Advanced Practice Provider II

Wilson County Government•1801 Glendale Dr. Wilson, NC
•Onsite

About The Position

The Wilson County Health Department is seeking an Advance Practice Provider II to join our team and provide quality, compassionate healthcare to our community. This position will provide services across multiple Health Department clinics, including: Family Planning, Maternity, Adult Primary Care, Child Health, and General Clinic. The position works Monday through Friday, with the Health Department closed on major holidays. If you are an experienced, patient-focused provider looking for an opportunity to serve a diverse community while working in a supportive public health environment, we encourage you to apply. Join the Wilson County Health Department and make a difference in the health of our community!

Requirements

  • Licensed as a Registered Nurse by the N.C. Board of Nursing (FNP).
  • Graduation from a Nurse Practitioner program approved by the N.C. Joint Subcommittee of the Board of Nursing and Board of Medical Examiners (FNP).
  • "Approved to practice medical acts" based on education and experience by the Joint Subcommittee (FNP).
  • Graduation from a Physician Assistant Program accredited by ARC-PA (PA).
  • Passed the Physician Assistant National Certifying Examination (PA).
  • Licensed as a Physician Assistant by the North Carolina Medical Board (PA).
  • Maintain a current license to practice as a Registered Nurse in North Carolina by the N.C. Board of Nursing (FNP).
  • Maintain certification with National Commission on Certification of Physician Assistants (PA).
  • Maintain license with the N.C. Medical Board (PA).
  • Maintain a current registration with the Board of Pharmacy.
  • Maintain or be eligible to obtain DEA license.

Nice To Haves

  • One year of experience as an Advanced Practice Provider.

Responsibilities

  • Perform appropriate medical screening procedures including a complete medical, social, and obstetrical history, a focused physical and pelvic examination.
  • Obtain materials for STD investigation, cytological evaluations, wet mounts, and virology studies.
  • Implement treatment regimens for patients based on medical history, laboratory findings, and physical examination.
  • Consult or refer patients with abnormal conditions or other problems to the supervising physician, private physician, or emergency department.
  • Record findings, recommendations, and treatments ordered on the patient’s record.
  • Provide counseling, instruction, and advice on family planning methods and other medical problems and/or medicine prescribed to the patient.
  • Participate in the team approach to patient care, being cognizant of the needs of all disciplines and personnel in the clinic setting.
  • Function in the maternity clinic obtaining complete medical, social, and obstetrical history.
  • See patients at regular intervals for routine prenatal care including interim history and physical examination.
  • Provide pelvic examination, as needed, for cytology, GC and Chlamydia, Group Beta Strep cultures, wet mounts, or other tests as needed.
  • Refer high-risk patients to OB/GYN Medical Director for medical conditions that need closer monitoring or for a level of care that is beyond APP’s scope.
  • Review glucose screen results.
  • Consult and/or refer patients with abnormal conditions to the medical consultant for O.B.
  • Obtain complete medical histories and perform complete physical examinations to include speculum and bimanual on female patients in the Adult Primary Care clinic.
  • Obtain samples for STD investigation, wet mounts, and cytological evaluation in the Adult Primary Care clinic.
  • Perform Hemoccults as indicated in the Adult Primary Care clinic.
  • Perform a full battery of laboratory tests used to diagnose and treat medical problems in the primary care area as well as routine blood tests.
  • Prescribe and/or treat health problems in the Adult Primary Care clinic.
  • See patients presenting with a variety of complaints in the General Clinic.
  • Evaluate patients for sexually transmitted diseases, breast masses or other breast problems and those patients needing evaluation for pregnancy.
  • Consult with clinic nurses regarding patients with hypertension, diabetes, urinary tract infection, upper or lower respiratory infection and other medical problems.
  • Perform physical examinations including heart and lung exams, ear, nose, throat, and abdominal exams.
  • Perform pelvic exams including speculum and bimanual examination on female patients in the General Clinic.
  • Obtain samples for STD investigation, cytology, wet mounts, and urology studies in the General Clinic.
  • Obtain samples for STD investigation and virology studies, if needed, on patients in the General Clinic.
  • Refer patients to private M.D. based on physical and laboratory findings.
  • Administer treatment according to policies, procedures, and medical directives.
  • Obtain medical, social, and prenatal histories and perform routine periodic physical examinations in the Child Health clinic.
  • Administer immunizations, dental varnishing, and a variety of labs and screenings in the Child Health clinic.
  • Perform labs and screenings including tuberculin testing, hemoglobin, sickle cell testing, lead level, routine urine, blood pressure, speech and hearing testing, vision screening, developmental screening, counseling, and anticipatory guidance.
  • Serve as the Provider representative on the Child Fatality Team.
  • Review medical records of children being reviewed by the team prior to the scheduled quarterly meeting and be prepared to discuss findings with the team.
  • Collaborate with team members in identifying deficiencies in the delivery of services to children and/or families and to make recommendations that would improve the outcomes of children and families served by Wilson County.
  • Oversee the flow/structure of clinic and make recommendations to Director of Nursing and Nursing Supervisor as needed.
  • Perform assigned duties related to Bioterrorism and Emergency Response activities, to include staffing of emergency shelters.
  • Perform administrative duties related to clinical services including chart audits/reviews and mandatory trainings.
  • Perform duties as assigned by the Health Director and/or their designee.
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