on patient status with physician. Establish follow-up appointments and makes home visits when necessary to ensure a continuity of carefor patients. May from time to time refer cases of neglect/abuse to the local Department of SocialServices, particularly when treating high-risk infants. Employee in this position is accountable for the appropriate and accurate documentation of medicalrecords by recording all patient contacts, obtaining a complete medical history and obtaining patient'sconsent for having medical records in the health department. In addition, employee is responsible fordocumenting symptoms and methods of treatment including drugs prescribed whereby in ormationcould be easily reviewed by another staff member who may also provide treatment at a later date. Considerable work is done in consultation with physician, pharmacists, social workers, healtheducators, nutritionist and other staff to establish a complete patient care plan that well serves thepatient. Efforts will be made to coordinate services and to establish goals to improve the well-being ofthe patient. Assist with flu vaccine program, making vaccine available to chronic disease patients, all those over 65years of age and high risk for influenza. Responsible for reviewing histories, explanation for possibleside effects and the value of the vaccination. Monitor any complications and prescribe medications ortake the appropriate medical steps to assist patients in overcoming complications. Responsible for communicable disease program activities such as physical examinations, diagnosisand treatments, getting appropriate specimens, collecting histories, initiating follow-up patient care andpatient education. May also participate in health department services administered to school-agechildren to include examinations and medical histories for students playing sports. Serve as an expert and resource to other medical staff in addressing problem situations, providingalternative methods, appropriate procedure implementation, and training in new procedures andmedications. Remain aware of agency medical services and address problem situations as they areidentified and recommend corrective action. Maintain the necessary emergency equipment and remainknowledgeable of its operations and impact on patients. Overall, will serve as a trainer for in-serviceeducational seminars and may participate in the evaluation, development and implementation ofagency policies, procedures, goals and objectives and other administrative functions. Employee mustpossess a complete understanding of patient care protocols and medical guidelines. Difficult situationsand issues/problems which are beyond employee's scope of practice are referred to physician andother specialists.Participates in various seminars, workshops and in-service sessions to remain knowledgeable of themost current and accurate treatment methods. Also must maintain updated knowledge and skill in lifesupport measures. Employee in this position is accountable for the completion of medical records on all patients incompliance with required standards and ensure appropriate signatures are obtained including that ofphysician. Records are reviewed as required by regulations and evaluation of those records isongoing. Necessary changes are implemented as to ensure required services. Responsible for conducting clinical audits on patient charts, performing research, and assisting withinsurance credentialing. The position also includes significant involvement in community outreachevents, providing direct interaction with the public and delivering educational sessions tocommunity members outside of a health department setting.II. B. OTHER POSITION CHARACTERISTICS: 1. Accuracy Required in Work:Accuracy is extremely important in all aspects of this position but particularly in direct patient care areas.Employee's work and decision-making responsibility have a direct effect on the client population served.Independent decision-making in this position requires 100% accuracy. 2. Consequence of Error: Employee must understand all clinic functions for the purpose of providing accurate information wheneducating, treating and counseling patients and staff. Employee's work and decision-making could have asubstantial impact on the client population served. Employee will work closely with nursing staff, regionalnursing consultant, and Health Director. Errors in work and judgment can cause sickness and even death to