Salary : $99,890.80 - $129,858.04 Annually
Location : Jacksonville, NC
Job Type: Full-Time
Job Number:
Department: Health Department
Opening Date: 06/10/2026

Job Description
Performs complex professional work augmenting the primary health care physician in making medical diagnoses and dispensing medical treatment, and related work as apparent or assigned. Work is performed under the limited supervision of the Public Health Nursing Manager and the clinical supervision of the overseeing supervising Physician.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Position Responsibilities

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Proficiency in accessing and utilizing electronic medical records and various health information systems required for clinical documentation and billing purposes.

Domain 6: Public Health Sciences Skills 2 & 4. Domain 5 Community Partnership Skills 2 & 4
Obtain a thorough patient history and physical examination.
Perform appropriate diagnostic and therapeutic procedures

Record and present this information to the supervising and referred physicians as indicated

Establishes, maintains, and collaborates with supervising physicians and community partners as needed to maintain relationships and improve client/community health
Develop and maintain health care, therapeutic plans, and counsels' patients

Domain 4: Health Equity Skills 1 & 3. Domain 8: Leadership and Systems Thinking Skills 5-6 & 8

Applies principles of ethics, diversity, equity, inclusion, and justice when providing client care recognizing the diversity of individuals and populations served
Performs assigned functions as a Disaster Ready Team (DRT) member, if appointed or volunteers.
Performs other duties as assigned.

Domain 7: Management and Finance Skills 9-10

Applies critical thinking in decision making

Engages in contingency planning

Qualifications
Thorough knowledge of techniques of interviewing, medical and relevant history taking, principles and practices of general medicine and disease states as they relate to the area of work; thorough knowledge of health appraisal tools, laboratory tests and findings, materials medica, and therapeutic procedures as relate to the area of work; thorough knowledge and ability to plan a regime of care based on assessment and findings; considerable knowledge of available resources and appropriate referral methods. Skills in performing clinical functions. Skill in assisting with routine surgical procedures. Ability to examine patients and detect abnormalities; ability to record accurately and completely all information necessary to evaluate and plan care and to convey this to the physician; ability to communicate orally; ability to teach and counsel individuals, families, and groups in areas of health maintenance, preventive medicine, and care of the sick; and the ability to establish and maintain effective working relationships with staff and to gain the confidence of patients and families and work effectively with them; some ability to plan and conduct in-service training programs. Ability to operate a personal computer and standard office productivity software.

Education, Experience, and Special Requirements
Education and Experience

Master's degree in Physician Assistant, Nurse Practitioner, or Certified Nurse Midwifery, or related field and moderate experience as an advanced practice provider, or equivalent combination of education and experience.

Special Requirements:

-Licensed as a Physician Assistant by the North Carolina Medical Board or as a Nurse Midwifery Joint Subcommittee or as a Nurse Practitioner by the North Carolina Board of Nursing.

-Valid driver's license

Salary will be determined based on qualifications, internal equity, budget, and market considerations.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Regular Onslow County employees have the ability to participate in a wide array of employee benefits including:

Health Insurance
Health Insurance is provided by Cigna and covers a wide variety of healthcare services.

Dental Insurance
Dental insurance is provided by Delta Dental to full-time employees and covers a percentage of basic to major dental procedures, including orthodontia for children and adults.

Vision Insurance
Vision insurance is provided by MetLife to full-time employees and covers a variety of materials (contacts and glasses frames/lenses) and an annual eye exam.

North Carolina Local Governmental Employees' Retirement System
Eligible employees are automatically enrolled in the retirement system and must contribute 6% of their gross salary each pay period. Once eligibility requirements are met, employees will be able to receive monthly payments for life based on their salary, age, and years of service credit.

NC401k
The County contributes 1% of employees' gross salary into the 401(k) account regardless of the employee's deferral amount. In addition, the County matches employee deferrals up to an additional 4%.

Vacation Leave
Regular full-time employees earn 13.5 days of vacation leave per year. With each 5-year increment of employment, vacation accrual increases.

Sick Leave
Regular full-time employees earn 12 days of sick leave per year.

Paid Holidays
County employees receive paid holidays annually. The Board of County Commissioners approves and may adjust the schedule as deemed necessary.

ComPsych Mental Health Services
The County provides Mental Health and Life Services through ComPsych to help employees and their families with personal, family and job-related problems such as counseling, crisis support, work-life resources, legal and financial consultations, and organizational support tools.

Supplemental Benefits
County employees are also offered a variety of supplemental benefits such as Life Insurance, Flexible Spending Accounts, 457b Deferred Compensation Plan, and MetLife Supplemental Plans.

For more information, please visit and click on the Benefits tab.
01

Which of the following best describes your highest level of completed education?

• High School Diploma or GED
• Associates Degree
• Bachelors Degree
• Masters Degree
• Doctorate
• None of the above

02

This position requires a Master's degree in Physician Assistant, Nurse Practitioner, Midwifery or related field. Please select the degree you hold.

• Physician Assistant
• Midwifery
• Nurse Practitioner
• Related field
• None of the above

03

This position requires moderate experience as a physician extender, or equivalent combination of education and experience. How many years of experience do you possess as a physician extender?

• No experience
• Less than six months
• Six months to one year
• One to three years
• Three to five years

04

Do you have a current license as a Physician Assistant issued by the North Carolina Medical Board?

• Yes
• No

05

Do you have a current license as a Nurse Practitioner issued by the North Carolina Board of Nursing?

• Yes
• No

06

Have you uploaded your official transcript(s), certificate(s), and/or license(s) showing the degree type and date that your degree, certificate and/or license was awarded? This must be done even if you are a current employee or we have received it with a previous application.

• Yes
• No

07

Do you possess a valid driver's license?

• Yes
• No

08

Based on your review of the position requirements, are you able to perform the position duties with or without reasonable accommodation?

• Yes
• No

09

Onslow County's values are REACH: Resilience, Excellence, Accountability, Customer Service, and Honesty. Which value(s) resonates with you the most, and why?
Required Question