CNHD Clinical Services Manager (APRN)

The Central Nevada Health District (CNHD) is seeking a highly skilled and dedicated Clinical Services Manager/Advanced Practice Registered Nurse (APRN) to join our leadership team. Under the direction of the CNHD Administrator, this position is responsible for providing advanced professional nursing care and overseeing the coordination, delivery, and evaluation of all Clinical and Population Health programs within the District. This role carries direct responsibility for organizing, directing, and supervising clinical operations; providing hands-on services across all CNHD clinic sites; and guiding population health initiatives that support the mission and strategic goals of the District. The Clinical Services Manager/APRN serves as an integral member of the CNHD management team and is accountable for achieving division goals, ensuring regulatory compliance, supporting staff development, and upholding best practices in public health service delivery. As an advanced-level professional nursing position requiring specialized certification, this role may involve work during evenings, weekends, or holidays in response to public health emergencies. The Central Nevada Health District (CNHD) Clinical Services Manager serves under the direction of the CNHD Administrator and is responsible for providing advanced professional nursing care and other related work as required. and the CNHD Clinical Services Manager will have day-to-day responsibility for the coordination of all Clinical and Population Health programs under their jurisdiction. Responsible for organizing and direct leadership for the department, supervising staff and facilitating the daily activities which includes oversight and directly providing service to all clinic sites in the District and managing the population health initiatives. As a full-time, regular position, the person hired would be enrolled in the Nevada PERS retirement system. In addition to the salary paid, the county contributes an additional 36.75% into PERS on the employee's behalf (value of $33,000 annually). In addition, the employee will not contribute to Social Security, resulting in an additional 6% in take-home pay (an equivalent of $5,300 annually). The county also pays 100% for employee-only health insurance premiums (equivalent to $12,800 annually). An employee in this position will also receive full accruals of vacation leave (8 hours per month) and sick leave (10 hours per month), in addition to 8 hours for pay for 11 paid holidays.

DISTINGUISHING CHARACTERISTICS

This class manages a broad range of Public health clinical and educational activities, including hands on care, and programs for the CNHD. The incumbent is accountable for accomplishing division goals and objectives and for furthering CNHD goals and objectives within general policy guidelines. The CNHD Clinical Services Manager is an integral part of the CNHD management team and will have a vital role in achieving the CNHD strategic plan. This is an advanced skill level, specialized professional nursing classification. It is distinguished from other professional nursing classifications by requiring special certification. Work may entail nights, weekends, and holidays during times of a public health emergency. 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. Develops, articulates, and implements the strategic direction for the division; participates in the development and implementation of the CNHD Community Health Needs Assessment, Community Health Improvement Plan, and the District-wide strategic plan, and represents the District in regional and state discussions regarding environmental policies. Plans, organizes, directs, coordinates, and administers the Clinical Services and Population Health Programs of the District. Under direction from the Administrator, prepares and manages the division budget and ensures proper accountability of expenditures. Direct supervision of staff. May be asked to oversee other divisions on a temporary basis for staff leave or turnover or on an interim basis. Makes presentations as requested by the Administrator to the District Board of Health. Coordinates with other medical providers, ancillary medical services, and other stakeholders to achieve the goals of the Health District. Enforces all state and federal statutes and requirements regarding public health nursing services and take actions as necessary to protect the health of the public. Compiles, maintains, and analyzes data to determine workloads, staffing priorities, program growth, and community needs. Ensures Division services are provided to the public in a professional and respectful manner while assuring the protection of public health. Directs the writing, review, and submission of grant applications for clinical and population health funding through local, state, and federal sources. Responsible for the accuracy and timely submission of required grant reporting. Develops and coordinates the implementation of a divisional public health nursing and population health policies and procedures. 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, in office CLIA-waived screening tests, and other tests used in determining communicable diseases; provides information and education to patients before and after tests as necessary. Assess and evaluates patients' response to treatment and medication. Advises patients on available and appropriate medical and social services available. Keeps accurate patient records; always maintains confidentiality. Stays abreast of new trends and innovations in the areas of disease prevention and treatment and chronic diseases. Compiles and submits necessary medical and statistical reports and date 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 in patient condition, weight, and medical history. Represents the agency on community boards and committees to acquire and provide information on projects, programs, and activities of the public health nursing and population health programs. Leads the quality improvement efforts of the division, to include evaluation of operational performance, reviewing work methods and procedures, developing and implementing changes in work processes, workflow, and/or equipment used to ensure efficient operations. Justifies and approves expenditures for purchasing and staff travel. Ensures effective morale, productivity, and discipline; plans, organizes, administers, reviews, and evaluates the activities and performance of staff; works with staff to establish work priorities and schedules; encourages and provides for staff training and professional development; interprets District policies and procedures for staff; works with staff to develop short and long term goals, monitors accomplishments, establishes performance requirements and personal development targets, and provides coaching for performance improvement and development. Ensures all division work is documented and aligns with the Public Health Accreditation Board (PHAB) directives. Participates in the development and coordination the implementation of a divisional public health nursing and population health policies and procedures. Administers a variety of pre-examination tests including skin tests, blood tests, in-office CLIA waived screening tests, and other tests used in determining communicable diseases; provides information and education to patients before and after tests as necessary. Keeps accurate patient records; always maintains confidentiality. Stays abreast of new trends and innovations in the field of family practice. 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. Ensures all division work is documented and aligns with the Public Health Accreditation Board (PHAB) directives. Demonstrates courteous and cooperative behavior when interacting with elected officials, clients, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment. 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 DNP from an accredited college or university with major course work in nursing or a related health field that is acceptable to the Nevada State Board of Nursing for certification as an Advanced Practice Registered Nurse (APRN) with an emphasis in family nursing. Certification as an advanced practice registered nurse by a nationally recognized certification agency approved by the Nevada State Board of Nursing, such as ANCC certification; OR alternate APRN qualification if certification is prior to July 2014 as set forth by the Nevada State Board of Nursing AND at least three years of full-time experience in public health nursing OR a combination of training and experience.

Required Knowledge and Skills Knowledge of:

Division and District policies and procedures. Federal, State, and District laws, rules, and regulations as they pertain to public health nursing. Principles, procedures, methods, and techniques of nursing practice. Principles and procedures of medical record keeping. Universal precautions and infection control practices. 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. Operating standard medical equipment. Preparing and maintaining confidentiality and security of medical records. Management skills to analyze programs, policies, and operational needs. Principles and practices of program development and administration. Recent developments, current literature and sources of information related to public and population health. Public relations principles and techniques. Principles and practices of municipal budget preparation and administration. Principles of supervision, training, and performance evaluation. Office procedures, methods, and computer equipment, including common office equipment. Principles and practices of employee supervision, including selection, work planning, organization, training, performance review and evaluation. Principles and practices of developing teams, motivating employees, and managing in a team environment. Computer applications related to the work, especially electronic medical records. Techniques for dealing with a variety of individuals from various socioeconomic, ethic and cultural backgrounds, in person and over the telephone, often where relations may be confrontational or strained. Communicate effectively both orally and in writing.

Skill in:

Planning, organizing, supervising, reviewing, and evaluating the work of staff and volunteers. Managing budgets. Building consensus through effective leadership. Planning, managing, and evaluating program goals and objectives and service delivery effectiveness in the programmatic area to which assigned. Identifying programmatic and operational problems, investigating, and evaluating alternatives and implementing effective solutions. Interpreting, applying, and explaining applicable laws, codes, and regulations. Preparing clear and concise reports, correspondence, and other written materials. Using initiative and independent judgment within general policy guidelines. Contributing effectively to the accomplishment of team or work unit goals, objectives, and activities. Dealing successfully with a variety of individuals from various socioeconomic, ethnic, and cultural backgrounds. Provide patient-centered primary and preventive care services to a diverse population in a culturally appropriate manner. Dispense medications in accordance with State of Nevada Pharmacy Board policies. Making public presentations to large and small groups.

REQUIRED CERTIFICATES, LICENSES, AND REGISTRATIONS

Nevada Driver's License. Possession of, or ability to obtain, an appropriate, valid, Nevada State Advanced Practice Registered Nursing License. Possession of an appropriate, valid, State Registered Nurse License. Current CPR certification prior to start date Incident Command System (ICS) 100, 200, 700 & 800 within 6 months of hire 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; ability to operate a motor vehicle, exposure to traffic conditions and external environment and safely travel to a variety of offsite locations.

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). Any District 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. Employees may be required to complete Incident Command System training as a condition of continuing employment. Central Nevada Health District, via 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. Central Nevada Health District is an Equal Opportunity Employer.