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Craven County Government Public Health Nurse II - Havelock (10373) in Havelock, North Carolina

Primary Purpose

The primary purpose of this position is to provide case management and assurance of health services for Craven County Health Department adult and pediatric primary care clinics at the Havelocksatellite office.

Essential Functions

95% Primary Roles and Responsibilities

Uses the nursing proves to provide case management services to an assigned caseload.

  • Completes initial client/family assessments and problem lists.
  • Accurately identifies and priorities patient problems.
  • Performs telemedicine and phone follow-up as indicated.
  • Collaborates with client, physicians, and other providers to develop a comprehensive plan or care.
  • Effectively communicates care plans and other client-related activities both verbally and in writing to appropriate personnel and agencies.
  • Utilizes clinical skills and assessments to work autonomously in outpatient, community settings and to communicate with physicians and other providers regarding alterations in the plan of care.
  • Demonstrates the ability to use teaching, learning and counseling skills.

Assist in the Pediatric and Adult Primary Care Clinics as assigned.

  • Obtain a health history, routine lab work, and make referrals to Primary Care Providers for any abnormal or questionable findings.
  • Perform EKG, PFT, vision screenings, and hearing screenings as indicated or ordered by providers.
  • Administering a variety of medications and treatments under the written, verbal, and standing orders by physicians and midlevel providers. Observe the patient for reactions, document vital signs and record pertinent information in the patient EMR.
  • Follow up with all Primary Care patient referrals, lab follow-ups, medication refill requests, and patient drug assistance programs.
  • Provide direct patient education and collaboration related to lab findings, disease management, and care plan compliance.

Acts as a client advocate for the development of community resources.

  • Maintains a directory of available services by geographical area and updates others about new services.
  • Assist clients with the initial completion of medication assistance applications and updates as indicated, obtain orders for medications as appropriate, maintain log of assistance application status, log and dispense medications delivered to our facility for specific patients.
  • Consults others to identify potential community resources for resolving client health, psychosocial or financial problems.
  • Functions as liaison to external agencies and relays information to others which may impact care and/or services of clients.
  • Demonstrates the knowledge and skills necessary to provide service appropriate to the age of the patient.
  • Develops and initiates cost savings strategies to achieve decreases in patient resource utilization.

Collaborates effectively with departmental/program staff to achieve goals and objectives.

  • Attends department/program meetings regularly.
  • Maintains productivity and optimum client caseload as negotiated with department director.
  • Ensures collection of data for clinical measure outcomes and other studies as requested.
  • Provides information for maintenance of case management client database.
  • Supports effectors to implement disease management model.

Provides leadership in areas of clinical expertise.

  • Demonstrates effective interpersonal communication skills.
  • Develops and implements programs or projects which facilitate the attainment of corporate goals.
  • Facilitates productive meetings with interdisciplinary team members from across the system.
  • Develops strategic long-range plans in area of specialization.
  • Participates in financial planning for specialty care.

Maintains and advances knowledge and skills in area of specialization.

  • Participates in professional organizations.
  • Advances clinical expertise through attendance at conferences, re ding journals, etc.
  • Maintains a professional network among colleagues.

Participates in quality improvement (QI) activities.

  • Changes practice behaviors as a result of data.
  • Encourages clinical problem identification and resolution activities.
  • Role models use of QI principles and techniques.
  • Identifies addresses and reports quality issues identified through data sources.

5% Additional Responsibilities

  • Maintain certification in CPR.
  • Assess clients and their family in home situations by home visiting and identifying problems such as child abuse, health hazards and poor environmental conditions and take appropriate actions.
  • Serve as an advocate for families in the community.
  • Continuously update knowledge and nursing skills required to perform the job responsibilities.
  • Work as an effective member of the outreach team and develop/maintain good working relationships with both agency personnel as well as other health services providers in the community.
  • Participates in outreach audit reviews and program reviews as necessary.
  • Participates in orientation of students and/or new employees as necessary
  • In times of disaster, function as a health professional in a Red Cross Shelter.
  • Other related duties as assigned by Supervisor, Deputy Director, or Health Director.
Minimum Education and Experience
  • Graduation from an accredited school of professional nursing and one year of professional nursing experience.
  • A current license to practice as a Registered Nurse in North Carolina by the NC Board of Nursing.
  • Must maintain CPR certification.
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