Duplin County NC

Physican Extender II (Family Nurse Practitioner/FNP)

DEPARTMENT:  Duplin County Health Department                                                                                                  

SALARY: “Based on Qualifications”

OPENING DATE:  January 6, 2020         “OPEN UNTIL FILLED” 

APPLY AT:   Duplin County Personnel Office
                       County Administration Building
                       224 Seminary Street
                       Kenansville, NC  28349                                                                                                                       

                       “Equal Opportunity Employer”



The Physician Extender II, a family nurse practitioner or physician assistant, is an advanced practice professional working to provide primary health care in collaboration with a supervising physician. This includes making medical diagnosis and dispensing medical treatment. Prior to performing in this role, the nurse practitioner must be approved to practice medical acts by the North Carolina Board of Nursing and the North Carolina Medical Board. A physician assistant must be approved to practice medical acts by the North Carolina Medical Board. Approval and Practice parameters for nurse practitioners that shall be abided by are: The North Carolina Administrative Code 21 NCAC 32M .0101-.0116 of the North Carolina Medical Board and The North Carolina Board of Nursing 21 NCAC 36 .800-.814 and 21 NCAC 32S .0202-.0220 for a physician assistant. A collaborative practice agreement between the practitioner and the supervising physician will describe the role between the two entities including the practice guidelines, prescribing and dispensing medications, quality assurance procedure, and method of contact/communication. The practitioner will be held accountable for the continuous and comprehensive management of a broad range of health services for which the practitioner is educationally prepared and for which the competency has been maintained.


This list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.

98%         Clinical

  • Performs appropriate assessments of patients of all ages in a culturally appropriate and sensitive manner.
  • Maintains client privacy and confidentially following all HIPAA requirements.
  • Follows all OSHA regulations, infection control and bloodborne pathogens and exposure policies.
  • Reviews and validates all nursing assessments and ensures a thorough patient history and complete appropriate physical examination.
  • Follows the established best practices protocols to diagnoses, treat and manage acute and chronic illnesses.
  • Follows the guidelines and program policies outlined in the Contract Addendum for family planning, maternal health, child health, and sexually transmitted diseases physicals and treatment visits.
  • Evaluates health outcomes, diagnostic testing, as well as making appropriate referrals to specialists in consult with the client.
  • Consults with supervising physician, fellow health care providers and refers to appropriate specialist as indicated and per protocol.
  • Manages client visits to include follow-up and will make decisions that affect the total care of the client.
  • Provides services in a cost effective manner for the patient and facility.
  • Prescribes, performs, and reviews the results of the appropriate diagnostic, therapeutic procedures and consultations provided by outside providers.
  • Completely documents all elements of the visit in the client’s electronic health record, including the appropriate diagnosis codes, procedure codes, treatments, medications, patient education, plan of care and billing in the client’s electronic medical records within the established timeline for documentation per policy.
  • Provides education, resources and counsels clients on medical issues to assist them in the promotion and maintenance of health and prevention of illness and disability.
  • Prescribes and documents all medications in accordance with the approved formulary.
  • Maintains registry in the NC Controlled Substance system and views data in system prior to prescribing controlled substances.
  • May dispense medications, including samples, following the Board of Pharmacy rules for labeling medications.
  • Provides health care in compliance with a patient’s insurance plan, including Medicaid and Medicare requirements, assuring the required preauthorization of medications and procedures as indicated; obtaining ABN (Advance Beneficiaries notice for Medicare), and referrals.
  • Serves as educational leader and consultant for agency staff, community and students regarding public health issues.
  • Participates as part of the health department’s team to provide outreach to the community to increase community’s knowledge of available services, provide education on health promotion and prevention.
  • Shares on a rotating basis, the after-hours call (after 5pm, on weekends and holidays) for health department clients or for any emerging public health issues. On call is defined as having the dedicated cell phone charged and active to accept calls and be able to respond in a timely manner.
  • Reports communicable diseases/infections to communicable disease nurse, CDC, NC State DHHS per protocol.
  • With a least 2 years’ experience as a practitioner, may serve as a preceptor for nurse practitioner students with the approval of the Nursing Director. All honorariums received as part of serving as a preceptor in the Health Department clinic will be turned in to the Agency.
  • Maintains current license to practice per NCBON and NCMB as applicable, including obtaining the required continuing education requirements as part of employment. Maintains a current DEA license.
  • Initiates and maintains collaborative agreement to practice with the current Health Department’s Medical Director.


While the following tasks are necessary for the work of the unit, they are not an essential part of the purpose of this position
and may also be performed by other unit members.

2% Other Duties

  • Serves as team member during disease outbreaks (public health issues or bioterrorism)
  • Serves as team member during disasters that require opening emergency shelters
  • Other duties as directed by supervisor.


  • Graduation from an accredited Nurse Practitioner program with a Master’s or Doctorate degree from a program approved by the NC Joint Subcommittee; or
  • Graduation from an accredited Physician Assistant program approved by the North Carolina Medical Examiners Board and approved to practice medical acts; and
  • Prefer one year of experience as a medical provider.


  • Experience in primary care for children and adults, women’s reproductive health, maternity, and tuberculosis and communicable disease
  • Public Health nursing experience preferred


Certified and licensed as Nurse Practitioner from NC Medical Board and NC Board of Nursing or by the NC Medical Board as a Physician Assistant;

Licensed by NC Board of Nursing as a Registered Nurse (relates to Nurse Practitioner); Valid NC Driver’s license; Reliable means of transportation; Certified in basic CPR life support