Community Health Nurse

Salary : $70,220.80 – $73,798.40 Annually

Location : Fallon, NV

Job Type: Full-Time Regular

Job Number: 2023-0041

Department: Social Services

Opening Date: 05/31/2023

Closing Date: Continuous

FLSA: Exempt

Position Summary

(Base salary increases to $72,400 on 7/10/23.)

Are you a nurse who is interested in helping meet the health needs of rural communities in Nevada? Do you want to work in a job where you can make an impact on people’s lives? Churchill County is recruiting for a full-time Community Health Nurse for the Central Nevada Health District (CNHD) to help address community health needs in Churchill, Eureka, Mineral, and Pershing Counties. (This position may be located in any of these Nevada communities, but will be required to travel to other communities to provide services there as well. Travel costs to provide services are covered by CNHD. The employee is not required to live in Churchill County.)

The Community Health Nurse (CHN) assesses, plans, implements, and evaluates the provision of education and clinical services to help people improve their own health. In addition to other duties, the CHN provides preventive vaccines, testing, and treatment to support an overall reduction of infectious communicable diseases and works to increase health outcomes in the four communities.

Consider working for Churchill County! The county pays 100% of the retirement contribution to PERS on your behalf (33.00% over and above your wage, equivalent to $23,100/year). The county pays 100% of the employee-only health insurance premiums (equivalent to $11,050/year). AND you will not have Social Security taken out of your paycheck, which results in an additional 6% take-home pay (equivalent to $4,200/year).

If you are passionate about helping others live healthy and productive lives, and if you are qualified for the position, apply at www.churchillcounty.org/careers. Applications will be accepted until the position is filled.

Position Summary: Under general supervision, perform public/community health nursing services in clinics, homes, and in the community; and to provide community- and client-centered counseling, education and information concerning illnesses.
Essential Functions

This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities and other essential functions (as covered under the Americans with Disabilities Act) expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be asked to perform other duties as required.

Demonstrates regular, reliable, and punctual attendance.
Provides health related counseling on the prevention of communicable diseases; coordinates health programs with outside organizations and agencies; introduces general health-related information and instruction to individuals, families, and community groups.
Administers a variety of pre-examination tests including skin tests, blood tests, and other tests used in determining communicable disease; provides information and education to patients before and after tests as necessary.
Assesses and evaluates patients’ response to treatment and medication.
Advises patients on available and appropriate medical and social services available.
Keeps accurate patient records; maintains confidentiality at all times.
Stays abreast of new trends and innovations in the areas of disease prevention and treatment, chronic diseases.
Compiles and submits necessary medical/statistical reports and data in a timely fashion.
Applies basic time management and patient care coordination skills to effectively provide nursing and health care services.
Assists in research and investigation of communicable diseases when requested.
Assists with medical emergencies; administers first aid for minor injuries and health problems.
Keeps accurate patient records regarding immunizations and prescribed dosages of medications; maintains and updates files as necessary to include: changes, weight, and medical history.
Contributes to the overall quality of the department’s service provision by developing and coordinating work teams and by reviewing, recommending and implementing improved policies and procedures.
Uses standard office equipment, including a computer, in the course of the work.
Demonstrates courteous and cooperative behavior when interacting with patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.
Represents the County with dignity, integrity, and a spirit of cooperation in all relationships with staff and the public.

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:
Associate’s degree from an accredited college or university with major course work in nursing; AND two (2) years of nursing experience; OR an equivalent combination of education, training and experience.

Required Knowledge and Skills
Knowledge of:

Principles, procedures, methods, and techniques of nursing practice.
Principles and procedures of medical record keeping.
Pertinent Federal, State, and local laws, codes, and regulations regarding health care.
Universal precautions and infection control practices.
Medical Terminology.
Principles and procedures of medical record keeping.
Principles and procedures of medical report preparation.
Computer applications related to the work.
Correct business English, including spelling, grammar, and punctuation.
Techniques for dealing with a variety of individuals from various socioeconomic, ethnic, and cultural backgrounds, in person and over the telephone, often where relations may be confrontational or strained.

Skill in:

Performing general physical examinations and systematically assessing the health status of persons and families.
Interviewing patients prior to examinations to assess and determine their medical history, background, and health status.
Educating patients on a variety of healthcare-related issues.
Preparing, performing, and reviewing laboratory tests.
Providing responsible health and nursing care, including health education.
Properly preparing and administering immunizations and prescribed medications.
Responding to emergency situations which may include a bioterrorism event.
Administering first aid.
Counseling patients on a variety of healthcare-related issues.
Operating standard medical testing equipment.
Preparing and maintaining confidentiality and security of medical records.
Communicate clearly and concisely, both orally and in writing.
Using initiative and independent judgment within established procedural guidelines.
Contributing effectively to the accomplishment of team or work unit goals, objectives, and activities.
Demonstrating courteous and cooperative behavior when interacting with patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.

REQUIRED CERTIFICATES, LICENSES, AND REGISTRATIONS:

Nevada Driver’s License.
Current Nevada State Registered Nursing License.
CPR certification within one (1) month of date of employment.
Office laboratory certification within three (3) months of date of employment.

Physical Demands and 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 and use standard office equipment; stamina to sit for extended periods of time; strength and agility to lift and carry up to 20 pounds; vision to read printed materials and a computer screen, and hearing and speech to communicate over the telephone and in person; exposure to potentially hazardous medications and bodily fluids.

CONDITIONS OF EMPLOYMENT:

Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.
New employees are required to submit to a background investigation and if hired for a safety-sensitive position, a drug/alcohol screen. Employment is contingent upon passing the background and the drug/alcohol screen (if applicable).
Churchill County 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 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.

DISCLAIMER: Churchill County provides benefits to regular employees. Benefits are prorated for some part time, regular positions (depending on job). Most part time positions provide no benefits.

No Nevada state income tax

Retirement
Public Employees’ Retirement System (PERS) of Nevada – Churchill County contributes 29.75% of an eligible Regular Member’s salary for retirement. Churchill County contributes 44.00% of an eligible Police Member’s salary for retirement. Retirement benefits are available to employees hired in positions that work 20 hours per week or more on a regular basis. Positions of less than 20 hours per week (or less than 1040 hours in a fiscal year) will receive Social Security contributions and will not be enrolled in PERS.

Deferred Compensation Plans
Employees can also participate in the VOYA 457 deferred compensation plan, which is funded by the employee. This allows the employee to save money in pre-tax dollars toward retirement.

Cafeteria Health Coverage Plan – Full-time employees’ health insurance begins the first of the month after one month of employment. (Employees must work an average 30 or more hours per week on a regular basis to qualify for health insurance coverage.)

The county offers a “Cafeteria” health plan to full-time employees, which allows employees to pick and choose the best health plan for them and their family. The county offers three health plans – a base PPO plan with a $1,500 deductible, a “buy-up” PPO plan with a $750 deductible, and a High Deductible Health Plan (HDHP) with a $2,700 deductible and a Health Savings Account (HSA), to which the county contributes $150 per month. In addition, the county also provides the following: a prescription plan, a dental plan, and a vision plan. The county currently contributes 100% of the employee premiums for the base PPO plan and the HDHP, as well as for the prescription, dental, and vision plans. Employees who elect dependent coverage pay 100% of the dependent premiums – employees can elect to have those premiums deducted in pre-tax dollars.

Vacation Leave
Full-time, regular county employees scheduled to work 40 hours per week accrue 8 hours per month of annual (vacation) leave per year. Part-time, regular county employees accrue annual (vacation) leave vacation at a prorated amount depending the number of hours worked. Employees earn additional annual leave hours at 5, 10, 15, and 25 years of service up to a maximum of 240 hours (30 days) per year. While on probation an employee is not granted vacation leave for the first six months; the employee still accrues vacation leave during this time and will be credited with 48 hours of vacation leave after six months of employment in their regular position.

Sick Leave
Full-time, regular county employees scheduled 10 hours of sick leave per month, with no maximum accrual. Part-time, regular employees accrue sick leave at a prorated amount depending the number of hours worked.

Holidays – Regular county employees enjoy 11 paid holidays per calendar year including New Year’s Day, Martin Luther King Day, President’s Day, Memorial Day, Independence Day, Labor Day, Nevada Day, Veteran’s Day, Thanksgiving Day, Family Day (Friday after Thanksgiving), and Christmas Day. In addition, County employees are entitled to one floating holiday per year, to be used at a time agreed to by the employee and his or her supervisor. (Regular, part-time employees receive prorated holidays based on the number of hours normally worked.)

Tuition Reimbursement
Churchill County values it’s employees and empowers all employees to enhance their skills by taking job-related college courses as well as participating in job related workshops and seminars. To that end, for regular employees the county has a generous Tuition Reimbursement policy for accredited courses, reimbursing up to $1,200 per year in educational expenses.

As part of the application process, this Supplemental Questionnaire must be completed along with the standard application form. Resumes will be accepted, but NOT in lieu of a completed application and supplemental questionnaire.

I understand.

This position requires you to successfully pass a drug test. The county follows federal guidelines regarding drug testing, thus marijuana (cannabis, CBD products with THC, etc.) is considered a prohibited substance. Are you aware of this provision and can you pass a pre-employment (and random) drug test?

Yes, I can pass pre-employment and random drug testing.
No, I cannot meet the drug testing requirements.

This position requires the employee to travel to multiple communities to provide services. At this time, this includes traveling to Fallon, Hawthorne, Lovelock, and Eureka, NV. Other locations may be added. This travel will include overnight travel to these communities. Are you aware of the travel requirement and are you willing to travel as needed?

Employees in this position are required to have a driver’s license and a good driving record to perform the duties of this position. Do you understand these requirements and are you currently able to meet them?

Yes, I understand these requirements. I have a current valid driver’s license, and I have and will maintain a good driving record.
No, I cannot meet these requirements.

Regarding your driving record, indicate any moving violations for which you have been cited in the last seven years. Be sure to list the date, the violation, and the city where you were cited. (If you have no citations, enter N/A.)

Do you possess a current license or temporary practice permit to practice as a registered nurse issued by the Nevada State Board of Nursing?

Do you have experience working with marginalized populations such as indigent individuals and those living in homelessness or with mental health and/or substance abuse issues?

Please describe your experience performing duties in Public Health INFECTIOUS DISEASE, COMMUNICABLE DISEASE, OR VACCINE PREVENTABLE DISEASE Programs. Include 1) specific duties, 2) length of time, and 3) type of organization. If you do not have this experience, please type “no experience” in the box below.

Please describe your experience performing duties in MATERNAL, CHILD, & ADOLESCENT HEALTH . Include 1) specific duties, 2) length of time, and 3) type of organization. If you do not have this experience, please type “no experience” in the box below.

Please describe your experience conducting duties related to SEXUAL ASSAULT RESPONSE. Include 1) specific duties, 2) length of time and 3) type of organization. If you do not have this experience, please type “no experience” in the box below.

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