Salary : $77,023.00 - $124,038.00 Annually
Location : Nashville, NC
Job Type: Full Time
Job Number:
Department: Health Department
Opening Date: 09/24/2026
Closing Date: 10/1/2026 11:59 PM Eastern

General Statement of Duties
Internal Nash County applicants will receive priority consideration during the first seven (7) days of the posting.
Primary Purpose of Position:

The primary purpose of this position is to plan, coordinate, supervise, and evaluate public health nursing services within the clinic and laboratory setting. This position ensures that nursing practices, laboratory procedures, patient services, documentation, and quality assurance activities comply with applicable public health standards, agency policies, and state and federal regulations.

Work Schedule: A standard 8 a.m. - 5 p.m., Monday through Friday schedule. Occasionally, a meeting or travel will extend the workday beyond the routine 8-hour work schedule. Evening and weekend work may occur with health fairs, communicable disease outbreaks, Red Cross disasters, bloodborne exposure with the need for HIV prophylactic treatment, bioterrorism events, natural disasters, or when necessary to meet administrative responsibilities.

Essential Duties and Tasks
Plans the daily operations of the general clinics (triage, immunization, child health, adult health, maternity, family planning, and laboratory). Coordinates schedules for multiple nurses and supports the Advanced Practice Provider III and laboratory staff. Serves as a resource to staff for questions, troubleshooting problems, or assisting with difficult clients.

Operates the various clinic positions when short-staffed or illness occurs. Serves as the backup for the Immunization Coordinator, Director of Nursing, and certain laboratory functions when those staff members are not present.

Works with the billing office to ensure proper coding on medical procedures to receive the maximum reimbursement of services. Assists with quarterly audits, ensuring that policies and program guidelines are followed. Troubleshoots all open billing encounters.

Prepares several data sheets for internal and external customers on the Health Department's outcomes, as well as programmatic data for Agreement Addenda.

Completes an annual review of clinical policies and standing orders. Stays up to date with current recommendations for Child Health, Adult Health, Immunization, Family Planning, Maternity, and laboratory programs per CDC, CMS, and state guidance.

Evaluates the performance of assigned staff members by performing a review of employees' work annually. Also evaluates the need for counseling and/or disciplinary action regarding personnel issues.

Assists with the case management portion of our Medicaid clients by analyzing the dashboard metrics to figure out what services our clients need and to attempt to facilitate gap closure in our clients' outcomes.

Assist the Immunization Coordinator with planning the annual flu season by making sure vaccines are purchased, all coding is correct in the system for billing, and the staff is aware of any changes in policy or procedures.

Authorizes all training and travel for several staff by filling out the appropriate paperwork and making sure funds are used appropriately.

Serves as an information source for outside agencies such as student nursing programs, school nurses, etc. Serves on various internal and external agency boards/committees as an information source, such as an Epidemiology committee member, quality improvement committee member, etc.

Provides leadership and day-to-day support for the electronic medical record (EMR), serving as a resource for staff on system updates, workflow changes, and documentation requirements. Coordinates communication and training related to EMR enhancements to support accurate records, regulatory compliance, and efficient clinical operations.

Interpersonal Contact:

Communicates externally with the contract Medical Director for the Health Department, community groups, other governmental agencies, vendors, suppliers, contractors, American Heart Association representatives, elected officials, medical community, General Public, etc.

Communicates with the Health Director, administrative staff, Business Officer, supervisors, Environmental Health, WIC, pharmacy staff, Clinical Support, family care coordinator, and health education staff.

Knowledges, Skills and Abilities
Thorough knowledge of NC Communicable Disease laws, state program mandates, and NC Nursing Rules.

Thorough knowledge of practical nursing techniques and the care and treatment of all types of clients.

Thorough knowledge of sanitation, personal hygiene, basic health, and safety practices.

Thorough knowledge of preparing reports and other types of correspondence.

Skill in preparing and administering medications and general knowledge of proper dosage, effects, and contradictions.

Thorough knowledge of vaccine refrigerators/freezers and Data Loggers.

Thorough knowledge of and in the operation of the equipment required for the position.

General knowledge of and in the operation of the equipment required for the position.

Ability to make astute observations of patients' conditions and to report changes accurately.

Ability to understand, interpret, and relate oral and written instructions.

Ability to make arithmetic computations.

Ability to establish and maintain effective working relationships with patients, medical personnel, and other employees.

Ability to prioritize communicable disease event investigations based on the threat to the public.

Skilled in the application of nursing practices and techniques as they apply to public health services.

Desirable Education and Experience
Minimum Education and Experience:

Master's in Nursing and three years of Public Health nursing experience (including one year of experience in a supervisory capacity); or graduation from a four-year college or university with a B.S. in Nursing which includes a Public Health Nursing rotation and four years of Public Health nursing experience (including one year of experience in a supervisory capacity); or a Master's in Public Health and graduation from a school of professional nursing and three years of Public Health Nursing experience (including one year of experience in a supervisory capacity); or graduation from a school of professional nursing and five years of professional nursing experience four of which must have been in Public Health (including one year of experience in a supervisory capacity); or an equivalent combination of training and experience.

All Public Health Nurses employed by a local health department shall complete an introductory course in principles and practices of public health/public health nursing and any refresher courses sponsored by the NC Department of Health and Human Services. 10A NCAC 46 .0301 (2),(b),(c).
Additional Training/Experience

Current license to practice as a Registered Nurse in North Carolina by the N.C. Board of Nursing

Valid NC Driver's License

Possession of a valid CPR/AED certification upon hire
INSURANCE PROGRAMS
Nash County offers cafeteria-style benefits including:
- Health Insurance
- Dental Insurance
- Life Insurance
- Vision Insurance
- Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)
- Disability Insurance (Long-Term and Short-Term Disability)
and more!
FINANCIAL PROGRAMS
Retirement

Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.

NC401(k)

The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 Deferred Compensation

The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

Special Separation Allowance

The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.

125 Flexible Benefit Plan

Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.

• Health Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible health care expenses.
• Dependent Care Spending Account -- Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible dependent care expenses.

Direct Deposit

Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.
LEAVE PROGRAMS
Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit.

Sick Leave

For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.

Holidays

The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year.
The following holidays are observed:

• New Year's Day,
• Martin Luther King, Jr. Day,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and the day after, and
• Three (3) days at Christmas.

Military Leave

Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year.
Active Duty - Reserves and National Guard - Ten paid workdays upon activation.

Civil Leave

Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.

Family Medical Leave Act

Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.
OTHER PROGRAMS
Employee Assistance Program (EAP)

The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.

Wellness Center and Telemedicine

We believe that staying healthy is inclusive of exercising regularly and taking care of your physical body. Nash County has a Wellness Center, which consists of various exercise equipment and videos, open to all full and part-time employees.

All full-time employees also have access to telemedicine through Teladoc. Teladoc treats conditions like allergies, sore throats, asthma, and more. Doctors are available by phone or video 24/7 from wherever you are. They are available to diagnose symptoms and send a prescription if needed.