The person in this position provides assessment, diagnosis, and treatment of health conditions, as well as counseling and referral services. The ultimate purpose is to provide healthcare services and have a positive impact on community, and related work as apparent or assigned. Work is performed under the administrative supervision of the Public Health Director of Nursing and supervising provider. The normal work schedule includes Monday through Friday, 8AM to 5PM.
KNOWLEDGE, SKILLS AND ABILITIES:
Thorough knowledge of techniques of interviewing, medical and relevant history taking, physical assessment, ordering and interpretation of laboratory tests, principles and practices of general medicine, and knowledge of disease states as they relate to the care of the client population. Thorough knowledge of health appraisal tools, laboratory tests (procedures and findings), relevant medical material, and therapeutic procedures as they relate to the care of the client population. Ability to examine patients, detect abnormalities, record accurately and completely all findings, and develop/implement a plan of care according to the assessment findings. Considerable knowledge of available referral resources and appropriate referral methods. Ability to communicate effectively, both verbally and in writing. Ability to teach and counsel individuals, families, and groups in the areas of health maintenance, preventive medicine, and any other area related to school health services. Ability to work efficiently, whether independently or collaboratively with other public health personnel and community agencies. Ability to establish and maintain effective working relationships with patients and their families.
ESSENTIAL FUNCTIONS:
The major responsibility is to provide physical and psychosocial assessment with diagnosis, treatment, and referral when indicated across clinical areas servicing Women’s Health, Maternal Care, Sexually Transmitted Diseases, and Family Planning and according to State/Federal guidance.
Complete the new obstetric exam with identification of any problems complicating pregnancy or pre-existent to pregnancy with referrals as appropriate.
Initiate plan of care/diagnostic testing/interpretation of labs/treatment plan based on individual patient medical/surgical history.
Provide patient education relating to pregnancy, childbirth, and postpartum care.
Perform fetal and perinatal assessments within outlined protocol and specific to the physician extender’s scope of practice.
Management of gynecological patients for routine care and/or treatment of common gynecological problems including but not limited to:
All methods of family planning and counseling for reproductive life planning,
Routine Well Woman Exams and Pap Smears
Provide direct and comprehensive health care services, ranging from complete physical examinations to episodic care for chronic and acute illnesses within Women’s Health and other clinical areas.
Complete and maintain all documentation associated with the delivery of care for the patient including maintaining electronic progress notes in individual client records, prepare paper encounter forms (primarily for billing and statistical purposes) on patients and update patient information in the electronic health record as needed.
Prepare requested reports of services provided.
According to professional knowledge and scope of practice, provide anticipatory guidance, counseling, and preventive education.
All other duties as assigned and appropriate for this position.
MINIMUM EXPERIENCE & EDUCATION:
Licensed as a Physician Assistant by the North Carolina Medical Board or approved to practice as a Nurse Practitioner by the North Carolina Board of Nursing and the North Carolina Medical Board and one year of experience as a Physician Extender working in Women’s Health. Physician Assistant or Nurse Practitioner must have supervising physician to practice in Women’s Health.
Or
Completion of a post-graduate certificate midwifery program, or a Master’s in Nursing Degree midwifery program or another appropriate Master’s degree program; national certification, continuing education, and recertification required as indicated by the North Carolina Board of Nursing; and verification of American Midwifery Certification Board (AMCB) Certification.
PHYSICAL REQUIREMENTS: This work requires the occasional exertion of up to 50 pounds of force; work frequently repetitive motions and occasionally requires standing, walking, sitting, speaking or hearing, using hands to finger, handle or feel, reaching with hands and arms, tasting or smelling, pushing or pulling and lifting; work requires ability to adjust focus, depth perception, color perception and peripheral vision; vocal communication is required for expressing or exchanging ideas by means of the spoken word; hearing is required to perceive information at normal spoken word levels; work requires visual inspection involving small defects and/or small parts and using of measuring devices; work is generally in a quiet location (e.g. library, private offices).
SPECIAL REQUIREMENTS: Certified Nurse Midwife with approval by the North Carolina Board of Nursing for Independent Practice and verification of American Midwifery Certification Board (AMCB) Certification. The person in this position must achieve and maintain certification by the American Registry for Diagnostic Medical Sonography (ARDMS) to perform and interpret point-of-care fetal ultrasound. This position is subject to random drug screenings.
Cleveland County is a great place to work! We offer competitive wages, exceptional benefits, and work that matters!
The County is growing, industries are expanding their operations here, and new jobs are being created. This growth drives the need for a skilled, qualified workforce. In addition to private and public industries and nonprofit organizations, Cleveland County Government offers excellent career opportunities with competitive benefits.
If you need more information about applying for a position with Cleveland County or have questions about our benefits, please contact Human Resources.