Title: Certified Nurse Practitioner Senior (TJ015)

State Role Title: Registered Nurse III / Nurse Practitioner II

Hiring Range: $83,397 - $111,740

Pay Band: 6

Agency: Virginia Department of Health

Location: BLUE RIDGE HQ

Agency Website: www.vdh.virginia.gov/blue-ridge

Recruitment Type: General Public - G

Job Duties

This position may offer up to a $3,000 sign-on bonus or up to 80 hours of annual leave frontloaded for a highly qualified candidate with a (1) year commitment with VDH - Blue Ridge Health District. This position has an option for Q-Status.

The Blue Ridge Health District (BRHD) seeks the dedication, experience, and expertise of a Family Nurse Practitioner Sr. BRHD is one of 35 health districts under the Virginia Department of Health. We have five health departments and one community-based clinic providing public health services to over 250,000 people in the counties of Albemarle, Fluvanna, Greene, Louisa, and Nelson, and the City of Charlottesville. Our mission is working together for healthy, equitable communities. If you would like to make a difference, then come join our team as we strive to make our communities healthy!

This position performs patient care as a nurse practitioner with limited or no on-site access to a physician for guidance and oversight. However, physician consultation is always available by phone. Performs physical examinations, orders diagnostic tests, prescribes controlled substances, may directly perform or direct others to perform nursing assessments, may perform lab tests, take measurements, and develop and implement care plans including the administration of medication and case management. Actions performed at this level require licensure as a Certified Nurse Practitioner by state code.

Typical Core Duties
Direct Patient Care: provides comprehensive care to patients as assigned per licensed scope of practice and according to local and state policies and procedures; may provide services to the following programs, within the limits of the Nurse Practitioner's license; child, adolescent and adult health; family planning; immunizations; travel clinic services; sexually transmitted diseases. Obtains a complete medical history and records findings in a systematic, accurate and succinct form; reviews patient history and evaluates patient status on current visit; interviews patient for verification of medical history or for full account of present complaints; treatment history, systems review and family/social history. Performs accurate physical examinations. Orders, performs, and interprets routine laboratory tests; reviews lab/test results and makes appropriate plan of care changes. Administers and prescribes appropriate medications within the guidelines of the practice agreement. Develops and implements plans for health promotion and health maintenance, including plans for disease prevention and provision of health education and counseling. Provides periodic health assessments of patients. Provides clinical management of patients, co-managers care for patients with selected health complications in collaboration with supervising physician. Arranges referrals to other members of the health-care team as needed and/or to appropriate community providers and other community resources.

Documentation: documents all pertinent findings for clinical exam/labs/diagnostic tests legibly and in a timely manner in standard format per nursing protocol and legal requirements; such documentation adequately supports prescribed diagnostic and therapeutic interventions. Uses appropriate VDH forms specific to clinic program. Develops and records differential diagnosis, problem list and plan of care for patient according to evaluation of all information from history, physical examination and diagnostic tests, and other available information. Updates or adjusts care plan subsequently with receipt of additional information. Explains plan of care/findings to patient; documents patient education. Refers patients to other providers or agencies according to need and protocol and/or recommendations.

Program Evaluation and Planning: assists leadership in program planning and evaluation; contributes to the development and changes in nurse practitioner protocols. Assists with evaluation of clinic services and activities; sets and meets goals for client/provider ratio and clinic flow. Provides leadership to staff participating in clinic; sets professional example and promotes participation, learning and development of clinical nursing skills; provides training and assists with continuing education for other nursing staff as needed. Suggests changes and additions for services provided within scope of clinic; sets standards and priorities in the clinical setting and assures all applicable local, state and federal protocols are followed. Assists in reviewing current health education materials and suggests or makes changes or additions to promote reduction in high-risk behavior and positive chronic disease health intervention methodologies.

Community Engagement and Other Duties: promotes improved health in the community; assists with health fairs and screening programs as needed. May be a resource to community groups or agencies in matters regarding public health; may serve on committees related to community health. May perform other duties as assigned; may be required to assist in the event of an emergency declaration.

While based out of the Charlottesville/Albemarle Health Department, the individual may work at other locales, or within our community settings.

The Virginia Department of Health offers 12 paid holidays, medical, dental, vision and life insurance, retirement plans (including 401a Cash Match and 457 Deferred Compensation Plan) as well as sick, family/personal, and annual leave.

Minimum Qualifications

• Licensure as a Registered Nurse and Certified Nurse Practitioner in Virginia is required.
• Demonstrated knowledge of nursing practice and health principles, physical examination techniques and findings both normal and pathological, disease states, diagnostic testing and limits of testing, and pharmacology.
• Ability to perform and interpret physical assessments, obtain medical history, perform and/or interpret diagnostic testing, formulate differential diagnoses and plan of care and provide health education to clients.
• Ability to develop patient management plans; excellent clinical judgement with ability to know the limits of practice and when to seek consultation.
• Demonstrated ability to work without direct supervision; strong communication and interpersonal skills; ability to work effectively with staff, patients and the public; ability to participate in educational and professional programs.

Additional Considerations

• Prior public health or community health with significant clinical experience in prenatal, STI, family planning, gynecology, pediatrics and family practice preferred.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service’s Child Abuse and Neglect Central Registry check, U.S. HHS IG Exclusion List check, employment reference check, and E-Verify. Other financial, credit, driving, or other background checks or completion of Statement of Economic Interests may be required for certain positions.

VDH accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered. Applications will be accepted until 11:55 p.m. on the job closing date. Applications and/or resumes should include relevant work history which indicates your qualifications for this position.

It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks and twists); sex; color; national origin; sexual orientation; gender identity or expression; age; veteran status; political affiliation; disability; genetic information; and pregnancy, childbirth, or related medical conditions. VDH employees have a shared Code of Ethics, which can be found in the bottom banner of our website: www.vdh.virginia.gov

As a V3 (Virginia Values Veterans) employer, VDH welcomes Veterans to apply!

Supplemental Questions: You may be required to respond to position-specific questions at the end of this application. This information will help us evaluate your credentials and qualifications for the job. Failure to respond to any questions may disqualify you from further consideration.

VDH requires all Health-Care Personnel (HCP) to provide documentation of immunization or evidence of immunity to the following: hepatitis B, measles, mumps, rubella, and varicella; a one-time dose of tetanus, diphtheria, and pertussis (Tdap) vaccine regardless of the interval since the last dose of tetanus-diphtheria (Td) vaccine was administered (Td or Tdap boosters shall be received every 10 years); and the current year’s seasonal influenza vaccination.

Contact Information

Name: Tammy Richardson / Richard Bolden

Phone: 434-422-4556 / 434-972-6271

Email: Tammy.Richardson@vdh.virginia.gov / Richard.Bolden@vdh.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.