Duplin County NC

Public Health Nurse III – Communicable Disease Program Manager

DEPARTMENT: Duplin County Health Department

SALARY: $23.1058 Hourly / $ 48,060 Annually

OPENING DATE: July 21, 2020            “OPEN UNTIL FILLED”

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

“Equal Opportunity Employer”

General Description of Duties
The primary purpose of this position is to serve as the Communicable Disease Program Manager to include communicable disease, sexually transmitted disease, tuberculosis, and vaccine preventable diseases as well as serve as back-up clinic manager. This position is a public health nurse who is responsible for planning, implementing, and directing TB/CDNPD services provided by a multidisciplinary team which includes but is not limited to nurses, translators, advance practice providers, lab, and clerical staff. As a clinic staff nurse, a high level of nursing skill is required to complete histories, exams, and determine the appropriate action. This employee must stay current and have a working knowledge of standing orders, child health, family planning, maternal health, STD, TB, communicable disease, adult health, and immunizations

Specific Duties and Responsibilities
This list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of an essential function does not preclude management for assigning duties not listed herein if such function is a logical assignment to the position.

55% Communicable Disease (CD), Sexually Transmitted Diseases (STDs), Tuberculosis (TB), Vaccine Preventable Diseases (VPDs) Program Manager
· Maintains and updates policies, procedures, and standing orders.
· Maintains up-to-date NC policy manuals for access by local health department staff.
· Provides updates to local health providers, long term care facilities, and day cares regarding changes in policies and guidelines.
· Investigates incoming report cards, written reports, NCEDDS reports and telephone reports of potential CD, STD, TB, and VPD cases.
· Reports CD, STD, TB, and VPD cases in NCEDDS and updates cases as required.
· Acts as local resource person for other health care providers requesting information and assistance in treatment and follow-up.
· Completes active surveillance of disease trends in the community and notifies appropriate partners of changes in the trends to require follow-up or control measures.
· Collaborates with the State Communicable Disease Branch, Immunization Branch, State Veterinarian, STD Branch, TB Control Program, CDC, Environmental Health, and Animal Control for disease investigation and control.
· Serves as coordinator of the Communicable DiseaseNaccine Preventable Disease team.
· Leads local communicable disease/vaccine preventable disease outbreak investigations. Educates providers, patients, families, contacts, community and providers on the spread of communicable diseases, sexually transmitted diseases and vaccine preventable diseases. Issues control measures per State and local guidelines.
· Knowledgeable of HIV, Hepatitis B, and Hepatitis C Control Measures to prevent spread of disease within the community.
· Informs HIV, Hepatitis B, and Hepatitis C patients of the legal requirements to follow control measures.
· Advises Nursing Director and Health Director of patient non-compliance with control measures.
· Provides information to substantiate violations in control measures to the Health Director so the County Attorney can initiate legal proceedings in non-compliance cases.
· Refers HIV positive, Hepatitis B, and Hepatitis C clients to the appropriate health care agencies for coordination of care.
· Collaborates with the State Disease Intervention Specialists to follow-up and report Syphilis and HIV cases for contact investigation and follow-up.
· Initiates alerts to local care agencies of potential outbreaks, symptoms of disease, testing and control measures.
· Investigates infection control breaches in long term care and health care facilities as identified by the NC Communicable Disease Branch or licensing agencies with NCDHES.
· Investigates animal exposures for necessity of Rabies follow-up and coordinates efforts with local animal control agency. Contacts NC Communicable Disease Branch staff for consultation as needed.
· Follows perinatal Hepatitis B and Hepatitis C infants through vaccination and testing completion per NC Hepatitis guidelines and reports as appropriate in NCEDDS.
· Follows up on sexually transmitted disease reports to ensure appropriate treatment by NC and CDC treatment guidelines.
· Educates patients, contacts and the community on STD testing and treatment as needed.
· Updates local medical providers on changes in STD testing and treatment guidelines.
· Maintains STD medication supply and orders as needed.
· Acts as back-up coordinator for the Duplin County Immunization Program.
· Coordinates the Refugee Health Program and reports to the Office of Refugee Health as required.
· Follows up on County Employee Bloodborne Pathogens exposures.

25% Tuberculosis
· Coordinates and manages the TB program according to the State TB guidelines and agency policies and procedures.
· Provides intensive case management for active TB cases through completion of TB treatment.
· Coordinates patient care with referring physicians, Health Department TB Clinician, State TB Nurse Consultant and the State TB Medical Consultants as needed.
· Knowledgeable of TB control measures to prevent spread of TB within the community.
· Informs clients of the requirements within the control measures.
· Performs contact investigations surrounding newly diagnosed active TB cases.
· Educates patients, family members, contacts and the community on all aspects of TB transmission and treatment.
· Administers and supervises direct observation medication administration for active TB cases and high risk persons with latent TB infection.
· Monitors patients on self-administered latent TB therapy for compliance with mediation regimens per NC TB Control Guidelines and follow-up with delinquent clients.
· Maintains supplies of TB medications and high risk PPD and orders as needed.
· Completes the Annual Facility TB Risk Assessment, coordinates TB screening for employees, and participates in respirator fit testing and negative pressure room testing.

10% General Health Department Nursing Duties and Back-Up Clinic Manager
· Participates in direct patient care of clients receiving services in the Health Department clinic including adult health services, child health services, STD services, immunizations, communicable diseases and tuberculosis control.
· Obtains history and work-up of Adult Health, Maternal Health, Family Planning, and Child Health patients for FNP.
· Assesses client’s needs in General Clinic.
· Maintains Knowledge of immunizations, physical assessment, TB skin testing and treatment, STD treatments and communicable disease.
· Provides and documents appropriately family planning limited history and dispensing of birth control methods.
· Provides pregnancy test counseling and documentation.
· Maintains knowledge of HIV control measures to prevent spread of HIV within the community.
· Coordinates Nephrology Clinic.
· Responsible for monitoring and coordination of clinic flow and assessment of clinic scheduled to determine number of patients that can be serviced based on daily staffing coverage.
· Assigning of staff based on patient and providers.
· Assists in the development and implementation of policies and procedures for clinical programs
· Reviews program goals, objectives, and outcomes. Uses information to assist the Management Team in planning and evaluating clinical programs
· Responsible for keeping adequate inventory and completes requisitions of clinical supplies on hand and staying abreast of new methods and equipment, including borrowing supplies in emergency situations from other health agencies.

6% Rabies Control
• Coordinate with hospitals, physicians and Animal Control Officers to follow up on animal exposures for Rabies surveillance and post exposure treatment.
• Consult with the NC Communicable Disease Branch State Veterinarian regarding Rabies exposure.
• Provide community education regarding Rabies exposure/prevention and risk of disease associated with exposures.
• Follow persons on post exposure prophylaxis to assure appropriate regimens are completed

2% Preceptor
· Precepts associated degree nursing students in clinic area to provide appropriate clinical experience.
· Signs student’s time sheet and completes mid and end of clinical rotation evaluations.
· Collaborates with student’s advisor.
· Assists/evaluates student’s public health project.
· Ensures each student rotates through all services at the health department.

While the following tests 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 the other unit members.

2% Other Duties
· Serves as a team member during outreach projects as flu vaccine season, health fairs, etc.
· Serves as team member during disease outbreaks.
· Serves as team member during disasters for staffing of emergency shelters.
· Other duties as directed by supervisor.

· Graduation from a school of professional nursing and four years of Public Health Nursing experience including two years’ experience in a supervisory capacity; or
· Graduation from a four-year college or university with a BS degree in nursing which includes a Public Health Nursing rotation, four years of Public Health Nursing experience including two years’ experience in a supervisory capacity; or
· Master’s in Public Health and graduation from a school of professional nursing and four years of Public Health Nursing experience including two years’ experience in a supervisory capacity; or
· An equivalent combination of training and experience.

Additional Training/Experience Preferred:
· Nursing Experience in pediatrics, maternity, family planning, adult health, and communicable disease to include tuberculosis, vaccine preventable diseases, and sexually transmitted diseases
· Completion of STD Training Course

· Current, valid NC Board of Nursing Certified Registered Nurse
· Valid NC Driver’s License
· Reliable means of transportation for work assignments
· Certified in basic CPR life support
· Introduction to Principles and Practices of Public Health Nursing