Advanced Practice Provider II

Advanced Practice Provider II

Salary

$91,787.00 Annually

Location

Nashville, NC

Job Type

Full Time

Job Number

2026-00050

Department

Health Department

Opening Date

06/01/2026

Closing Date

Continuous

• Description
• Benefits

General Statement of Duties

Department: Public Health

Reports to: Director of Nursing; practices under a physician Collaborative Practice (NP) or Supervisory Agreement (PA) per NC rules

Schedule: Monday-Friday, 8:00 a.m.-5:00 p.m.; flexibility for occasional evening clinics and rare weekends based on program needs

Work Locations: Two clinic sites

Provide comprehensive, patient-centered clinical services across child and adolescent health (birth to 20 years), women's and reproductive health, maternal health, sexually transmitted infection (STI) services, and adult preventive health in a local health department setting. Practice under approved standing orders, agency protocols, and a current Collaborative Practice (NP) or Supervisory Agreement (PA) consistent with North Carolina Board of Nursing and North Carolina Medical Board requirements. Core functions include advanced assessment, ordering and interpreting diagnostics, prescribing treatment, immunization management, meticulous EHR documentation, care coordination and referrals, and participation in quality improvement and population health goals using trauma-informed, culturally responsive, and health equity principles.

Essential Duties and Tasks

Child & Adolescent Health (Birth-20 Years)

• Deliver EPSDT/Health Check well-child care and problem-focused visits, including Kindergarten assessments and school/sports physicals.
• Obtain comprehensive medical/surgical/family/social and behavioral/mental health histories; conduct age-appropriate physical and developmental assessments.
• Order/interpret labs and screenings (e.g., lead, hemoglobin, sickle cell, urinalysis; BP, hearing, vision; dental and developmental screening).
• Update immunizations under standing orders and document in NCIR.
• Provide anticipatory guidance and coordinate referrals (PCP, WIC, CDSA, behavioral health, dental).
• Manage common pediatric conditions per protocol; consult or refer for issues outside scope.

Women's & Reproductive Health

• Perform comprehensive and problem-focused reproductive health visits; provide contraceptive counseling and methods (condoms, oral contraceptives, diaphragm, Depo-Provera).
• Perform LARC insertion and removal per competency and protocol; manage post-procedure care.
• Conduct pelvic/breast exams as indicated; order/interpret labs (urinalysis, hematocrit, pregnancy tests, wet mounts).
• Diagnose and treat vaginitis and STIs per CDC/NC guidelines; order HPV, Hep B, and other indicated vaccines.
• Initiate consultation/referral for abnormal findings beyond protocol; dispense medications per agency pharmacy policy and standing orders.

Maternal Health (Prenatal/Perinatal)

• Complete initial and return prenatal visits per protocol, including comprehensive histories, targeted physicals, fundal height, fetal heart tones, and indicated specimens (e.g., GC/CT, GBS) and Pap per guidelines.
• Order/interpret prenatal labs; treat infections and pregnancy-related conditions within scope; prescribe prenatal vitamins/iron and other medications per standing orders.
• Provide education (warning signs, nutrition, lactation, substance use risk reduction, family planning); coordinate referrals for high-risk pregnancies; ensure continuity with obstetric providers.

STI Services

• Obtain sexual health histories; perform focused exams and collect appropriate specimens.
• Diagnose and treat STIs and conditions such as condyloma per guidelines and standing orders.
• Provide counseling, partner services coordination, and risk-reduction education; offer linkage to HIV care/PrEP/PEP where available; update immunizations under standing orders.

Adult Preventive Health

• Conduct preventive and problem-focused visits, including age- and risk-appropriate screenings (e.g., BP, diabetes/lipids, cervical cancer).
• Diagnose and treat common conditions within protocol; provide education and immunizations; coordinate referrals.

Additional Duties

• Support general clinic services (e.g., pregnancy testing, TB medication administration, vaccine visits, BP checks, injections).
• Precept nurses for adult/child physical assessment as assigned.
• Participate in quality improvement, chart reviews, staff meetings, continuing education, and public health emergency/disaster response.

Cross-Cutting Responsibilities

• Maintain current Collaborative Practice/Supervisory Agreement; participate in required chart reviews and QA per NC rules and agency policy.
• Document thoroughly and promptly in Patagonia Health EHR; ensure accurate coding (ICD-10-CM/CPT), EPSDT/Health Check documentation, and billing compliance.
• Utilize NCIR for immunizations; ensure timely lab follow-up, abnormal result management, care coordination, and referrals.
• Apply health-equity, plain-language, and trauma-informed approaches; use interpreter services appropriately.
• Serve as a clinical resource to multidisciplinary staff; liaise with local physicians, hospitals, schools, and community partners to ensure continuity of care.

Knowledges, Skills and Abilities

Knowledge, Skills, and Abilities

• Advanced clinical assessment, diagnostic reasoning, and therapeutic management across assigned programs and age groups.
• Proficiency in interviewing, history-taking, and age-appropriate physical/developmental assessments.
• Knowledge of laboratory testing, screening tools, immunization schedules, health education, and community resources/referral pathways.
• Ability to develop individualized care plans; provide preventive counseling; and communicate clearly with diverse populations.
• Accurate, complete documentation; effective collaboration with supervising/collaborating physicians and multidisciplinary teams.
• Commitment to quality improvement, patient safety, confidentiality (HIPAA; 42 CFR Part 2 as applicable), and health equity.

Work Environment and Physical Requirements

• Primarily clinic-based at two sites and/or mobile unit with frequent intra-county travel; occasional travel to hospitals or community partner sites.
• Possible exposure to blood/body fluids; adheres to BBP and infection control policies; PPE provided.
• May provide services to persons in custody in the agency setting with appropriate security present.
• Requires prolonged standing/sitting, use of exam equipment (stethoscope, BP cuff, otoscope, Doppler), computer/EHR use, and occasional lifting up to 25 lbs.
• Reliable attendance; flexibility to support occasional evening clinics and rare weekend events.

Supervision and Performance Management

• Receives clinical supervision and performance evaluations per agency policy; participates in scheduled chart reviews and QA audits for Child Health, Women's/Reproductive Health, Maternal Health, Adult Health, and STI/HIV programs.
• Performance indicators may include access (show rates, cycle times), documentation timeliness/accuracy, guideline adherence, immunization coverage, EPSDT compliance, and patient experience.

Desirable Education and Experience

Minimum Qualifications (Required)

• Nurse Practitioner: Approved to practice by the North Carolina Board of Nursing and North Carolina Medical Board with a current Collaborative Practice Agreement; or
• Physician Assistant: Licensed by the North Carolina Medical Board with a current Supervisory Agreement; and
• Active, unencumbered North Carolina license (NP or PA); national certification as applicable (e.g., PA-C); valid NC driver's license; ability to travel between clinic sites.
• Current BLS/CPR.

Preferred Qualifications

• Experience in pediatrics/adolescent health, women's/reproductive health (including IUD insertion and removal), prenatal care, and STI/HIV services.
• Local public health experience; EPSDT/Health Check and immunization/NCIR proficiency.
• Patagonia Health EHR proficiency; mobile health experience.
• HIV counseling/testing certification; Spanish or other language proficiency.
• NIMS/ICS training (IS-100/200/700/800) within 6 months of hire.
• DEA registration preferred (or ability to obtain if required by agency scope).

Licensure/Certification (Must Maintain)

• Active NC license (NP or PA) and national certification as applicable.
• Current Collaborative Practice/Supervisory Agreement on file.
• BLS/CPR; agency-required vaccinations; valid NC driver's license.
• DEA registration preferred.

INSURANCE PROGRAMS

Nash County offers cafeteria-style benefits including:

• Health Insurance
• Dental Insurance
• Life Insurance
• Vision Insurance
• Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)
• Disability Insurance (Long-Term and Short-Term Disability)

and more!

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.

LEAVE PROGRAMS

Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. 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 each pay-cycle. 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 USDAs 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.

Employer Nash County

Address 120 W. Washington Street

Nashville, North Carolina, 27856

Phone 252-459-9853

Website http://www.nashcountync.gov