OCCUPATIONAL HEALTH NURSE

Occupational Health Nurse

Under general direction and in compliance with standard operating procedures and policies, works collaboratively with Occupational Health Clinic staff to provide comprehensive health and wellness services to City employees. Provides direct nursing care and health coaching to employees. Coordinates and completes pre-placement, annual safety sensitive, and Department of Transportation (DOT) physicals. Utilizes nursing skills to evaluate patient care needs, prioritize treatment, and maintain patient flow. Evaluates and provides initial first aid/triage for work-related injuries and illnesses. Completes First Report of Injury (FROI) and provides data to Workers' Compensation Third Party Administrator (TPA). Monitors workers' compensation case management in conjunction with the Risk Manager. Serves as a resource and auxiliary collector for drug and alcohol testing. Coordinates annual Fire Department physicals and stress testing, labs, and test results. Facilitates, coordinates, designs, delivers, and evaluates health and wellness initiatives through health education/promotion for the City's onsite wellness program in collaboration with the Health Clinic Administrator. Promotes positive health behaviors through planning, education, and training. Ensures compliance of Occupational Safety & Health Administration (OSHA), DOT, Federal Transit Authority (FTA), Workers' Compensation, Nurse Practice Act, Equal Employment Opportunity Commission (EEOC), Family & Medical Leave Act (FMLA), Americans with Disabilities Act (ADA), Genetic Information Nondiscrimination Act (GINA), National Fire Protection Association (NFPA), and Federal Motor Carrier Safety Administration (FMCSA). Provides for Health Insurance Portability & Accountability Act (HIPAA) compliance with all medical records. Conducts training and provides consultation to managers and employees regarding health policies and regulations to ensure compliance. Maintains required recordkeeping for medical data, office visits, drug testing, physicals, blood work, encounter notes, etc., in compliance with City policy and regulatory requirements. Serves as the interim Health Clinic Administrator in their absence. Provides treatment within scope of practice as defined by state law.

Perform other duties as assigned.

Job Duties

Essential Functions

Provide Direct Patient Care: Conduct Pre-Placement and Annual Employee Safety Sensitive Physical Assessment. As needed, send notifications to departments in advance of physicals. Prepare charts and forms for physicals. Conduct pre-placement and annual safety sensitive physical assessment (medical history, vital signs, weight, height, BMI, dipstick urinalysis, electrocardiogram (ACC/AHA ASCVD % and HgbA1c > 8), vision, hearing screening, and spirometry as required by OSHA. Review immunization status and provide vaccines, as needed. Coordinate, prepare, and review fasting lab work. Utilize appropriate forms for the specific physical requirements. Discuss assessment findings with employee/applicant and provide results. Use health coaching skills to make suggestions for follow-up/referrals as necessary. Coordinate and schedule psychological exams, Physical Part 1, Physical Part 2, stress testing and fire chest x-rays for Fire and Police job candidates. Review completed SC Criminal Justice Academy (SCCJA) Medical History, Examination, and Fitness for Training form and Fire Brigade Clearance form. Coordinate Annual Fire physical and stress testing, referrals, lab work for all Firefighters with outside provider and Fire Department. Verify Fire Brigade Clearance and final City physician clearance for any referrals. Review results from provider. Notify Fire Administration and Health Clinic Administrator of any restrictions. Ensure annual stress testing make up appointments are scheduled and attended by employees. As needed, conduct drug and alcohol testing. Cross train with other clinic staff on all health clinic functions. Provide secondary assistance for monthly drug testing. Enter DOT drug test orders and obtain DOT drug test results through drug screening vendor portal. Obtain drug test results daily for processing. Maintain all DOT drug testing results and recordkeeping for the City of Greenville and Greenlink separately. Track results for Greenlink DOT testing for MIS reporting and assist Health Clinic Administrator with final report. Ensure any positive drug screen has been verified by a Medical Review Officer (MRO) and obtain final MRO results. Provide direct nursing care and health coaching employee services. Provide service for daily walk-ins. Dispense over the counter medication, as needed. Provide nursing assessment and care for non-occupational and occupational illnesses/injuries following the Standing Orders of the Medical Director. Provide direct patient care through first aid, physician referral, and follow up care to all injured and ill employees. Document accurately nursing assessment, treatments, medications administered, discharge instructions, and follow-up care arranged. Maintain all medical records in using Electronic Medical Records (EMR). Identify emergency situations and provide care within legal scope of practice. Provide Tuberculosis (TB) skin testing and TB skin test reads to employees. Provide services such as blood pressure and blood glucose checks, requests for health information. Offer vaccinations for tetanus and influenza. Provide Hepatitis B vaccines and titers to employees at risk of bloodborne pathogen exposures. Document vaccine data into the South Carolina Department of Health & Environmental Control (SC DHEC) vaccine portal and EMR. Assist City physician weekly. Must follow infection control procedures and precautions.

Ensure Compliance and Perform Administrative Tasks: Ensure compliance of OSHA, DOT, FTA, Workers' Compensation, Nurse Practice Act, EEOC FMLA, ADA, GINA, NFPA, and FMCSA. Provide for HIPAA compliance with all medical records. Provide policy guidance and training to managers and employees regarding health policies and regulations to ensure compliance. Provide FMLA & ADA case management support to Health Clinic Administrator and serve as back up in their absence. Coordinate FMLA and ADA case management with outside vendor. Communicate return-to-work status to supervisors through completion of Return-to-Work Slips. Obtain medical statements or records for clearance and return-to-work status. Document accurately all elements of nursing assessment, treatments, medications administered, and follow-up care arranged. Perform daily data entry into EMR for encounters. Evaluate medical/office supplies and place supply orders. Cross train with Employee Health Center Coordinator on all non-medical administrative tasks. Keep an updated clinic procedures notebook to aid in cross training. Pull medical charts and file, as needed. Copy medical files related to subpoenas as needed. Attend departmental and City meetings and trainings as required. Participate in the presentations of New Employee Orientation (NEO), as needed.

Evaluate and Provide First Aid/Triage Care for Occupational Injuries & Illnesses: Support the provision of first aid to all work related injured and ill employees, complying with all government guidelines. Obtain necessary information for completion and submission of FROI to the Workers' Compensation TPA and Risk Manager. Ensure appropriate signatures are received for required HIPAA signed releases and consents. Maintain communication (written and oral) between employee, physician, supervisor, and Workers' Compensation (W/C) TPA and Risk Manager. Make initial physician referral for non-emergent work-related injuries requiring more than first aid. Enter workers compensation data into applicable software to support maintenance of the OSHA log. Maintain the OSHA Form 300 and complete the OSHA Form 300-A for signature and posting annually. Responsible for OSHA electronic recordkeeping. Support the implementation of Return to Work for employees returning to work with work restrictions (e.g., Transitional Work Agreements/Extensions, Return to Work Authorizations, etc.). Obtain medical statements for clearance related to return-to-work status. Maintain the Workers' Compensation program with communication between employee, Workers' Compensation TPA, Health Clinic Administrator and Risk Manager. Notify Risk Manager of any potential claim problems. Monitor work related bloodborne pathogen exposures to completion.

Develop and Implement Wellness Programs: Address the health promotion and health needs of employees through health coaching, training, and instruction. Provide educational materials to employees. Recommend employees to seek medical care from personal physicians for abnormal findings. Work as a team member in the implementation of the City's wellness programs, lunch and learns, etc. Stay abreast of wellness best practices, using this information to improve current wellness programming. Encourage and promote wellness. Administer wellness programs within the approved budget. Monitor the effectiveness of wellness programs and recommend changes. Collaborate with Health Clinic Administrator and other designated personnel to provide leadership in program strategy, design, evaluation, data collection and analysis of health and wellness outcomes. Provide flu vaccines and TB skin testing at offsite locations. Develop wellness communication strategy and supports the development of a health and wellness communications, including city-wide wellness program announcements and health information. Conduct health and wellness presentations. Serve as the liaison with wellness vendors/presenters. Attend webinars and review professional journals on worksite wellness trends.

Qualifications

Job Requirements