APRN-Nurse Primary Care

Nurse Practitioner

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; 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. This position is grant funded through November 30, 2027, employment beyond that date is not guaranteed.

Data Analytics/Assessment

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; and/or to evaluate plan of care and quality of service

Maintains medical records in accordance with state laws

Policy Development/Program Planning

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.

Complies with all agency policies and procedures concerning compliance including privacy of protected health information

Public Health Sciences

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

Follows infection control guidelines

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

Community Partnership

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

Serves as a resource and subject matter expert on related public health topics

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. 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

Public Health experience preferred

Selected candidates in the Clinical Services Division, Environmental Health Division, and WIC Division, will receive a conditional offer of employment contingent upon the candidate passing a pre-employment-controlled substances screening test. Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed without posing a direct threat to the health or safety of themselves or others.

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 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 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

Williamson County and Cities Health District