HD Advanced Practice Registered Nurse I

Williamson County and Cities Health District•Round Rock, TX

3d•Hybrid

About The Position

This position performs highly advanced (senior level) clinical nursing work for the Williamson County and Cities Health District (WCCHD). Work involves direct health services; assessing, planning, and providing comprehensive client care independently or in collaboration with other health care professionals; promoting client advocacy through inter/intra agency collaboration; informing and educating the community on public health-related topics; and utilizing nursing expertise in implementing policies and procedures to ensure a safe and productive work environment. The Nurse Practitioner is expected to maintain an updated knowledge base on services provided at WCCHD, as well as other local community health resources. Works under general supervision with moderate latitude for the use of initiative and independent judgment. This position is grant funded through November 30, 2027, employment beyond that date is not guaranteed.

Requirements

Master of Science in Nursing required
Graduation from an accredited Advanced Practice Registered Nursing graduate or post-graduate program, with a focus in Family Medicine Nurse Practitioner required
Family Medicine Nurse Practitioner certification required
Minimum of 3 years' experience with testing and treating STI's, performing Pap Smears, pelvic exams, or other forms of contraception, preferably in a clinic or com munity/public health setting required
RN registered to practice in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact required
Minimum 3 years of EMR/EHR experience required
CPR certified or willingness to obtain certification if not required
Valid Texas driver's license and access to reliable transportation to all assigned work locations required
Knowledge of public health services
Knowledge of accepted current medical practice and standards
Knowledge of organizational policies, regulations and procedures to administer patient care
Knowledge of and ability to use medical equipment and instruments to administer client care
Knowledge of and skill in applying and modifying the principles, methods and techniques of advanced practice nursing in the fields of STI's and Women's Health Care to provide patient care
Knowledge of current trends/changes in advanced practice nursing, and where relevant, translates these finding into clinical practice
Skill in assimilating medical history and physical findings into a clinical assessment or diagnosis
Skill in formulating a comprehensive treatment plan
Skill in preparing and maintaining records (electronic form, writing reports, and responding to correspondence)
Skill in recognizing, and accomplishing consultations or referrals for complicated cases beyond individual or facility scope of care
Skill in developing and maintaining department quality assurance and quality control standards
Skill in establishing and effective working relationships with clients, coworkers, and the public
Skill in exercising initiative, listening, judgment, discretion, and decision-making to achieve preventive health services goals
Skill in using a computer, including medical software as well as Microsoft Office Professional
Ability to communicate clearly verbally and in writing
Ability to react calmly and effectively in emergency situations
Ability to provide guidance/direction to support staff
Ability to interpret, adapt and apply guidelines and procedures
Ability to prioritize work assignments, work independently, and perform duties efficiently
Ability to function as a member of a multidisciplinary team
Ability to work in a collaborative manner
Ability to establish goals and objectives, policies, and procedures that support a strategic plan
Ability to prioritize activities and manage multiple responsibilities; time management
Ability to obtain a relevant health history, including a comprehensive obstetric and gynecologic history, with emphasis on gender-based differences.
Ability to assess for evidence of intimate partner violence, sexual abuse, and substance abuse.
Ability to asssess, diagnose, and treat issues related to sexuality including evaluating need for expedited partner therapy.
Ability to Collaborate with other health care providers for management or referral of high-risk pregnancies.
Ability to perform Pap Smears.
Ability to provide management and education for women and men in need of family planning and fertility control.
Ability to evaluate possible candidates for and treat with PrEP therapy.
Ability to evaluate possible candidates for and treat with DoxyPEP

Nice To Haves

Public Health experience preferred

Responsibilities

Obtains and records appropriate medical history and physical data on clients
Interprets and integrates data to determine appropriate diagnostic and therapeutic plan utilizing principles of prevention
Maintains and reviews client records, charts, assigned reports, and other pertinent information, utilizing the electronic medical record to document services rendered
Participates in identification and interpretation of health/social needs in the community
Implements and monitors a comprehensive medical case management service plan for clients and families, and serves as a resource for other case workers
Participates in Peer-review and may audit medical records and client assessments to determine compliance with policies and procedures; correctness of assessment; and/or to evaluate plan of care and quality of service
Maintains medical records in accordance with state laws
Follows Texas DSHS / DFPS reporting laws and when necessary, reporting abuse and neglect to appropriate authorities
Follows Standing Delegation Orders and Standard Operating Guidelines for Tuberculosis Elimination, Immunizations, STD/HIV, and the Class D Pharmacy Rules and Regulations
Acknowledgement of each SDO and policies with signature annually
Assist in the creation and nurturing of a culture of Quality Improvement within the program and division.
Assist in the facilitation of QI activities, monitor staff QI activities and support and guide staff in their work with QI.
Complies with all agency policies and procedures concerning compliance including privacy of protected health information
Orders appropriate laboratory and diagnostic procedures within the scope of services
Interviews and advises clients regarding sexual health, vaccination status, communicable disease, chronic disease and health promotion
Provides TB related services including screening, routine assessment, contact investigation and Direct Observed Therapy
Instructs clients and family regarding medications and treatments
Follows infection control guidelines
Demonstrates EMR/EHR proficiency; specifically, in areas related to labs, diagnostic imaging, billing and coding, and creating and revising clinical templates
Manages medical emergencies in a calm and efficient manner
Consult with Medical Director, DSHS region 7 STI/HIV team and DIS team, PHN nurses as needed, the consulting physician, local health authority, and regional staff as needed.
Refers clients with health conditions outside of the scope of WCCHD services to their primary care provider or to other appropriate entity
Provides outreach and health education to individuals, families and community as needed
Works cooperatively with WCCHD staff and other agencies for prevention, promotion, and education in the community regarding health issues
Identifies community resources and makes referrals to health care and related services
Represents the agency on inter- and intra-agency work groups and task forces on local, regional, or state-wide level, as assigned
Manages the clinical aspect of the WCCHD STI Program, working closely with the Medical Director and Division Director of Clinical Services to achieve preventive health services program goals
Develops and provides in-service training and educational programs for agency staff and the community as directed from Medical Director and/or Clinical Services Director
Participates in training and orientation of new nursing staff, volunteers, and students
Serves in a project management capacity when assigned to promote clinical services
Offers input related to clinical staff performance and provides technical assistance/training when applicable for clinical/support staff
Demonstrates ongoing professional growth through participation in relevant educational endeavors and appropriate associations
Serves as a resource and subject matter expert on related public health topics
Attends required meetings and in-services, and participates in committees as requested
May participate on a WCCHD committee or task force
In the event of a public health emergency, employees may be called upon to support WCCHD's response in ways that are outside the usual scope of their job responsibilities. This may involve working hours that are outside the employee's usual work hours. Employees will not be required to perform duties that are outside of their competence or professional licensure.