Transylvania County, NC
Communicable Disease Public Health Nurse II
Transylvania County, NC, Brevard, North Carolina, United States, 28712
Salary:
$54,267.20 - $84,094.40 Annually
Location :
NC 28712, NC
Job Type:
Full-Time
Job Number:
00323
Department:
Public Health
Division:
PUBLIC HEALTH NURSES
Opening Date:
07/19/2024
Closing Date:
Continuous
FLSA:
Exempt
About
This position provides direct service/preventive care to individuals and families in the clinic, home and community setting. This position serves as back-up Communicable Disease Nurse, Lead TB Control Nurse, Adult Day Health Specialist and Enhanced Role STD/HIV Nurse. Essential Functions
Receives positive lab reports from NCEDSS, hospitals, physicians, labs and other health departments, etc. Investigates authenticity of reports and determines if appropriate testing was done. Performs investigation by interviewing the case, contacts and medical providers. Counsels clients about the disease and gives control measures verbally or in writing. Provides treatment to case/contacts as needed. Completes Confidential Communicable Disease Report, Part I and Part II. Submits reports to NC Communicable Disease Control Branch through NCEDSS. Assures local TB services are provided in accordance with NC TB Control Manual. Coordinates care of active TB clients with private providers and/or Medical Director. Provides and/or oversees the administration of medications, provision of x-rays, and assessment of clients with active and latent TB. Serves as primary resource person for all community medical providers. Participates in quarterly Epi Team meetings.
Functions as primary service provider for STD clients. Obtains health history and performs comprehensive exam with cultures if needed. Counsels clients for risk reduction, control measures and contact identification. Administers treatment under standing orders. Refers clients for MD evaluation as needed. Completes CD reports and Surveillance Forms as required by NCAC 41A.0101. Provides and oversees HIV counseling and testing. Serves as primary contact person for Regional DIS. Reviews reports from State Lab and coordinates appropriate follow up. Is responsible for ordering and maintaining medication supply. Assists in writing Standing Orders.
Interviews and provides appropriate counseling/referrals in a variety of clinical or community settings. This includes but is not limited Family Planning clients, BCCCP/Cancer Prevention, Hypertension/Diabetes Screening, Immunizations, and WIC. Participates in Flu Administration programs. Will perform laboratory tests as needed. Conducts monitoring visits (in conjunction with DSS) to Adult Day Health Center to assure compliance with operation standards as determined by the Division on Aging. Acts as a consultant to improve delivery of health related services. Knowledge, Skills and Abilities
Must be able to understand program requirements and applicable laws to provide direct care and education based on this knowledge. Accuracy is required in performing assessments and recording these observations and the care rendered in the medical record. Must be able to provide instructions to clients orally and in writing. Must be able to communicate program guidelines to other agencies and the community.
PHYSICAL DEMANDS This position requires more mental than physical effort. Employee may be subjected to extended periods of sitting, walking, or standing. Must be able to travel from the department to homes and other community settings. Requires some lifting and carrying of light to medium weight equipment. WORK ENVIRONMENT Work is performed in the Health Department, client homes and community facilities. Employee may be exposed to poor home environments and over-crowded noisy clinic settings. May be exposed to infectious diseases, bloodborne pathogens and angry/disruptive clients. Employee may experience periodic hazards in the field such as driving in inclement weather. WORK SCHEDULE 8:30am to 5:00pm Monday through Friday. Evening and weekend hours may be necessary for service provision, meetings, and educational classes.
To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties just as though they were actually written out in this job description. Education and Experience
Minimum Education and Experience: Graduation from a four-year university or college with a B.S. Degree in Nursing that includes a Public Health rotation and one year of Public Health Nursing experience; or graduation from an accredited school of professional nursing and two years of professional nursing experience including one year in public health or an equivalent combination of training and experience. Experience in a field of nursing that is closely related to the anticipated work assignment can be substituted for Public Health experience for hiring purposes.
Individuals employed in a local Health Department without a B.S. Degree which includes a Public Health Nursing rotation or a Master's in Public Health, will be required to complete an introductory course in principles and practices of public health nursing sponsored by the North Carolina Department of Health and Human Services- Division of Public Health within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule, 10 NCAC 46.0301.
Required Licenses or Certifications: A current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing. Driver's License valid in the State of North Carolina.
Medical Insurance
$50 per month premium paid by the employee / county pay remaining portion
Employee can cover children/spouse/family at their own cost for medical coverage $77.56/$265.92/ $426.28 per month. In addition to the $50 per month for the employee.
Employees may qualify for a $50 per month discount. Beginning in 2016, employees must participate in the employee health screening including a base line physical and meet 2 of the 4 accountability standards set forth by the Board of Commissioners to receive the discount.
Waist circumference abdomen cir
Blood Pressure
Cholesterol Ratio
Hemoglobin A1c
Premiums may be pre-taxed which is a savings to your taxes, but if you pre-tax premiums you can't take the costs off of your taxes.
Blue Options PPO /Administered by Blue Cross and Blue Shield of North Carolina
Employee has choice of 2 Health Plans.
Plan 1 - Co-Pay Plan for In-Network- $40 Copays for Primary Care Visit, $80 Specialist Visit, Urgent Care and RX. All other services apply to $1,500 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 1 document for more detailed information.
Plan 2 - Deductible Plan for In-Network except $25 co-pay for Primary Care Visit and RX. All other services apply to $1,000 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 2 document for more detailed information.
Routine eye examinations only are covered annually for a BCBSNC network provider.
Prescription Drugs - 4 Tiers - $5 generic/ $45 preferred / $60.00 non preferred /4th Tier is 25% up to a max of $100.00./ Mail order is available @ 2.5 co-pays for a 90 day supply. 90 day supply at pharmacy.
Verify network participation, RX tiers, and obtain information at www.bcbsnc.com.
Self Funded Health Insurance Plan - Deductible of $75,000.
Dental Insurance
- Can choose different level of coverage than Medical
Administered by Ameritas
Employee is covered under the dental coverage at no cost. An employee can cover children/spouse/family for $57.26/ $22.52/ $72.38 per month, respectively.
No Network of Dentists, may choose any provider
Provides 2 routine cleanings and exams with no deductible
For other services a $50 plan year deductible
80% for root canals, fillings - 50% for crowns, bridgework, dentures
$1000 maximum for braces/ $1000 maximum per covered individual per year which includes preventative care costs
Obtain information & replacement cards at www.ameritasgroup.com.
Term Life Insurance
- Provided for the Employee - Dearborn National
$10,000 Life and $10,000 Accidental Death
Employee may purchase additional amounts. Up to $100,000 Guaranteed Issue for employee;$20,000 for spouse and $10,000 or $5,000 for children (at original eligibility). Otherwise late enrollees are subject to Underwriting guidelines.
Supplemental Insurance Products -
Mark III Brokerage assists the county to provide a full-array of supplemental products such as Health and Dependent Care FSA accounts, Cancer Policy, Short-term and Long-term Disability, Term Life, Universal Life, Accident or Illness Policy, Hospital Indemnity, and a Vision Plan. The Supplemental Products are available during original employment or open enrollment in May/June of each year to employees at group rates and premiums are paid through payroll deduction. Policies will be effective on July 1.
If you are interested in knowing more about these benefits view the following website for details. or a link is available on the county Intranet. Then sign up during your original enrollment window by contacting Human Resources. Some of the products qualify as pre-tax benefits. Website for information is:
Electronic Payroll Deposit
-
County Employees are paid bi-weekly, 26 times per year. We deposit your payroll check. Deposits are available to all banks and credit unions. Deposits are made, so you can have access to your funds by Friday morning (payday). You can divide your payroll into two accounts, one you must specify the amount to go into and the second account would receive the balance.
Retirement
-
NC Local Government Employees Retirement System - All full-time employees contribute 6% of their gross earnings and the County matches the contribution. Employees are vested in the program after 5 years of service. Transferable within the state system. The website for more information is:
401K - Empower Retirement - Voluntary Contributions, Rollovers, etc. (Info Available). The website is:
457 - Nationwide Retirement Solutions - After 5 years of full-time service the County will provide a contribution of $57.69 per payroll / $1500 per year for employees. At 5 years of service, eligible employees must complete an enrollment form. The website is
Credit Union
-
County Employees may be a member in the NC Local Government Employees Credit Union which is affiliated with the State Employees Credit Union. Local office is in Pisgah Forest. Payroll deduction and drafts are available. The website is
Paid Holidays
- (12)
New Year's Day, Martin Luther King's Birthday, Easter Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and the Day after Thanksgiving, Christmas Eve Day, Christmas Day and the day after Christmas.
Paid Vacation/Annual Leave
-
1-2 years = 10 days; 3-5 years = 12 days, 5-10 years = 15 days, 10-15 years = 18 days, 15-20 years = 20 days; 20 + years = 24 days. Vacation is accrued bi-weekly, therefore you receive 1/26th each payroll.
You may accrue vacation and carry over up to 30 days. Thereafter, at the end of the calendar year, if you have more than the 30 days, the excess converts to sick leave.
You may cash in up to one week of vacation annually, in lieu of time away from work.
In extreme situations employees may request to transfer vacation leave to other employees. Requests must be in writing to the County Manager and must be approved in advance.
Vacation should be scheduled in advance as requested by your supervisor. Complete proper leave sheets.
If you have prior active service in the NC Retirement System, Transylvania County will give you credit for those years of service toward accrual of vacation/annual leave.
Paid Sick Leave
-
Paid sick leave is always equivalent to 12 days per year. It is accrued bi-weekly. Employees accrue 1/26th of the annual amount per payroll.
You may accrue sick leave with no maximum accrual. At retirement for every 20 days of accrued sick leave you will get one additional month of service time.
Sick leave may be used for doctor's appointments, personal illness or the illness of an immediate family member.
If you have prior active service in the NC Retirement System, Transylvania County will transfer in your sick leave balance from your most recent employer.
Wellness Center
- Phone Number (828)884-3115
The Wellness Center is open M-W-F 8am -12pm and 1pm to 4pm and T-TH 8am-12pm.
The Wellness Center is a partnership between Transylvania County and the City of Brevard.
County Employees may use the Wellness Center for all services at no cost.
Dependents over the age of 7 who are on your Medical plan may also use the Wellness Center.
Appointments are encouraged to help minimize any wait and to make the Center Services flow easier.
Time away from your work location to visit the Wellness Center is not changed to leave.
Services include: Routine bloodwork monitoring, allergy injections, monitoring chronic illnesses, manage and authorize prescriptions, coordinate referrals, school physicals and testing for flu, mono and strep.
$54,267.20 - $84,094.40 Annually
Location :
NC 28712, NC
Job Type:
Full-Time
Job Number:
00323
Department:
Public Health
Division:
PUBLIC HEALTH NURSES
Opening Date:
07/19/2024
Closing Date:
Continuous
FLSA:
Exempt
About
This position provides direct service/preventive care to individuals and families in the clinic, home and community setting. This position serves as back-up Communicable Disease Nurse, Lead TB Control Nurse, Adult Day Health Specialist and Enhanced Role STD/HIV Nurse. Essential Functions
Receives positive lab reports from NCEDSS, hospitals, physicians, labs and other health departments, etc. Investigates authenticity of reports and determines if appropriate testing was done. Performs investigation by interviewing the case, contacts and medical providers. Counsels clients about the disease and gives control measures verbally or in writing. Provides treatment to case/contacts as needed. Completes Confidential Communicable Disease Report, Part I and Part II. Submits reports to NC Communicable Disease Control Branch through NCEDSS. Assures local TB services are provided in accordance with NC TB Control Manual. Coordinates care of active TB clients with private providers and/or Medical Director. Provides and/or oversees the administration of medications, provision of x-rays, and assessment of clients with active and latent TB. Serves as primary resource person for all community medical providers. Participates in quarterly Epi Team meetings.
Functions as primary service provider for STD clients. Obtains health history and performs comprehensive exam with cultures if needed. Counsels clients for risk reduction, control measures and contact identification. Administers treatment under standing orders. Refers clients for MD evaluation as needed. Completes CD reports and Surveillance Forms as required by NCAC 41A.0101. Provides and oversees HIV counseling and testing. Serves as primary contact person for Regional DIS. Reviews reports from State Lab and coordinates appropriate follow up. Is responsible for ordering and maintaining medication supply. Assists in writing Standing Orders.
Interviews and provides appropriate counseling/referrals in a variety of clinical or community settings. This includes but is not limited Family Planning clients, BCCCP/Cancer Prevention, Hypertension/Diabetes Screening, Immunizations, and WIC. Participates in Flu Administration programs. Will perform laboratory tests as needed. Conducts monitoring visits (in conjunction with DSS) to Adult Day Health Center to assure compliance with operation standards as determined by the Division on Aging. Acts as a consultant to improve delivery of health related services. Knowledge, Skills and Abilities
Must be able to understand program requirements and applicable laws to provide direct care and education based on this knowledge. Accuracy is required in performing assessments and recording these observations and the care rendered in the medical record. Must be able to provide instructions to clients orally and in writing. Must be able to communicate program guidelines to other agencies and the community.
PHYSICAL DEMANDS This position requires more mental than physical effort. Employee may be subjected to extended periods of sitting, walking, or standing. Must be able to travel from the department to homes and other community settings. Requires some lifting and carrying of light to medium weight equipment. WORK ENVIRONMENT Work is performed in the Health Department, client homes and community facilities. Employee may be exposed to poor home environments and over-crowded noisy clinic settings. May be exposed to infectious diseases, bloodborne pathogens and angry/disruptive clients. Employee may experience periodic hazards in the field such as driving in inclement weather. WORK SCHEDULE 8:30am to 5:00pm Monday through Friday. Evening and weekend hours may be necessary for service provision, meetings, and educational classes.
To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties just as though they were actually written out in this job description. Education and Experience
Minimum Education and Experience: Graduation from a four-year university or college with a B.S. Degree in Nursing that includes a Public Health rotation and one year of Public Health Nursing experience; or graduation from an accredited school of professional nursing and two years of professional nursing experience including one year in public health or an equivalent combination of training and experience. Experience in a field of nursing that is closely related to the anticipated work assignment can be substituted for Public Health experience for hiring purposes.
Individuals employed in a local Health Department without a B.S. Degree which includes a Public Health Nursing rotation or a Master's in Public Health, will be required to complete an introductory course in principles and practices of public health nursing sponsored by the North Carolina Department of Health and Human Services- Division of Public Health within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule, 10 NCAC 46.0301.
Required Licenses or Certifications: A current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing. Driver's License valid in the State of North Carolina.
Medical Insurance
$50 per month premium paid by the employee / county pay remaining portion
Employee can cover children/spouse/family at their own cost for medical coverage $77.56/$265.92/ $426.28 per month. In addition to the $50 per month for the employee.
Employees may qualify for a $50 per month discount. Beginning in 2016, employees must participate in the employee health screening including a base line physical and meet 2 of the 4 accountability standards set forth by the Board of Commissioners to receive the discount.
Waist circumference abdomen cir
Blood Pressure
Cholesterol Ratio
Hemoglobin A1c
Premiums may be pre-taxed which is a savings to your taxes, but if you pre-tax premiums you can't take the costs off of your taxes.
Blue Options PPO /Administered by Blue Cross and Blue Shield of North Carolina
Employee has choice of 2 Health Plans.
Plan 1 - Co-Pay Plan for In-Network- $40 Copays for Primary Care Visit, $80 Specialist Visit, Urgent Care and RX. All other services apply to $1,500 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 1 document for more detailed information.
Plan 2 - Deductible Plan for In-Network except $25 co-pay for Primary Care Visit and RX. All other services apply to $1,000 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 2 document for more detailed information.
Routine eye examinations only are covered annually for a BCBSNC network provider.
Prescription Drugs - 4 Tiers - $5 generic/ $45 preferred / $60.00 non preferred /4th Tier is 25% up to a max of $100.00./ Mail order is available @ 2.5 co-pays for a 90 day supply. 90 day supply at pharmacy.
Verify network participation, RX tiers, and obtain information at www.bcbsnc.com.
Self Funded Health Insurance Plan - Deductible of $75,000.
Dental Insurance
- Can choose different level of coverage than Medical
Administered by Ameritas
Employee is covered under the dental coverage at no cost. An employee can cover children/spouse/family for $57.26/ $22.52/ $72.38 per month, respectively.
No Network of Dentists, may choose any provider
Provides 2 routine cleanings and exams with no deductible
For other services a $50 plan year deductible
80% for root canals, fillings - 50% for crowns, bridgework, dentures
$1000 maximum for braces/ $1000 maximum per covered individual per year which includes preventative care costs
Obtain information & replacement cards at www.ameritasgroup.com.
Term Life Insurance
- Provided for the Employee - Dearborn National
$10,000 Life and $10,000 Accidental Death
Employee may purchase additional amounts. Up to $100,000 Guaranteed Issue for employee;$20,000 for spouse and $10,000 or $5,000 for children (at original eligibility). Otherwise late enrollees are subject to Underwriting guidelines.
Supplemental Insurance Products -
Mark III Brokerage assists the county to provide a full-array of supplemental products such as Health and Dependent Care FSA accounts, Cancer Policy, Short-term and Long-term Disability, Term Life, Universal Life, Accident or Illness Policy, Hospital Indemnity, and a Vision Plan. The Supplemental Products are available during original employment or open enrollment in May/June of each year to employees at group rates and premiums are paid through payroll deduction. Policies will be effective on July 1.
If you are interested in knowing more about these benefits view the following website for details. or a link is available on the county Intranet. Then sign up during your original enrollment window by contacting Human Resources. Some of the products qualify as pre-tax benefits. Website for information is:
Electronic Payroll Deposit
-
County Employees are paid bi-weekly, 26 times per year. We deposit your payroll check. Deposits are available to all banks and credit unions. Deposits are made, so you can have access to your funds by Friday morning (payday). You can divide your payroll into two accounts, one you must specify the amount to go into and the second account would receive the balance.
Retirement
-
NC Local Government Employees Retirement System - All full-time employees contribute 6% of their gross earnings and the County matches the contribution. Employees are vested in the program after 5 years of service. Transferable within the state system. The website for more information is:
401K - Empower Retirement - Voluntary Contributions, Rollovers, etc. (Info Available). The website is:
457 - Nationwide Retirement Solutions - After 5 years of full-time service the County will provide a contribution of $57.69 per payroll / $1500 per year for employees. At 5 years of service, eligible employees must complete an enrollment form. The website is
Credit Union
-
County Employees may be a member in the NC Local Government Employees Credit Union which is affiliated with the State Employees Credit Union. Local office is in Pisgah Forest. Payroll deduction and drafts are available. The website is
Paid Holidays
- (12)
New Year's Day, Martin Luther King's Birthday, Easter Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and the Day after Thanksgiving, Christmas Eve Day, Christmas Day and the day after Christmas.
Paid Vacation/Annual Leave
-
1-2 years = 10 days; 3-5 years = 12 days, 5-10 years = 15 days, 10-15 years = 18 days, 15-20 years = 20 days; 20 + years = 24 days. Vacation is accrued bi-weekly, therefore you receive 1/26th each payroll.
You may accrue vacation and carry over up to 30 days. Thereafter, at the end of the calendar year, if you have more than the 30 days, the excess converts to sick leave.
You may cash in up to one week of vacation annually, in lieu of time away from work.
In extreme situations employees may request to transfer vacation leave to other employees. Requests must be in writing to the County Manager and must be approved in advance.
Vacation should be scheduled in advance as requested by your supervisor. Complete proper leave sheets.
If you have prior active service in the NC Retirement System, Transylvania County will give you credit for those years of service toward accrual of vacation/annual leave.
Paid Sick Leave
-
Paid sick leave is always equivalent to 12 days per year. It is accrued bi-weekly. Employees accrue 1/26th of the annual amount per payroll.
You may accrue sick leave with no maximum accrual. At retirement for every 20 days of accrued sick leave you will get one additional month of service time.
Sick leave may be used for doctor's appointments, personal illness or the illness of an immediate family member.
If you have prior active service in the NC Retirement System, Transylvania County will transfer in your sick leave balance from your most recent employer.
Wellness Center
- Phone Number (828)884-3115
The Wellness Center is open M-W-F 8am -12pm and 1pm to 4pm and T-TH 8am-12pm.
The Wellness Center is a partnership between Transylvania County and the City of Brevard.
County Employees may use the Wellness Center for all services at no cost.
Dependents over the age of 7 who are on your Medical plan may also use the Wellness Center.
Appointments are encouraged to help minimize any wait and to make the Center Services flow easier.
Time away from your work location to visit the Wellness Center is not changed to leave.
Services include: Routine bloodwork monitoring, allergy injections, monitoring chronic illnesses, manage and authorize prescriptions, coordinate referrals, school physicals and testing for flu, mono and strep.