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Physician Extender II (Advanced Practice Provider)- Full Time

Rockingham County is an equal opportunity employer and will comply with federal and state statutes regarding discrimination in employment.

This posting is continuous and will remain posted to fill vacancies as they become available. Applicants that apply to this posting will be considered for any vacancies of this type and will only need to apply once.

Benefits:

Paid Medical, Dental, Vision & Life Insurance
Onsite wellness/medical clinic
Onsite fitness center
Retirement
Flexible Spending
Paid Vacation, Sick & Holidays
Bereavement
Community Service Leave
Weekends Off (varies by position)
Flexible Work Schedules & Telework Options (varies by position)
Tuition Reimbursement
401-K & 457 Plans with county match up to 1% of base salary

General Definition of Work
This position provides medical care to the residents of Rockingham County through Adult Primary Care and Child Health Clinics. Serves as a medical consultant for the Child Health Screening Clinic. The position works under the limited supervision of the Director of Nursing/PHN II.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.

Examples of Duties

Assesses, plans, implements, and evaluates healthcare needs of children birth to 21 years of age in Rockingham County.
Obtains complete medical history, performs comprehensive pediatric appraisals, conducts developmental screenings, orders appropriate tests, analyzes clinical data, prescribes medications, educates clients and/or guardian of the importance of treating conditions, and preventions of complications.
Coordinates with the WIC Nutrition Program, Immunization Clinic, and other areas.
Serves as the medical provider and medical consultant for patients over 21 years of age.
Attends the general clinic (county employees and triage patients), and women’s preventive health with acute care needs.
Interviews patients to gather medical/social history for the medical record.
Examines the appropriate boy systems using skills of observation, inspection, palpation, percussion, and auscultation.
Order additional laboratory or imaging studies as needed and make appropriate diagnosis.
Testing includes, but is not limited to urinalysis, CBC/D, vital signs, EKG, vision, hearing, etc.
Develops a treatment plan in accordance with the diagnosis, follows up, repeats additional testing, and refers if needed.
Educates the patient explaining the disease, the treatment plan, and other strategies to prevent the disease progression and its complications.
Maintains accurate medical records of both adult and Children health clinics.
In conjunction with the billing staff and medical billing insurance guidelines, the position accurately describes the diagnosis, procedures (if performed), and the time spent with the patient.
In cases of the indigent patient, the extender researches and obtains external sources for additional funds to assist with the cost of treatment.
Participates in quarterly audits.
Attends all related in-house educational programs, maintains CPR certification, completes self -directed educational activities pertinent to child health, reads current professional literature on child health on an ongoing basis.

Knowledge, Skills, and Abilities:

Comprehensive knowledge of County and Department policies and procedures.
Comprehensive knowledge of applicable State laws, rules and regulations governing medical care.
Comprehensive knowledge of techniques of interviewing, medical and relevant history taking.
Comprehensive knowledge of the principles and practices of general medicine and disease states.
Thorough knowledge of health appraisal techniques and therapeutic procedures.
Thorough knowledge of medications.
Thorough knowledge of preparing reports and other types of correspondence.
Thorough knowledge of the use of standard office equipment and associated software (e.g. Patagonia software).
Comprehensive knowledge of the use of the equipment required for the position (e.g. colposcopy scope and surgical implant equipment).
Ability to make arithmetic computations, compute rates, ratios, and percentages. ability to communicate effectively in oral and written form.
Ability to establish and maintain effective working relationships with patients, physicians, and associates.

Physical Activities, Visual Acuity, and Working Conditions for this Position

Balancing - Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium
Stooping - Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles
Kneeling - Bending legs at knee to come to a rest on knee or knees
Crouching - Bending the body downward and forward by bending legs and spine
Reaching - Extending hand(s) and arm(s) in any direction
Standing - Remaining upright on the feet, particularly for sustained periods of time
Walking - Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another
Pushing - Using upper extremities to press against something with steady force to thrust forward, downward, or outward
Pulling - Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with whole hand or arm as in handling
Grasping - Applying pressure to an object with the fingers and palm
Feeling - Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips
Talking - Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly
Hearing - Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communications, and making fine discriminations in sound
Repetitive Motions- Making substantial movements (motions) of the wrists, hands and/or fingers
Sedentary Work- Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met
Employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices and/or assembly or fabrication of parts at distances close to the eyes
Employee is subject to oils: There is air and/or skin exposure to oils and other cutting fluids
Employee is exposed to infectious diseases

Minimum Qualifications

Minimum Education and Experience:
Master's degree with coursework in public health, nursing, or related field and considerable experience working as a nurse practitioner or physician assistant or equivalent combination of education and experience.

License or Certification Requirements:

NC Medical Board Physician Assistant or Nurse Practitioner License upon hire.
Valid NC Driver's License.

Supplemental Information

Note: In accordance with State mandates and the Rockingham County Emergency Operations Plan, Rockingham County Health and Human Services staff from the Divisions of Social Services, Public Health and Integrated Health are required to staff emergency shelters during times of disaster. Please be advised that every staff person is eligible to be assigned to an emergency shelter or Emergency Operations Center.

The Public Service Loan Forgiveness Program is intended to encourage individuals to enter and continue to work full-time in public service jobs. If you have student loans and you are selected for full-time employment with Rockingham County, you may qualify for forgiveness of the remaining balance due on your William D. Ford Federal Direct Loan after you have made 120 qualifying payments on those loans while employed full-time by certain public service employers. Click on the link below to see whether you might qualify.

https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service