advanced practice registered nurse - Mound House, NV , USA, United States - City of Carson, NV

Description

Salary: $76, $114,003.42 Annually

Location : NV 89706, NV

Job Type: FULL-TIME

Job Number: 792_4.9.24

Department: Health & Human Services

Opening Date: 04/09/2024

Closing Date: Continuous

Description

This is a full-time, FLSA Exempt position with Carson City Health & Human Services, located in Carson City, NV. Under general supervision, responsible for providing targeted or comprehensive health care in a community health center; and performs related work as required.

To learn more about the Nevada Public Employees' Retirement System (PERS), .

Please Note: Human Resources determines whether or not you meet the minimum qualifications for the job based on your experience as you describe it on your application. Do not substitute a resume for your application, or write See Attached Resume on your application. We do not review resumes, unless specifically stated on the job announcement. Qualifying education and experience must be clearly documented in the Education and Work Experience section of the application. Applicants not meeting these requirements will not be considered for employment.

Examples of Duties

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Provides care consistent with evidence-based health care and medicine.
• Works independently and interdependently with other medical providers.
• Interviews patients to obtain medical history.
• Documents accurately in the patient's medical record, both normal and abnormal findings.
• Performs general physical assessments.
• Performs pelvic and breast examinations.
• Initiates and performs selected diagnostic and screening tests based on medical history and physical assessment.
• Assesses patient needs for specialty and diagnostic referrals and makes appropriate referrals.
• Interprets screening, laboratory, and diagnostic test results; provide education to patients as needed based on results; make and provide appropriate referrals.
• Obtains patient sample for lab tests and performs in-house waived laboratory testing.
• Counsels patients regarding their choice of contraceptives; prescribes and dispenses birth control pills and emergency contraceptives; inserts, examines and removes IUD and Long-Acting Reversible Contraceptive (LARC) devices.
• Diagnosis and treats sexually transmitted infections.
• Provides health related counseling on the prevention of communicable diseases, including sexually transmitted infections.
• Follows up with patients experiencing infections, as needed; encourages return for follow up testing or treatment, when recommended.
• Dispenses medications, in accordance with the State of Nevada's Board of Pharmacy policies.
• Performs minor outpatient procedures, in accordance with the scope of practice for this position.
• Refers patients to proper community agency, when necessary.
• Communicates with patients regarding complaints.
• Collaborates with Family Planning Medical Director and/or County Health Officer to review documentation, update protocols, and case conference regarding specific patients, as deemed appropriate.
• Prepares a variety of technical, statistical and narrative written reports, correspondence, procedures, and other written materials.
• Acts as a preceptor for nursing students, and Advanced Practice Registered Nurse students.
• Assists with medical emergencies within the clinic, administers first aid as needed.
• Participates in audits, as deemed appropriate.
• Participates in the implementation and development of quality improvement projects.
• Organizes own work based on the clinic schedule, sets priorities and meets critical deadlines.
• Contributes to the efficiency and effectiveness of the division's service to its customers by offering suggestions and directing or participating as an active member of a work team.
• Assists Clinical Services Division Manager with other administrative duties, as needed.
• Demonstrates courteous and cooperative behavior when interacting with the public and City staff; acts in a manner that promotes a harmonious and effective workplace environment.

Typical Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and Experience:
Master's degree or higher from an accredited college or university with major course work in nursing or a related health care field that is acceptable to the Nevada State Board of Nursing for licensure as an Advanced Practice Registered Nurse (NRS ; AND one (1) year of nursing experience; OR an equivalent combination of education, training and experience as determined by Human Resources.

REQUIRED CERTIFICATES, LICENSES, AND REGISTRATIONS:

• Nevada Driver's License.
• Current CPR certification.
• Nevada Board of Nursing Registered Nursing License.
• Nevada Board of Nursing Advanced Practice Registered Nursing License.
• Complete ICS 100, 200 and 700 within six (6) months of date of employment.

Required Knowledge and Skills
Knowledge of:

• Laws, statutes, codes, regulations, and standards pertaining to the area of assignment.
• City, department, and division policies and procedures.
• Functions, basic organization and procedural constraints related to the operation of a municipality.
• Principles, procedures, methods and techniques of advanced nursing practice including assessment, diagnosis, plan of care, interventions, evaluations, and referrals.
• Principles, procedures, methods and techniques of laboratory testing and interpretation.
• Modern and complex principles, procedures, methods, and techniques of nursing/health care such as evidence-based practices, health equity and culturally appropriate/patient centered health care.
• Principles and procedures of report preparation.
• Principles, procedures, methods and techniques of medical record keeping and report preparation and maintaining confidentiality and compiling with the Health Insurance Portability and Accountability Act (HIPAA).
• Principles of nursing leadership such as effective communication, interdisciplinary relationships, and teamwork.
• Quality improvement management including quality improvement methods, risk management and patient safety.
• A variety of contagious and transmittable diseases, how they are contracted and spread, and recommended treatments.
• Available vaccines for all age groups, possible reactions and side effects, and administration practices.
• Community agencies and other outside resources available to patients.
• Medical terminology.
• Universal precautions and infection control practices.
• Computer applications related to work, such as, but not limited to, Word, Excel, PowerPoint and electronic medical records.
• Nursing mathematics, including statistics.
• Communicating effectively in oral and written forms.
• Techniques for dealing with a variety of individuals from various socio-economic, ethnic and cultural backgrounds, in person and over the telephone.
• Demonstrates courteous and cooperative behavior when interaction with the public, patients, and City staff; acts in a manner that promotes a harmonious and effective workplace environment.

Skill in:

• Reading, interpreting, applying, and explaining pertinent laws, statutes, codes, regulations, and standards.
• Performing general physical examinations.
• Preparing and performing diagnostic tests to evaluate treatments for patient with a variety of infections and illnesses.
• Systematically assessing the health status of persons and families.
• Providing responsible and advanced nursing and health care.
• Administering a variety of prescribed medications in accordance with the State of Nevada Board of Pharmacy.
• Administering a variety of immunizations in accordance with the Advisory Committee on Immunization Practice (ACIP) guidance and recommendations.
• Inserting, examining, and removing a variety of female contraceptives.
• Educating patients about various types of birth control methods.
• Performing selected diagnostic procedures.
• Collecting, preparing and interpreting laboratory tests.
• Documenting normal and abnormal assessment findings in patient's record.
• Interviewing patients prior to examinations to assess their health status.
• Educating and counseling patient on a variety of health care related issues.
• Operating standard medical testing equipment.
• Responding to emergency situations.
• Administering first aid.
• Communicating clearly and concisely, both verbally and in writing.
• Using tact, discretion, initiative and independent judgment within established guidelines.
• Using initiative and independent judgement within established procedural guidelines.
• Organizing work, setting priorities, meeting critical deadlines, and following up assignments with a minimum of direction.
• Fostering an environment of professionalism, collegiality and collaboration, and ethical practice.
• Contributing effectively to the accomplishment of team or work unit goals, objectives and activities.

SUPERVISION RECEIVED AND EXERCISED:
Under General Supervision - Incumbents at this level are given assignments and objectives that are governed by specifically outlined work methods and a sequence of steps, which are explained in general terms. The responsibility for achieving the work objectives, however, rests with a superior. Immediate supervision is not consistent, but checks are integrated into work processes and/or reviews are frequent enough to ensure compliance with instructions.

Responsible for providing delivery of a variety of advanced nursing practices, such as, but not limited to, assessing, treating, controlling and preventing patient illness and disease; performing physical examinations; identifying patients with physical and emotional illness; to administer medications as needed; performing invasive women's health procedures; and other related work as required.

PHYSICAL DEMANDS & WORKING ENVIRONMENT:
The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Mobility to work in a typical office setting, use standard office equipment and stamina to sit for extended periods of time; strength to lift and carry up to 20 pounds; vision to read printed materials; and hearing and speech to communicate in person or over the telephone; exposure to traffic conditions and external environment when traveling from one office to another.
Supplemental Information

1. Unclassified employees are At Will and as such, may be terminated at any time for any reason, or no reason. Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.

2. Any City employee may be required to stay at or return to work during emergencies to perform duties specific to this classification or to perform other duties as requested in an assigned response position. This may require working a non-traditional work schedule or working outside normal assigned duties during the incident and/or emergency.

3.Employees may be required to complete Incident Command System training as a condition of continuing employment.

4.New employees are required to submit to a fingerprint based background investigation which cost the new employee $48.25 and a drug screen which costs $36.50. Employment is contingent upon passing the background and the drug screen.

5. Carson City participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization. All candidates who are offered employment with Carson City must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment. Please be prepared to provide required documentation as soon as possible after the job offer is made. For additional information regarding acceptable documents for this purpose, please contact Human Resources at or go to the U.S. Citizenship and Immigration Services web page at

6.Carson City is an Equal Opportunity Employer.

Following is an overview of the generous benefit package offered to Carson City employees. Please review the individual resolution referenced at the end of the listing along with the Rules and Regulations Manual.

• No Nevada state income tax

• Nevada PERS - contributions paid 100% by City. Participants are vested in the system after five years.

• No Social Security

• Medicare deduction of 1.45% of salary

• Eleven paid holidays

• Vacation leave plan

• Sick leave plan

• Management leave plan

• Medical, dental, vision and life insurance plan. Carson City pays 100% of employee premium, with dependent coverage provided at a significantly subsidized rate.

• Worker's Compensation

• Employee assistance plan

• Deferred Compensation plans available

• Voluntary additional insurance plans available

• Flexible spending (IRS 125) plans available

This is an overview of the benefits available to unclassified employees. There is a Resolution adopted by the Carson City Board of Supervisors that provides additional information on unclassified benefits. This overview does not in any manner modify or alter the resolution. The Resolution can be reviewed by visiting

01

Describe your experience of working with grants. Include in your description where the experience was attained. This employer must also be listed in your application under Work History to receive credit. Do not refer to See Resume to answer the question.

02

Describe your experience of ensuring grants are in compliance with Federal regulations. Be specific when describing your experience. Include in your description where the experience was attained. This employer must also be listed in your application under Work History to receive credit. Do not refer to See Resume to answer the question.

03

Describe your experience developing, monitoring, and maintaining grant tracking systems to ensure timely preparation and/or filing of grant applications, fiscal projections, requests for reimbursement or other financial reports. Be specific when describing your experience. Include in your description where the experience was attained. This employer must also be listed in your application under Work History to receive credit. Do not refer to See Resume to answer the question.

04

Describe your experience developing, monitoring, and augmenting budgets. Be specific when describing your experience. Include in your description where the experience was attained. This employer must also be listed in your application under Work History to receive credit. Do not refer to See Resume to answer the question.

05

Describe your experience with office equipment and computer applications including financial software that relate to your current or past employment. Indicate your level of expertise in each. Include in your description where the experience was attained. This employer must also be listed in your application under Work History to receive credit. Do not refer to See Resume to answer the question.

06

Although the medical and recreational use of marijuana is lawful in Nevada, state law allows the City to prohibit the use of marijuana in the workplace and does not require the City to modify the job or working conditions of a person who engages in the medical use of marijuana if the job or working conditions are based upon the reasonable business purposes of the City. An employee who engages in the recreational use of marijuana and through a laboratory test is positive for the use of marijuana will be terminated. An employee who uses medical marijuana or products that contain derivatives such as THC may be terminated. Are you able to comply with this policy?

Required Question