Public Health Nurse I

Salary: $49,192.00 - $76,252.80 Annually
Location : Community Services 106 East Morgan St., Brevard, NC 28712, NC
Job Type: Full-Time
Job Number: 00411
Department: Public Health
Division: PUBLIC HEALTH NURSES
Opening Date: 10/27/2025
FLSA: Exempt


About
Join Our Team as a Public Health Nurse I - Make a Meaningful Impact!

Are you a compassionate nurse looking to serve your community? Transylvania County Public Health is seeking a dedicated Public Health Nurse I to deliver essential care and education across a variety of public health programs.

In this dynamic role, you'll provide direct patient services including physical exams, immunizations, contraceptive care, and preventive counseling for individuals and families. You'll also lead WIC clinics, perform lab tests, manage clinic supplies, and support outreach efforts like flu clinics and chronic disease screenings.

If you're a skilled nurse with a heart for public service and a desire to promote community wellness-this is your opportunity to make a real difference!

Essential Functions

• Performs lead nurse duties for WIC recertification's by preparing screening areas and coordinating schedules with the WIC Director
• Provide assessments and counseling to parents based on screening results
• Assist clinicians during client exams
• Educate clients on contraceptive methods, assess responses, and make referrals as needed
• Responds to client concerns on a walk-in basis and by phone.
• Administer Plan B and Depo-Provera.
• Responsible for ordering and maintaining inventory of birth control and clinic supplies.
• Calibrates medical equipment daily and maintains logs.
• Collect and process specimens for lab tests for a variety of laboratory tests, including performing venipunctures.
• Document lab results and prepare specimens for transport
• Conduct pregnancy tests for walk-in clients, provide counseling, and refer for follow-up care
• Responsible for maintaining autoclave and autoclaving instruments.
• Serve as back up Immunization Coordinator.
• Assesses immunization status/administers immunizations for clients of all ages. Instruct clients in regard to side effects and immunization schedule.
• Provide direct care in public health programs such as flu clinics, cancer prevention (BCCCP), hypertension and diabetes screenings
• Participate in public health preparedness activities and other duties as assigned
• Staff emergency shelters as needed.

Knowledge, Skills and Abilities


Basic knowledge of, and skill in, the application of nursing theory, principles, and techniques employed in the field of public health and related programs; understanding of best practices, safety standards, and therapeutic outcomes related to the specific area(s) of practice; working knowledge of current social and economic problems relating to public health, including health disparities; working knowledge of available resources and organizations; ability to deal tactfully with others and to exercise good judgment in appraising situations and making decisions; ability to work in partnership with patients and with other service providers to elicit needed information and to maintain effective working relationships; ability to accurately record services rendered and to interpret and explain records, reports and medical instructions; some ability to oversee the work of others; adequate computer skills to allow communication, patient record documentation, accessing information.


Physical Demands
This position requires more mental than physical effort. Employees may be subjected to extended periods of sitting, walking, or standing. Requires some lifting and carrying of light to medium weight equipment.
Work Environment
Employees will be generally stationed in clinics or similar settings. They might be exposed to bloodborne pathogens, infectious diseases, angry or disruptive patients.

To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties just as though they were actually written out in this job description.

Education and Experience


Minimum Education and Experience:

• Graduation from an accredited school of professional nursing.
• Completion of the on-line NCCPHN Course (NC Credentialed Public Health Nurse Program) within the first year of employment, regardless of type of nursing degree (Diploma, ADN, BSN, MSN, etc.).

Required Licenses or Certifications:

• Current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing.
• Current Driver's License valid in the State of North Carolina.
• CPR Certification

Additional Requirements
Clean pre-employment drug screen
Clean Nationwide background checks and SBI background check
Medical Insurance

• $50 per month premium paid by the employee / county pay remaining portion
• Employee can cover children/spouse/family at their own cost for medical coverage $77.56/$265.92/ $426.28 per month. In addition to the $50 per month for the employee.
• Employees may qualify for a $50 per month discount. Beginning in 2016, employees must participate in the employee health screening including a base line physical and meet 2 of the 4 accountability standards set forth by the Board of Commissioners to receive the discount.

1. Waist circumference abdomen cir < 40" male or <35" female; or improve 5%
2. Blood Pressure <140/90 mmhg; or improve 10/5 mmh; or improve 5%
3. Cholesterol Ratio <5.5; or improve by 10; or improve 5%
4. Hemoglobin A1c < = 6.8; or improve 5%

• Premiums may be pre-taxed which is a savings to your taxes, but if you pre-tax premiums you can't take the costs off of your taxes.
• Blue Options PPO /Administered by Blue Cross and Blue Shield of North Carolina
• Employee has choice of 2 Health Plans.

1. Plan 1 - Co-Pay Plan for In-Network- $40 Copays for Primary Care Visit, $80 Specialist Visit, Urgent Care and RX. All other services apply to $1,500 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 1 document for more detailed information.
2. Plan 2 - Deductible Plan for In-Network except $25 co-pay for Primary Care Visit and RX. All other services apply to $1,000 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 2 document for more detailed information.

• Routine eye examinations only are covered annually for a BCBSNC network provider.
• Prescription Drugs - 4 Tiers - $5 generic/ $45 preferred / $60.00 non preferred /4th Tier is 25% up to a max of $100.00./ Mail order is available @ 2.5 co-pays for a 90 day supply. 90 day supply at pharmacy.
• Verify network participation, RX tiers, and obtain information at
• Self Funded Health Insurance Plan - Deductible of $75,000.

Dental Insurance - Can choose different level of coverage than Medical

• Administered by Ameritas
• Employee is covered under the dental coverage at no cost. An employee can cover children/spouse/family for $57.26/ $22.52/ $72.38 per month, respectively.
• No Network of Dentists, may choose any provider
• Provides 2 routine cleanings and exams with no deductible
• For other services a $50 plan year deductible
• 80% for root canals, fillings - 50% for crowns, bridgework, dentures
• $1000 maximum for braces/ $1000 maximum per covered individual per year which includes preventative care costs
• Obtain information & replacement cards at

Term Life Insurance - Provided for the Employee - Dearborn National

• $10,000 Life and $10,000 Accidental Death
• Employee may purchase additional amounts. Up to $100,000 Guaranteed Issue for employee;$20,000 for spouse and $10,000 or $5,000 for children (at original eligibility). Otherwise late enrollees are subject to Underwriting guidelines.

Supplemental Insurance Products -

Mark III Brokerage assists the county to provide a full-array of supplemental products such as Health and Dependent Care FSA accounts, Cancer Policy, Short-term and Long-term Disability, Term Life, Universal Life, Accident or Illness Policy, Hospital Indemnity, and a Vision Plan. The Supplemental Products are available during original employment or open enrollment in May/June of each year to employees at group rates and premiums are paid through payroll deduction. Policies will be effective on July 1.


If you are interested in knowing more about these benefits view the following website for details. or a link is available on the county Intranet. Then sign up during your original enrollment window by contacting Human Resources. Some of the products qualify as pre-tax benefits. Website for information is:


Electronic Payroll Deposit -


County Employees are paid bi-weekly, 26 times per year. We deposit your payroll check. Deposits are available to all banks and credit unions. Deposits are made, so you can have access to your funds by Friday morning (payday). You can divide your payroll into two accounts, one you must specify the amount to go into and the second account would receive the balance.


Retirement -


NC Local Government Employees Retirement System - All full-time employees contribute 6% of their gross earnings and the County matches the contribution. Employees are vested in the program after 5 years of service. Transferable within the state system. The website for more information is:


401K - Empower Retirement - 2% Employer Contribution, Voluntary Contributions, Rollovers, etc. (Info Available). The website is:


457 - Nationwide Retirement Solutions - After 5 years of full-time service the County will provide a contribution of $57.69 per payroll / $1500 per year for employees. At 5 years of service, eligible employees must complete an enrollment form. The website is


Credit Union -


County Employees may be a member in the NC Local Government Employees Credit Union which is affiliated with the State Employees Credit Union. Local office is in Pisgah Forest. Payroll deduction and drafts are available. The website is


Paid Holidays - (12)


New Year's Day, Martin Luther King's Birthday, Easter Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and the Day after Thanksgiving, Christmas Eve Day, Christmas Day and the day after Christmas.


Paid Vacation/Annual Leave -

• 1-2 years = 10 days; 3-5 years = 12 days, 5-10 years = 15 days, 10-15 years = 18 days, 15-20 years = 20 days; 20 + years = 24 days. Vacation is accrued bi-weekly, therefore you receive 1/26th each payroll.
• You may accrue vacation and carry over up to 30 days. Thereafter, at the end of the calendar year, if you have more than the 30 days, the excess converts to sick leave.
• You may cash in up to one week of vacation annually, in lieu of time away from work.
• In extreme situations employees may request to transfer vacation leave to other employees. Requests must be in writing to the County Manager and must be approved in advance.
• Vacation should be scheduled in advance as requested by your supervisor. Complete proper leave sheets.
• If you have prior active service in the NC Retirement System, Transylvania County will give you credit for those years of service toward accrual of vacation/annual leave.

Paid Sick Leave -

• Paid sick leave is always equivalent to 12 days per year. It is accrued bi-weekly. Employees accrue 1/26th of the annual amount per payroll.
• You may accrue sick leave with no maximum accrual. At retirement for every 20 days of accrued sick leave you will get one additional month of service time.
• Sick leave may be used for doctor's appointments, personal illness or the illness of an immediate family member.
• If you have prior active service in the NC Retirement System, Transylvania County will transfer in your sick leave balance from your most recent employer.

Wellness Center - Phone Number View phone number on click.appcast.io

• The Wellness Center is open M-W-F 8am -12pm and 1pm to 4pm and T-TH 8am-12pm.
• The Wellness Center is a partnership between Transylvania County and the City of Brevard.
• County Employees may use the Wellness Center for all services at no cost.
• Dependents over the age of 7 who are on your Medical plan may also use the Wellness Center.
• Appointments are encouraged to help minimize any wait and to make the Center Services flow easier.
• Time away from your work location to visit the Wellness Center is not changed to leave.
• Services include: Routine bloodwork monitoring, allergy injections, monitoring chronic illnesses, manage and authorize prescriptions, coordinate referrals, school physicals and testing for flu, mono and strep.