Clinic Nurse

Salary : $60,350.00 - $97,188.00 Annually
Location : Nashville, NC
Job Type: Full Time
Job Number: 2025-00076
Department: Health Department
Opening Date: 08/25/2025
Closing Date: Continuous


General Statement of Duties
A. Primary Purpose of Position: To provide nursing services to all Nash County Health Department patients following agency policies, procedures and standing orders. Health department programs include Maternal Health, Family Planning, Women's Health, Adult Health, Child Health, Immunization, STD/HIV, Tuberculosis and Communicable Disease.
B. Work Schedule: 8:00 AM - 5:00 PM, Monday through Friday. Occasional extended hours or weekends for community health fairs, communicable disease outbreaks, flu shots, etc. Hours may vary depending on the services of the department.

Essential Duties and Tasks
20% Women's Preventive Health Program
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order.
Provides education and counseling regarding medical and psychosocial problems identified.
Provides education, counseling, and instructions regarding methods of birth control and method chosen.
Dispenses appropriate medications and/or birth control method according to the Department's Pharmacy Policy and Procedures and Family Planning Policy, Procedures, and Standing Orders.
Updates immunizations per Standing Orders.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.

20% Adult Health Program

Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order.
Provides education and counseling regarding problems identified (ex., chronic disease and disease prevention).
Dispenses medications according to the Department's Standing Orders and Pharmacy Policy and Procedures (ex., treatment for vaginitis).
Updates immunizations per Standing Orders.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.


20% STD/HIV Program

Completes an initial or interim medical and sexual history.
Orders appropriate lab tests per Provider instruction and/or standing order.
Provides education and counseling regarding problems identified.
Dispenses or administers appropriate treatment according to the STD Policy, Procedures, and Standing Orders, and according to the Department's Pharmacy Policy and Procedures.
Provides pre and post test HIV counseling.
Updates immunizations per Standing Orders.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.

20% Child Health Program

Performs visual acuity and hearing screening and takes blood pressure on children three years and older.
Completes initial or interim medical, psychosocial, and developmental history.
Ensures completion of pre-visit questionnaire.
Applies topical fluoride varnish and provides educational information.

Orders appropriate lab work per Provider instruction and/or standing order.

Dispenses or administers medications and immunizations according to the Standing Orders of the Child Health Program and the Pharmacy Policy and Procedures.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
15% Prenatal Program
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order.
Provides education and counseling regarding medical and psychosocial problems identified.
Provides appropriate education and counseling (ex., nutrition, danger signs of pregnancy).
Dispenses appropriate medications and/or vitamins and iron according to the Department's Pharmacy Policy and Procedures and Prenatal Policy, Procedures and Standing Orders.
Initiates necessary referrals.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
5% Other Duties

Other duties as assigned.
Assists with general clinic patients; i.e.: those presenting for pregnancy tests, TB medications, hepatitis B vaccine, blood pressure checks, B12 injection, etc.
Maintains required personnel records (ex., time, travel, and telephone logs).
Attends staff training and other continuing education programs and monthly staff meetings.
Helps maintain a safe working environment.
Preparedness/Disaster shelter and duties.
Participates in Quality Assurance/Quality Improvement tasks.
II.B. OTHER POSITION CHARACTERISTICS:
1. Accuracy Required in Work: Accuracy and sound judgement are required in all nursing interventions with patients. Accuracy is required in identifying patient needs through interviewing and data collection. Interpreting findings, initiating standing orders, counseling, and initiating referrals all require maximum accuracy.
2. Consequence of Error: Errors could result in inappropriate or inadequate medical services, endangering the health and safety of patients. Errors may also precipitate malpractice lawsuits and/or enforcement action by the North Carolina Board of Nursing.
3. Instructions Provided to Employee: Receives orientation up to maximum of 12 weeks. Supervisor may extend as needed. Attends workshops related to job. In-house updates at monthly staff meetings or by written memo. Daily changes related to treatment modalities, supplies, programs, staff are handled by clinical supervisor.
4. Guides, Regulations, Policies and References Used by Employee:
• Local Health Department Policies, Procedures, and Standing Orders
• ACIP Manual
• Local Personnel Policies
• North Carolina Nursing Practice Act
• DHHS Program Directives
• Federal and State Statutes and Rules
5. Supervision Received by Employee: Works daily with Program Lead Nurses. Receives formal, written appraisals per the Department's Policy. Records are reviewed quarterly by the Department's Quality Assurance team. Work in progress is observed by the Clinical Supervisor.
6. Variety and Purpose of Personal Contacts: Works directly with patients of all social, racial, and economic groups. Works with other staff within the department to assure all needed services are provided for the patient. Communicates with outside providers to assist patients with their needs and to initiate referrals. Must always demonstrate professional knowledge, tactfulness and sensitivity when assisting patients or working with the community.
7. Physical Effort: Requires the provision of patient services each day whether through applying direct clinical skills, phone calls, record management, or attending a continuing education workshop. Occasional stooping, reaching, lifting and pulling may be required.
8. Work Environment and Conditions: Potential to be exposed to airborne pathogens and bloodborne pathogens.
9. Machines, Tools, Instruments, Equipment and Materials Used :

Stethoscope, blood pressure cuff, copier, fax, scales, computer/EMR, thermometers, titmus machine, audiometer.
10. Visual Attention, Mental Concentration and Manipulative Skills:

Must be able to organize, identify, and complete the work process. Document in medical records. Administer medications. Communicate with patients and other professionals.
11. Safety for Others: Must be knowledgeable of safety polices and procedures of the department. Must be knowledgeable of local polices, procedures, and standing orders, and have the nursing expertise to provide appropriate medical care. Must be adequately immunized per Department's policy. Adheres to Department's Bloodborne Pathogen Policy.
12. Dynamics of Work: Changes in policy occur as state guidelines are updated and their recommendations are incorporated into local policy. Changes occur daily in response to absences, clinics running behind schedule, or patients who require unforeseen demands. Changes also occur when recommended by the Department's local medical consultants.

Knowledges, Skills and Abilities
Considerable knowledge of and skill in the application of nursing theory, practices, principles, and techniques employed in the field of public health and related programs; general knowledge of and ability to apply the principles and practices of public health; working knowledge of current social and economic problems relating to public health; working knowledge of available resources and organizations.
Ability to deal tactfully with others and to exercise good judgement in appraising situations and making decisions; ability to secure the cooperation of clients, to elicit needed information and to maintain effective working relationships; ability to record accurately services rendered and to interpret and explain records, reports and medical instructions.

Desirable Education and Experience
Required Minimum Training : Graduation from a four-year college or university with a B.S. Degree in Nursing which includes a Public Health Nursing rotation; or graduation from an accredited school of professional nursing and one year of professional nursing experience; or an equivalent combination of education and experience.
Additional Training/Experience:
• HIV Counseling
• CPR
• Introduction to Disaster
• Incident Command System
• Introduction to Public Health Nursing (if no B. S. Degree in Nursing)
Equivalent Training and Experience:

None
C.License or Certification Required by Statute or Regulation:

Current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing. Valid North Carolina Driver's License.
INSURANCE PROGRAMS
Nash County offers cafeteria-style benefits including:
- Health Insurance
- Dental Insurance
- Life Insurance
- Vision Insurance
- Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)
- Disability Insurance (Long-Term and Short-Term Disability)
and more!
FINANCIAL PROGRAMS
Retirement

Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.

NC401(k)

The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 Deferred Compensation

The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

Special Separation Allowance

The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.

125 Flexible Benefit Plan

Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.

• Health Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible health care expenses.
• Dependent Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible dependent care expenses.

Direct Deposit

Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.
LEAVE PROGRAMS
Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.

Sick Leave

For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.

Holidays

The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.
The following holidays are observed:

• New Year's Day,
• Martin Luther King, Jr. Day,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and the day after, and
• Three (3) days at Christmas.

Military Leave

Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.
Active Duty - Reserves and National Guard - Ten paid workdays upon activation.

Civil Leave

Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.

Family Medical Leave Act

Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.
OTHER PROGRAMS
Employee Assistance Program (EAP)

The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.

Wellness Center and Telemedicine

We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.


All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.


NOTICE OF PRIVACY PRACTICES

The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.

Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.

Nash County is an Equal Opportunity Employer/Provider

In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's Target Center at View phone number on click.appcast.io (voice and TTY) or contact USDA through the Federal Relay Service at View phone number on click.appcast.io.
Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.
To request a copy of the complaint form, call View phone number on click.appcast.io. Submit your completed form or letter to USDA by:


1. mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
2. fax: View phone number on click.appcast.io; or
3. email: View email address on click.appcast.io

USDA is an equal opportunity provider, employer, and lender.
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Are you currently licensed to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing?

• Yes
• No

Required Question