Provides primary care services for individuals, including chronic disease management, and/or women’s and men’s sexual and reproductive wellness/family planning services under an approved protocol; obtains patient history and conducts physical examinations; draws blood; orders laboratory work and tests; evaluates testing reports and results; revises treatment plan as necessary to respond to test results; makes diagnosis and treatment plans; may place and remove intrauterine devices and contraceptive implants; issues contraceptives and therapies under protocol, orders or writes prescriptions as needed for medication; orders consultations; makes referrals; educates clients about public health services; educates the community about additional resources available; consults with the supervising physician as appropriate. Participates in ongoing continuing education classes; participates in the development and revision of policies and protocols; participates in peer review; consults and participates in professional development by mentoring and instructing other health care providers; participates in standing committees, community meetings, and board meetings and outreach/medical mobile events; travels to various County clinics to provide services; meets with program manager to review and revise goals. Advanced practice nurse services may be provided in clinic or at outreach sites (includes physical exams and sick care). Performs other related duties as assigned. Knowledge, Skills, Abilities, and Other Characteristics Knowledge of Primary Care Advanced Professional Nursing federal, state and county laws, regulations, policies and procedure. Knowledge of Primary Care Advanced Professional Nursing methods, practices and procedures. Knowledge of federal, state and county laws, rules and regulations related to prescribing and issuing medications. Knowledge of professional practice of medicine laws, rules, regulations, practices and procedures. Knowledge of professional medical practice in area of assignment or specialty. Knowledge of women’s health nurse practitioner federal, state and county laws, rules, regulations, policies, practices and procedures. Knowledge of women’s health nurse practitioner methods, practices and procedures. Knowledge of women’s health care prevention, wellness, and treatment methods, practices and procedures. Knowledge of men’s reproductive health care prevention, wellness, and treatment methods, practices and procedures. Knowledge of sexually transmitted diseases (STD’s) and communicable diseases. Knowledge of counseling, education, training and presentation methods, practices and procedures. Knowledge of public health care practices and procedures. Knowledge of cultural sensitivity related to populations served. Knowledge program development and implementation methods, practices and procedures. Knowledge of case management practices and procedures. Knowledge of counseling, education, training and presentation methods, practices and procedures. Skill establishing and maintaining effective working relationships within the agency and community. Skill effectively communicating in both oral and written form. Skill issuing medications per protocol. Skill performing routine gynecological and laboratory tests and exams. Skill providing uncomplicated prenatal care. Skill investigating and reporting confidential medical issues. Skill providing case management/outreach to indigent or underserved populations. Skill interviewing, assessing, documenting, maintaining and reporting medical information. Skill performing primary care medical examinations. Skill issuing and prescribing medications. Skill reading, analyzing, and interpreting medical research, reports, tests, and information. Skill utilizing verbal and written communication in providing presentations, counseling, educational materials, and instructions related to medical information. Skill providing case management/outreach to culturally sensitive, indigent or underserved populations. Skill utilizing customer service/public relations techniques when responding to inquiries and complaints. Skill establishing and maintaining effective working relationships within the agency and community. Skill effectively communicating in both oral and written form. Minimum Qualifications A registered nurse with a Master’s Degree with a major in the clinical nursing specialty of family practice and preparation in specialized practitioner skills. Must have a Certificate of Fitness issued by the Tennessee Board of Nursing; must be licensed or eligible for licensure as a registered professional nurse in Tennessee and current national certification in the appropriate nursing specialty area. A valid driver’s license is required. ORA registered nurse who holds an Advanced Practice Nurse Certificate, as deemed by the Tennessee Board of Nursing, with specialized practitioner skills in the clinical nursing specialty of family practice. Must have a Certificate of Fitness issued by the Tennessee Board of Nursing; must be licensed or eligible for licensure as a registered professional nurse in Tennessee and current national certification in the appropriate nursing specialty area. A valid driver’s license is required. ORA new graduate with a Master’s of Science Degree in Nursing may be considered, but must be eligible to sit for the Advanced Practice Nurse Certification test and be eligible to apply for a certificate of Fitness issued by the Tennessee Board of Nursing plus a minimum of 500 hours of working or training as a clinician in a primary care setting. If hired, the new graduate must obtain Advanced Practice Nurse Certification in the appropriate nursing specialty area and a Certificate of Fitness within three (3) months of hire. A valid driver’s license is required. OR - Graduation from an accredited school of medicine with State of Tennessee medical license and DEA registration. Must have completed residency for Internal Medicine or Family Practice and must be board certified or eligible for board certification in Internal Medicine or Family Practice. A valid driver’s license is required. ADDITIONAL REQUIREMENTS:Prior to operating a County-owned vehicle, all employees are required to complete the HC Defensive Driving course and/or an Emergency Vehicle Operations Course (EVOC) provided at the department level. This position is deemed essential/situational during inclement weather situations and must report to or remain at work, even when administrative closings are announced, as determined by the Department Head. PHYSICAL REQUIREMENTS:Work requires long periods of standing, walking, lifting medical supplies weighing up to 10 pounds, assisting patients in transfers to examination tables, performing routine lab work such as blood draws and specimen collection; extended periods of extensive contact with infectious diseases and mentally ill patients, driving to other clinic sites. ADDITIONAL INFORMATION:This job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Any overtime hours offered in this position are not guaranteed, are an estimate, and are subject to change. All positions within Hamilton County Government are considered work in-person and require regular and punctual attendance. All positions within Hamilton County Government may require work on Holidays or weekends. Additionally, irregular hours and shift work may be required, including possible extension of shift hours, at times with short notice.