Job Description

Lexington, KY, United States of America


The Lexington-Fayette County Health Department (LFCHD) is an independent public health agency charged with helping Lexington be well since 1904 and proudly nationally accredited since 2014.

Vision: We will move Lexington toward being one of the healthiest communities in the nation.

Mission: Helping Lexington be well.

Values: We commit to being...
Caring: We will treat our clients, community and coworkers with compassion and kindness.
Accountable: We will respect all individuals without bias and value their uniqueness.
Respectful: We will respect all individuals without bias and value their uniqueness.
Equitable: We will provide services and care equitably to all of our clients throughout the community.
Service: We are here to serve our clients and community.

LFCHD provides a wide range of public health services for the community, including restaurant inspections, flu shots, HANDS visits for moms and dads, diabetes prevention/management, training to licensed child care providers, nutrition through the Women, Infants and Children (WIC) program, school health, a needle exchange program to fight the spread of hepatitis C and HIV, and much more. Visit to learn more about LFCHD!

Job Skills / Requirements

This is a full-time, 37.5 hours per week position with full comprehensive benefits package. The pay is $28.10 per hour. External applications received by July 26, 2021 may be given first consideration on the official list of eligible candidates. 
The Nurse Specialist provides independent nursing services focusing on the prevention of illness, injury or disability, the promotion of health, and maintenance of the health of individuals and populations. The incumbent works independently within agency guidelines in a variety of settings to provide services. Specifically, the Nurse Specialist provides nursing services focused on identification, control, treatment and prevention of communicable diseases by: administering immunizations; independently providing and/or assisting the clinician in screening and treating patients with sexual transmitted infections; providing direct patient care to vulnerable populations; practicing case management to effectively control tuberculosis infection or active disease in both clinical and home field based settings; working with a diverse multidisciplinary team to positively impact the health of the community with regards to communicable disease control and prevention.
Works in an autonomous role following the guidelines and standing orders contained in the current Kentucky Department for Public Health (KDPH) Clinical Services Guidelines (CSG).
· Identifies cultural, social, and behavioral factors that impact delivery of services and adapts delivery of care as needed.
· Assesses patient’s eligibility regarding health department programs, as appropriate.
· Performs a variety of clinical duties including, the collection, packing and shipping of laboratory specimens; assisting clinician with procedures; assessing, prioritizing and directing clinic flow; and seeking clinical consultation in person or through phone calls.
· Administers and dispenses medications per clinician and standing orders. Appropriately documents in medication logs and reconciles inventory of medications daily.
· Independently performs comprehensive reproductive exams to include testing and treatment of sexual transmitted infections.
· Provides HIV and Hepatitis C testing, including pre- test counseling.
· Independently provides assessment of individual immunization status, education regarding required and recommended vaccines, and administration of immunizations.
· Serves as back up to clinic Vaccines for Children (VFC) coordinator, including, but not limited to, proper storage and handling of vaccines, assuring adequate clinic inventory, compiling state mandated reports, and participating in site visit audit per KDPH guidelines.
· Assesses, compiles, and updates immunization data, including Kentucky Immunization Certificates and data in the Kentucky Immunization Registry.
· Interviews guardian, family, and patients to assess needs for determining the nursing process and intervention including contacting outside agencies regarding abuse, and acts as an advocate for the patient and family.
· Provides education – preventative and therapeutic – appropriate to educational level and in the patient’s preferred language.
· Documents in the patient medical record according to the SOAP format, and assures documentation adheres to KDPH Administrative Reference and CSG guidelines.
· Completes patient encounter form for each patient visit in accordance with coding guidelines.
· Provides naloxone administration training in accordance with internal standing orders.
· Provides surveillance and treatment of tuberculosis infection and disease by following clinician orders, internal standing orders, and the program guidelines contained in the current CSG.
· Provides comprehensive TB case management by coordination and follow-up on plan of care for patients diagnosed with or suspected to have TB disease or infection, their families, and other contacts.
· Utilizes internal database and medication logs to provide case management and monitor patient appointments to assure compliance with prescribed treatment.
· Monitors online databases for results of diagnostic tests, to include lab, radiology, and culture reports.
· Schedules appointments in LFCHD scheduling system as necessary.
· Collaborates with health professionals, other agencies and multidisciplinary team members regarding referrals as appropriate.
· Works with nurse coordinator to prepare and continually update the spreadsheet utilized to present patient information during weekly multidisciplinary TB case conferences.
· Participates in weekly case conference by presenting patient clinical information to the team.
· Performs directly observed therapy, directly observed prophylactic therapy, medication administration, phlebotomy, collection of sputum samples, and vision screenings in the field per clinician’s order.
· Assesses patients for signs of drug toxicity and consults with clinician when indicated.
· Attends staff and committee meetings; participates in special projects.
· Responds to Public Health emergencies as needed, including assessing and acting appropriately to chemical and biological exposures, providing direct patient care in various settings that require nursing skills, including Medical Needs Shelters and Point of Distribution locations as directed.
· Assists with new staff orientation, students, and media.
· Participates in Quality Assurance, completes mandatory trainings, obtains required Continuing Education hours for license, collects and organizes statistical information as requested, assists with updating educational materials and chart forms.

REQUIRED EDUCATION AND EXPERIENCE: Nursing Diploma + 5 yrs experience, OR Associate’s degree (ADN) + 3 yrs experience, OR Bachelor’s degree in nursing or related field + 2 yrs experience, OR Master’s degree in nursing or related field + 1 year experience. Acceptable experience includes prior health department experience, or experience in 1 or more of the following areas: Home Health, Clinic/hospital, patients in a confined facility.Must attend KDPH TB Program training and complete Comprehensive Reproductive Exam Training Certification within 18 months of employment. Must complete naloxone distribution training with pharmacist within 6 months of hire. Must be a registered nurse (RN) and have current CPR.

Education Requirements (Any)

RNHARM: Nursing diploma, Associates Degree in Nursing, Bachelors Degree in Nursing, or Bachelors or Masters Degree in closely related field.

Certification Requirements (All)

Valid Registered Nursing License
Valid CPR

Additional Information / Benefits

Lexington-Fayette County Health Department (LFCHD) offers a comprehensive benefits package to full-time and part-time eligible employees, including paid time off (annual and sick leave accruals).

Employee benefits summary:

Four medical plans are offered, so you can select the coverage that best meets your needs. Two plan options include an employer-funded health reimbursement account.

Employees who waive medical coverage are eligible for an employer-funded health reimbursement account that receives $175 per month.

Dental Insurance and Vision Insurance is available with three plan options ranging from basic to comprehensive.

Additional benefits include basic life insurance and long term disability; cafeteria plans; wellness program, employee assistance program; paid holidays; paid annual leave and paid sick leave; and tuition reimbursement program.

Retirement Benefits include the
Kentucky Employees' Retirement System and Cash Balance plan and Kentucky Deferred Compensation which includes 401(k), 457, and IRA options.

Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Vacation, Paid Sick Days, Paid Holidays, Long Term Disability, 401K/403b Plan, Pension/Retirement, Educational Assistance

This job reports to the Team Leader Clinical Services

This is a Full-Time position 1st Shift.

Number of Openings for this position: 1