Advanced Practice Registered Nurse

Salary : $87,630.40 - $140,212.80 Annually
Location : City Hall, 201 N Carson Street, Suite 4, Carson City, NV
Job Type: FULL-TIME
Job Number: 792_10/2026
Department: Health & Human Services
Opening Date: 10/08/2026
Closing Date: Continuous

Description

This is a full-time, FLSA-exempt position with Health & Human Services, located in Carson City, NV. Under general supervision, perform a variety of advanced nursing duties involved in assessing, treating, controlling and preventing patient illness and disease; perform physical examinations; to identify patients with physical and emotional illness; and to administer medications as prescribed.

The person in this position oversees and coordinates the day-to-day delivery of clinical programs, supervises staff, facilitates daily clinic activities, and provides direct patient care. This position reports to the Clinical Services and Chronic Disease Prevention and Health Promotion Branch Manager.

This is a grant-funded position and, as such, employees are responsible for knowing abiding by the rules of the grant. This position will continue to be funded as long as the grant is renewed.
To learn more about the Nevada Public Employees' Retirement System (PERS),

Please Note: Human Resources determines whether or not you meet the minimum qualifications for the job based on your experience as you describe it on your application. Do not substitute a resume for your application or write "See Attached Resume" on your application. We do not review resumes, unless specifically stated on the job announcement. Qualifying education and experience must be clearly documented in the "Education and Work Experience" section of the application. Applicants not meeting these requirements will not be considered for employment.

** This recruitment will remain open until recruitment needs are satisfied. Individuals are encouraged to apply immediately, as hiring may occur early in the recruiting process. Recruitment will close without notice when a sufficient number of applications are received or a hiring decision has been made. **
Examples of Duties
This class specification lists the major duties and requirements of the job and is not all-inclusive. Incumbent(s) may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.

• Assists in the development and implementation of goals, objectives, policies, procedures, and work standards for nurses.
• Trains and reviews the work of nurses and provides for their professional development.
• In collaboration with the Branch Manager, reviews the work of supervisory and direct report staff; identifies problem areas and directs corrective action; counsel's employees and initiates discipline as necessary.
• Collaborate with health care team and follow written protocols in all nursing practices.
• Perform general physical examinations including heart, neck, pulmonary chest, cardiovascular, abdominal, and other routine exams; perform pelvic and breast examinations; initiate and perform selected diagnostic tests.
• Identify physical and emotional illnesses through observations, interpretations of laboratory findings, and analysis of patient charts; analysis of diagnostic tests and physical exam; prescribe and administer medications; provide or assist in providing appropriate medical, hospital, or other health care as needed.
• Counsel patients under medical treatment programs in order to assess their health progress; identify reoccurring problem areas; establish written and verbal treatment plans to solve specific problem areas; evaluate compliance with the treatment program and modify the treatment program based on the response of the person or family to treatment.
• Interview patients prior to examinations to obtain a variety of information including medical history and background; determine the type of nursing care or community service the patient will need; observe patients for signs of intoxication or possible use of illegal drug; refer patients to the proper community service agency if necessary; document observations.
• Meet with patients in order to discuss and inform them of their laboratory test and exam results; educate patients regarding their illness; make and provide appropriate referrals.
• Counsel patients regarding their choice of contraceptives; prescribe and dispense birth control pills; dispense and fit diaphragms and cervical caps; insert, examine and remove IUD and Norplant devices.
• Provide health related counseling on the prevention of communicable diseases; coordinate health programs with outside organizations and agencies; provide general health related information and instruction to individuals and families.
• Follow up, by telephone, with patients with infections and other illnesses; ensure that they return for follow up testing or treatments as necessary.
• Assist with medical emergencies; administer first aid for minor injuries and health problems including fainting, seizures, vomiting, and other minor injuries or health problems.
• Participates in the implementation and development of continuous quality improvement objectives.
• Maintain the operational activities and patient care for assigned clinic or health care program; participate in a variety of nursing responsibilities including administering immunizations, performing pregnancy and tuberculosis tests, and diagnosing and treating clients for drug addiction, sexually transmitted disease and other illnesses.
• Keep accurate patient records regarding immunizations and prescribed dosages of medications; maintain and update files as necessary; make changes regarding employment, address and phone number changes, weight, height, and medical problems.
• 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.
• Prepares a variety of technical, statistical and narrative written reports, correspondence, procedures and other written materials.
• 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
• Maintains absolute confidentiality of work-related issues, records and information.
• At times may be required to work outside normal business hours and work extended hours to accomplish requirements of the position.

Typical 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:

A current Advanced Practice Registered Nurse Certificate of Recognition from the Nevada State Board of Nursing, supplemented by additional training from a program recognized by the Nevada State Board of Nursing in the specialty required for the position (NRS 632.237); AND one (1) year of nursing experience; OR an equivalent combination of education, training and experience as determined by Human Resources.
REQUIRED CERTIFICATES, LICENSES, AND REGISTRATIONS:

• Nevada State Advanced Practitioner of Nursing Certificate of Recognition.
• Nevada State Registered Nursing License.
• Current CPR certification
• ICS 100, 200, and 700 certification within 3 months of employment.
• A valid driver's license.
• FDA Risk Evaluation and Mitigation Strategy (REMS) Certification preferred.

Required Knowledge and Skills

Knowledge of:

• Advanced principles, procedures, methods and techniques of nursing and health care.
• Advanced principles and practices of nursing diagnosis.
• Approved medical treatments for a variety of health status.
• Normal growth patterns of newborns and infants.
• A variety of contagious and transmittable diseases, how they are contracted and spread, and their proper treatments and immunizations.
• A variety of possible reactions or side effects to vaccines and immunizations.
• Procedures and methods of laboratory testing and interpretation.
• Principles, practices, and current standards of family planning and reproductive health, including contraceptive methods, pregnancy prevention, and reproductive health counseling.
• Clinical guidelines and evidence-based practices related to contraceptive management, sexually transmitted infections, pregnancy testing, and reproductive health services.
• Community agencies and other outside resources available to patients.
• Medical Terminology.
• Principles and procedures of medical record keeping.
• Principles and procedures of medical report preparation.
• Universal precautions and infection control practices.
• Pertinent Federal, State, and local laws, codes and regulations regarding health care.
• Computer applications related to the work.
• Business mathematics, including statistics and financial analysis techniques.
• Techniques for dealing with a variety of individuals, at all levels of responsibility, in person and over the telephone, often where relations may be confrontational or strained.
• Communicating effectively in oral and written forms.
• Principles and practices of employee supervision, including selection, work planning, organization, performance review and evaluation, and employee training and discipline.

Skill in:

• Administering programs and staff through subordinate supervision.
• Developing and implementing goals, objectives, policies, procedures and work standards.
• Developing effective work teams and motivating individuals to meet goals and objectives and provide customer services in the most cost-effective and efficient manner.
• Performing general physical examinations.
• Preparing and performing diagnostic tests in order to evaluate treatments for patients with a variety of infections and illnesses.
• Systematically assessing the health status of persons and families.
• Providing responsible and advanced nursing and health care.
• Administering a variety of prescribed medications, proper vaccines and immunizations.
• Providing patient-centered family planning counseling, including assessment of reproductive goals and provision of appropriate contraceptive options.
• Performing clinical assessment, diagnosis, treatment, and follow-up for family planning and reproductive health needs, including contraceptive management and related preventive services.
• Inserting, fitting, examining, and removing a variety of female contraceptives.
• Teaching patients the proper uses of birth control.
• Performing selected diagnostic procedures.
• Responding to emergency situations.
• Administering first aid.
• Interviewing patients prior to examinations in order to assess their health statues.
• Counseling patients on a variety of health care related issues.
• Operating standard medical testing equipment.
• Preparing, performing and interpreting laboratory tests.
• Preparing and maintaining confidentiality and security of medical records and reports.
• 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, patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.

SUPERVISION RECEIVED AND EXERCISED:

Under General Supervision - Incumbents at this level are given assignments and objectives that are governed by specifically outlined work methods and a sequence of steps, which are explained in general terms. The responsibility for achieving the work objectives, however, rests with a superior. Immediate supervision is not consistent, but checks are integrated into work processes and/or reviews are frequent enough to ensure compliance with instructions.
PHYSICAL DEMANDS & 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, use standard office equipment and stamina to sit for extended periods of time; strength to lift and carry up to 20 pounds; vision to read printed materials; and hearing and speech to communicate in person or over the telephone; exposure to exposure to potentially hazardous medications and bodily fluids.

Supplemental Information
CONDITIONS OF EMPLOYMENT:

1. Unclassified employees are "At Will" and as such, may be terminated at any time for any reason, or no reason.
2. Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.
3. Any City 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