Public Health Nurse II - Family Planning Coordinator

Salary : $63,640.00 - $102,486.00 Annually
Location : Nashville, NC
Job Type: Full Time
Job Number: 2025-00026
Department: Health Department
Division: Health Departments
Opening Date: 04/21/2025
Closing Date: 4/28/2025 11:59 PM Eastern

General Statement of Duties

The primary purpose of this position is to provide nursing services to patients of the Nash County Health Department. This position also serves as the coordinator for the Family Planning program responsible for policies, procedures, and serving as a liaison with local physicians, hospitals and other community partners.

Work Schedule: Monday - Friday, 8:00AM - 5:00PM. Some duties require working occasional weekends and overnight travel. Employee may have to work emergency shelter or special clinics as necessary. Hours may vary depending on the services of the department and needs of patients.

Essential Duties and Tasks
65%1. Family Planning Program

Serves as Program Coordinator for Family Planning

Responsible for the coordination of Family Planning services.
Reviews and monitors programmatic services performed to assure they meet Health Department, State, and Federal guidelines.
Makes recommendations to the nursing supervisor regarding needed clinical or policy changes.
Responsible for keeping local policies, procedures, and Standing Orders current with State guidelines and for updating staff regarding revisions.
Assists nursing supervisor in completing annual contract addenda and implementing contract addenda
requirements to ensure that goals are met.
Assists supervisor by informing her of changes that affect the budget, i.e. cholesterol checks on women on OCPs > 35 years, getting prices on low dose OCPs request by physicians, etc.
Acts as a resource person to other staff, patients, and community in the area of Family Planning.
Serves as the coordinator of the Agency's Quality Assurance Family Planning Committee which includes representation from the Rocky Mount and Nashville offices. Meets quarterly to review program needs for future planning, review policy, update changes as necessary, and perform record audits.
Serves as liaison and coordinates services with state consultants, local physicians, area hospitals, surrounding health departments and other disciplines within the department WIC, OBCM and Health Education Department (regarding program to prevent subsequent pregnancies for 18 months, etc.) to assure that goals are met.
Maintains stock of Family Planning educational materials for the Nashville and Rocky Mount office. Utilizes the Health Education and Community Health Assistant resources in this area.
Responsible for orienting new staff to the program.
a.Family Planning Follow-up

Serves as liaison with local physicians, local and regional hospitals, surrounding health departments, and other disciplines within the department to assure patient needs are met.

Notifies patient of abnormal findings and arranges follow-up/referrals as needed.
Reviews medical records with physician obtaining individual orders for patient needs that cannot be met using Standing Orders and secures physician's signature.
Responsible for follow-up on referrals made or ordered during clinic screenings by maintaining quality assurance logs/tickler system of patient referrals.
Responsible for maintaining Family Planning records in accordance with local and state policies. Reviews records, in the Nashville and Rocky Mount office, after each clinic for proper documentation of findings and services rendered.
Reviews with OB/Gyn clinical records of Family Nurse Practitioner, special labs ordered and referral reports received, and follows up on orders afterwards, in a timely manner.
Maintains quality assurance tickler system/log of medically indicated return appointments for long term birth control methods such as IUD's and Implants.
Coordinates follow-up for Family Planning patients with abnormal blood work, ultrasounds, or other abnormal physical findings noted on examination.
Works closely and makes referrals to WIC/Nutritionist, CMHRP, CMARC and Health Education programs to insure that needed services are rendered and/or scheduled at each visit, as much as possible, depending on patient's needs.
Responsible for signing off on STD labs in EHR - STD nurse notified through reporting system.
Coordinates plan of care for patients diagnosed in clinic with high risk condition (blood clots, migraines, etc.) requiring outside referral.
Accepts referrals from abortion clinics, postpartum home visit nurses, and local OB/Gyn offices, deciding what services are needed and scheduling accordingly.
b.Clinic Duties for Family Planning
Completes an initial or interim medical, surgical, contraceptive, obstetrical, sexual, family, menstrual, substance use, and psychosocial history.
Checks blood pressure and records.
Records height and weight, usually obtained by Community Health Assistant or interpreter.
Provides appropriate individual education and counseling re: medical and psychosocial problems identified.
Provides preconceptual counseling when indicated.
Submits laboratory test as indicated by history and type visit: i.e.: urinalysis, hgb, RPR, pregnancy test, sickle cell, and glucose.
Dispenses contraceptive prescriptions and supplies with appropriate instructions, education, and counseling according to the Department's Women's Preventive Health and Pharmacy Policies, Procedures and Standing Orders.
Dispenses appropriate medications as ordered by the clinician and/or per Standing Orders of the program for treatment of vaginitis or STD's with appropriate instructions, education, and counseling according to the Department's Women's Health Watch, STD, and Pharmacy Policies and Procedures.
Updates immunizations per Standing Orders.
Assists physician in completing physical examinations.
Initiates necessary referrals.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy and Procedures.
15%Maternity Program

Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab test.
Provides education and counseling regarding medical and psychosocial problems identified. (ex.: nutrition,

danger signs of pregnancy).
Assists physician with exam, measuring fundal height and fetal heart rate.
Dispenses appropriate medications and or vitamins and iron according to the Department's

Pharmacy Policy and Procedures and Prenatal Policy and Procedures.
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 and Procedures.

5%Child Health Program

Completes an initial or interim medical, psychosocial, and developmental history.
Performs visual acuity, hearing screening, and takes blood pressure on children 4 years and older.
Orders appropriate lab work.
Counsels parent regarding nutrition, growth and development, medical concerns, immunizations, care of the newborn and older child, etc.
Assists physician with well child care exam.
Dispenses or administers medications and immunizations according to the Policy and Standing Orders of the Child Health Program and the Pharmacy Policy and Procedures.
Issues prescriptions according to the Standing Orders of the Child Health Program.
Initiates referrals for abnormal findings.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy and Procedures.

5%STD/HIV Program

Completes an initial or interim medical history including presenting compliant, sexual exposure, contraception, current medicines, allergies, illicit drugs and prior STD's.
Orders appropriate lab tests.
Provides education and counseling regarding problems identified.
Dispenses or administers appropriate treatment and/or medications 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 on abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
5%Adult Health Program (Women's Health Watch)

Completes an initial or interim medical, surgical, contraceptive, obstetrical, sexual, family, menstrual, substance use, and psychosocial history.
Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding problems identified. (ex.: chronic disease and disease prevention).
Dispenses medications according to the Women's Health Watch and STD Policies and 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 and Procedures.

5%Other Duties
Participates in Preparedness/Disaster Shelters.
Assists with department wide community activities, i.e. community flu/pneumonia/COVID programs, health fairs, etc.
Assists with general clinic patients; i.e.: those presenting for pregnancy tests, TB medications, hepatitis B vaccine, blood pressure checks, B12 injections, etc.
Maintains required personnel records. (ex.: time, travel, and telephone logs).
Attends staff training, other continuing education programs, and job-related workshops.
Participates in staff meetings.
Helps maintain a safe working environment.
Performs other duties as needed.
II.OTHER POSITION CHARACTERISTICS
1.Accuracy Required in Work:

Must be accurate in determining patients' needs through the interviewing process; observing patients' behavior; assessing the patients' medical/physical status; presenting patient education; documenting in the patients' medical records; making appropriate referrals; developing a plan of care; and in counseling patients, and for legal purposes all charting must be accurate and comprehensive.
Consequence of Error:

Errors may result in missed or inadequate follow-up of patients' needs, fraud if billing is incorrect, medical problems for patients, liability suits for the county, and poor community relations.
Instructions Provided to Employee:

Orientation to health department. Training provided by DHHS and other appropriate workshops. In-service education programs and staff team meetings. One-on-one assistance and training from Health Education, Prenatal, Child Health, WIC, OBCM, and CC4C. Clinical assignments are scheduled monthly by the clinical supervisor and changes are posted. Management responsibilities and program responsibilities are prioritized by the employee. Guidance is available from the nursing supervisors, and the coordinator for Women's Preventive Health.

4.Guides, Regulations, Policies and References Used by Employee:

Medicaid guidelines, OSHA/infection control measures, local policies and procedures, local personnel policies, North Carolina Nursing Practice Act, DHHS directives, Nash County Standing Orders, and Nash County Health Department Personnel Policies.
Supervision Received by Employee:

Records are reviewed by the Quality Assurance Committee within the Department quarterly for compliance with State and local policies. Records of clients receiving Medicaid are subject to Medicaid audit to see if components for reimbursement are being met. Under the administrative supervision of the Nursing Supervisor. Written performance evaluations are done per the Department's policy. Work is supervised by the Personal Care Nursing Supervisor.
Variety and Purpose of Personal Contacts:

Works directly with patients of all social, racial, and economic groups. Sensitive issues frequently arise and this employee must always be sensitive to others and be knowledgeable and tactful.
Interaction with other providers includes local physicians, other agencies, DSS, the hospital, etc., while making referrals for patients.
State Laboratory staff including cytology section.
Surrounding area health department personnel.
Patient's on a daily basis to assure that all needed services are provided for referrals made.
Physical Effort:

Must be able to drive a car. Requires the provision of patient services each day whether physically, through applying direct clinical skills, phone calls, record management, or attending a continuing education workshop. Requires occasional travel between the Nashville and Rocky Mount offices.
I.OTHER POSITION CHARACTERISTICS (Con't)

Work Environment and Conditions:

Usual work environment is the office or clinic setting. Has the potential to be exposed to body fluids. Adheres to the Bloodborne Pathogens and Infection Control Policies of the Agency to minimize this exposure. Also

provides care in STD clinics to inmates. Inmates are always accompanied by a deputy. Driving is required

sometimes during bad weather for clinic duties.
9. Machines, Tools, Instruments, Equipment and Materials Used:

Blood Pressure Cuff and stethoscope, automobile, copier, fax machine, computer/EMR, educational materials, medical record, scales, thermometer, ultrasonic stethoscope, and tape line.

10. Visual Attention, Mental Concentration and Manipulative Skills:

Must be able to identify, organize, and complete the work process efficiently; document on the medical record; administer medications. Must be able to perform quality work independently. Requires good communication skills. Must have good writing skills to record documentation and initiate referrals.
11. Safety for Others:

Must be knowledgeable of current policies, procedures, and standing orders. Follow infection control guidelines and be adequately immunized according to the Department's Employee Health Policy. Must have nursing expertise to provide appropriate patient care. Universal precautions are used for safety of staff and patients.
12. Dynamics of Work:

Changes in policies occur as state guidelines are updated and their recommendations are incorporated into local policy. Changes occur when recommended by the local medical consultant. Day to day activities are centered around the needs of the patients and changes that occur when co-workers are absent.
Flexibility is an important component of this position. New situations arise everyday. Ability to prioritize work is essential since work load and schedule may change. Positive attitude is crucial to be able to motivate patients. Diplomacy and tactfulness in dealing with physicians regarding referrals is very important.

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, and appropriate referral methods.
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; some ability to plan, coordinate, and supervise the work of others. Good verbal and writing skills are needed to communicate with patients. Requires the ability to plan and coordinate work with others, to deal tactfully with others and to exercise good judgement in appraising situations and making decisions.
Desirable Education and Experience
1.Required Education and Experience:
Graduation from an accredited school of professional nursing and one year of professional nursing experience.
2. Additional Training/Experience:
NC Credentialed Public Health Nursing Course (NCCPHN)
Introductions to Public Health in North Carolina Online Training Series,

Certificate of Public Health Nursing in North Carolina
Red Cross Disaster I and II Training
ICS Training 100, 200 and 700
CPR Certification
CPR/Defibrillator training
HIV counseling and testing program
License or Certification Required by Statute or Regulation:

Current license to practice as a RN in North Carolina by the North Carolina Board of Nursing. Valid North Carolina Driver's License.
INSURANCE PROGRAMS

Group Health Insurance

Nash County provides full time and part-time benefit eligible employees working 30 plus hours per week with Health Insurance coverage with the North Carolina State Health Plan

Included in each selection is:

• Preventative Care Coverage
• Prescription Coverage
• Chiropractic Coverage

Health Insurance may become effective for employees the first day of the month following employment.
Group Dental Insurance
Nash County provides full-time and part-time regular employees working 30 plus hours per week. Dental Insurance becomes effective for employees the first day of the month following the 30th day of employment.
Group Life Insurance

Nash County provides term Life Insurance for full-time and part-time regular employees working 30 or more hours per week.

Life insurance is paid for you by Nash County and pays your beneficiary one time your annual salary not to exceed $200,000 in the event of your death. Accidental death and dismemberment coverage is also provided.

Life Insurance becomes effective the first day of the month following 30 days of employment. Voluntary supplemental term life insurance coverage for you, your spouse or your dependent children is also available - please see the Human Resources Department for more details.

Short Term Disability Insurance

Nash County provides active full-time regular employees working 30 plus hours per week the option to purchase Short Term Disability Insurance.

Short Term Disability Insurance may cover up to 70% of an employee's monthly salary with a maximum of $2,000 per month, in the event of an injury or illness, for up to 13 weeks.
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.

Credit Union

Local Government Federal Credit Union membership is available to all employees. Once you join, you can remain a member for as long as you choose. Immediate family members such as spouse, children, stepchildren, brothers, sisters, and parents can all become members.

Employees of both the Departments of Social Services and Public Health are eligible to join the State Employees Credit Union.
LEAVE PROGRAMS
Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service. 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 at 8.0 hours per month. 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 (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
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 http://www.ascr.usda.gov/complaint 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 (866) 632-9992. 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: (202) 690-7442; or
3. email: program.intake@usda.gov

USDA is an equal opportunity provider, employer, and lender.
01

Are you currently license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing?

• Yes
• No

Required Question