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REGISTERED 
DENTAL HYGIENIST 
Wanting to hire an energetic and 
friendly Registered Dental Hygienist. 
Multi Doctor Private Practice. Three 
days a week, no weekends. 
$35-40 an hour. Please email resumes 
to: <a href="mailto:mesanchez@limanews.com" target="_blank">mesanchez@limanews.com</a> or mail 
to: 201 W. Market St., Ste 100A, Lima, 
OH 45801 
AIM70362518L

REGISTERED DENTAL HYGIENIST

This recruitment has been reopened for additional applicants. If you have already applied for recruitment #511-2024-1, you do not need to reapply. 
Marion County Health and Human services is seeking a qualified RN to provide TB case management and Public Health Clinic services. If you have a passion for Public Health and want to support the promotion and provision of vaccines, promote STI screening and treatment, and help treat Tuberculosis and prevent new cases, then this job is for you!
GENERAL STATEMENT OF DUTIES Provide comprehensive nursing assessments, develop intervention strategies, and provide nursing services to individuals, families, groups, and communities; provide case management for high-risk clients.
SUPERVISION RECEIVED Work under the general supervision of a manager or supervisor, who assigns work, establishes goals and reviews results obtained; may perform nursing duties as set forth in the medical standing orders established for a specialty area.
SUPERVISION EXERCISED Supervision of other employees is not a responsibility of positions in this class.
Typical Duties - Duties include, but are not limited to the following
The nurse in this position provides Tuberculosis Case Management and Public Health Clinic Services. Demonstrates flexibility in adapting as program and/or service needs change.
Tuberculosis (TB) Program Services Works to prevent and control the spread of tuberculosis. Related duties include but are not limited to:
<ul>
<li>Participates in TB surveillance and service activities including, but not limited to reportable TB and outbreak response.</li>
<li>Participates in weekly case review and documents summary of case review to maintain a basic knowledge of all clients on caseload.</li>
<li>Identifies needs and makes appropriate timely referrals.</li>
<li>Develops and implements comprehensive plans of nursing care including:
<ul>
<li>Makes/plans home visits for TB program Directly Observed Therapy (DOT).</li>
<li>Routine medication assessment, refill, and monitoring.</li>
<li>TB screening</li>
<li>Collects sputum specimens, draws blood, and administers tests and vaccinations per the patient treatment plan.</li>
<li>Contact investigation and follow-up.</li>
<li>Educates, counsels and coaches' clients regarding disease processes, risk behavior, healthy lifestyles, prophylaxis, medication management and treatment goals.</li>
<li>Evaluates and revises treatment goals with clients to assure effective plans.</li>
<li>Coordinates and consults on plan of care with MCHHS Health Officer and outside providers/agencies.</li>
<li>Evaluation and appropriate follow-up of x-ray/lab/sputum.</li>
<li>Drives to client home or other sites to provide services, attend off-site meetings, pick up specimens or conduct field investigation of communicable disease.</li>
<li>Maintains open communication with and provides nurse guidance and oversight to Public Health Workers providing TB and sexually transmitted infections services.</li>
<li>Utilizes computer and internet to access information and document activities.</li>
<li>Performs accurate and timely documentation in ORPHEUS database.</li>
<li>Performs accurate and timely documentation in electronic medical record.</li>
<li>Provides services to non-English speaking clients via telephonic or in-person interpreter.</li>
</ul>
</li>
</ul>
General Public Health Clinic Responsibilities
<ul>
<li>Provides direct service to clients, including administration of injections.</li>
<li>Follows the policies and procedures specific to the services provided.</li>
<li>Provides health information and education relevant to the services sought by the individual, per policy. </li>
<li>Provide timely, accurate &amp; complete documentation and billing of services. </li>
<li>Obtains and transports supplies from refrigerator/freezer, overhead cabinets, and other storage areas.</li>
<li>Greets client in waiting area, escorts to clinic service area and back to front desk.</li>
<li>Documents services provided accurately and completely at the time of service.</li>
<li>Checks and records refrigerator and freezer temperatures each AM and PM and informs Supervisor and/or Coordinator of temperature falling outside the range.</li>
<li>Participates in returning client calls, signing off on returned labs, follow-up of positive labs, weekly chart audits, drug counts, etc.</li>
<li>Drives to community sites to provide services and attend meetings and training.</li>
</ul>
Immunizations to Infants, Children and Adults: 
<ul>
<li>Administer vaccines as forecasted unless medically contraindicated.</li>
<li>Provides immunizations in Marion County clinics and special off-site clinics. </li>
<li>Assures documentation of services to meet state and local standards. </li>
</ul>
Sexually Transmitted Infections Clinic Services Complete the intake, screening, nursing history, and assessment of clients, per MCHHS standing orders. Assure and provide appropriate treatment for clients, to include:
<ul>
<li>Administration of medications and immunizations</li>
<li>Provision of current and appropriate medication information verbally and in writing.</li>
<li>Initiate a plan with client for follow up and treatment.</li>
<li>Triage walk-in clients and those phoning in with questions or requests for exams.</li>
<li>Provide accurate and timely documentation in electronic medical record.</li>
<li>Reviews lab results and processes appropriately.</li>
<li>Phone in prescriptions as ordered by the Health Officer.</li>
</ul>
Infection Prevention Services to MCHHS employees:
<ul>
<li>Conduct Immunity Assessment, TB screening, and provide immunizations to employees per policy.</li>
<li>Draw blood for post vaccine titer per policy.</li>
<li>Provide post occupational exposure follow-up for BBP and other communicable diseases as appropriate.</li>
<li>Provide timely, accurate &amp; complete documentation of services in confidential digital &amp; paper files.</li>
<li>Maintain PPD, fit test solution and vaccine medication inventory for employees. </li>
<li>Ensure OSHA requirements for HBV vaccine are met in concert with Immunization Coordinator.</li>
<li>Ensure employees who fail to comply with needed services are referred to their supervisor and Clinic supervisor within 1 month of being overdue in concert with Immunization Coordinator. </li>
</ul>
Share in General Program Duties with the Clinical Preventive Services (CPS) Team: Participates and/or provides leadership to a variety of activities not limited to the following:
<ul>
<li>Develop and/or contribute to Team meeting agenda, policies and procedures and other documents.</li>
<li>Review and provide feedback to Health Officer regarding standing orders.</li>
<li>Provide services to and communication with community partners, e.g., homeless shelters, school nurses and information and technical assistance to healthcare providers.</li>
<li>Communicate client and program issues to the Clinic Coordinator and/or Program Manager.</li>
<li>Participate in planning, implementation, and evaluation of CPS program activities.</li>
<li>Participates in and may provide evaluation and monitoring of CPS program services and activities including quality improvement initiatives and program performance management measurement and tracking.</li>
</ul>
Other duties as assigned by your supervisor. May include but is not limited to response to public health emergencies to provide essential MCHD nursing or non-nursing services, including mass clinics to provide immunization/medication, or outreach responses, or other functions.
Response Level 2: In the event of an emergency, employee makes a reasonable effort to report to work. Employee may be required to perform duties outside of their regularly assigned duties. Employee may be requested to work an extended or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. 
May flex schedule to provide services outside of normal Monday-Friday, 800 am-5:00 pm hours.
May work late clinic; occasional after hours or weekends to meet business need. 
Requirements for the Position
EXPERIENCE AND TRAINING
<li>Associate degree, or diploma, in nursing and two years of experience as a nurse in a public health, social services, or community health setting; OR</li>
<li>Bachelor's degree in nursing; OR</li>
<li>Any satisfactory combination of work, education, training, or experience relevant to the position, as determined by Marion County. </li>
SPECIAL REQUIREMENTS
<ul>
<li>Possession of a current license to practice as a registered nurse in the State of Oregon at the time of appointment.</li>
<li>Must have a current CPR certificate.</li>
<li>Must possess a current driver's license in the applicant's state of residence and an acceptable driving history. Marion County will obtain a copy of the driving record for all qualified applicants from Driver and Motor Vehicle Services and review the driving record according to the Marion County policy and procedure for Driving on County Business. The policy can be found at: <a href="http://apps.co.marion.or.us/APAP/" target="_blank">http://apps.co.marion.or.us/APAP/</a>.</li>
<li>The finalist for this position will be required to pass a criminal history background check; however, conviction of a crime may not necessarily disqualify an individual for this position.</li>
<li>This is a safety sensitive/special needs position. Final candidates selected for this position will be required to pass a pre-employment drug screen, including testing for marijuana. The Marion County Drug and Alcohol Use and Testing Policy can be found at: <a href="http://apps.co.marion.or.us/APAP/policy.aspx?p=policy&amp;pid=518" target="_blank">http://apps.co.marion.or.us/APAP/policy.aspx?p=policy&amp;pid=518</a>.</li>
<li>This position may be subject to the following: Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549).</li>
<li>This is a full-time position that is eligible for overtime.</li>
<li>This position is represented by a union.</li>
<li>Typical work schedule: Monday through Friday, 8:00 am - 5:00 pm, with flexibility to meet the needs of the department or program.</li>
</ul>
Knowledge of
<ul>
<li>the practice of public health nursing and the use of community resources.</li>
<li>public health sciences and services.</li>
</ul>
Skills and abilities
<ul>
<li>in interdisciplinary teamwork.</li>
<li>make nursing assessments which include environments and systems, in addition to individuals, families and groups.</li>
<li>accept and abide by supervision received.</li>
<li>recognize the needs and concerns of people and to maintain constructive and therapeutic relationships.</li>
<li>provide skilled nursing care.</li>
</ul>
PHYSICAL REQUIREMENTS Operates a motor vehicle; sees using depth perception; stands; sits; moves about the work area; bends forward; climbs 1 floor of stairs; reaches overhead; lifts, pushes, pulls, carries and moves carts weighing up to 20 lbs. such as home visit bag and/or equipment to and from car and from clients house; frequently carries items weighing between 1-2 pounds; operates a keyboard; speaks with a clear and audible voice; reads a 12-pt. font and 6-pt. medication vials; able to take blood pressure; administer PPD's and draw blood; hears a normal speech level; and uses a stethoscope. Works in areas that may be exposed to heat, cold, dust, smoke, humidity, noise, and chemicals. Works in areas that may be wet or uneven. Job involves driving to homes to visit clients, so employee is exposed to potential weather extremes when between the automobile and the office or home. Noise: May be exposed to screeching or crying infants or children in homes. Chemicals: May be exposed to disinfecting towelettes when cleaning toys and supplies. Uneven area: may encounter uneven surfaces at community sites.
Marion County offers a generous benefits package to regular employees working 50% or more of the regularly scheduled work week and their eligible dependents. Temporary employees and part-time regular employees working less than 50% of the regularly scheduled work week are not eligible for benefits. 
Regular positions in this classification are represented by the Oregon Nurses Association (ONA). For a summary of benefits, click here. For a complete and detailed overview of the ONA benefits package, click here, and select ONA Benefits from the left menu or Oregon Nurses Association (ONA) from the page links. Temporary employees are not represented by the union.
Salary and benefits are subject to union contract negotiations and may change as a result.

Public Health Nurse 2 - Clinical Preventive Services

We are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process.
In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focused, in-person physical exam on each Veteran.
You will electronically document the exam findings required by the VA through the web portal.
The Nurse Practitioner DOES NOT make disability determinations. The United States Veterans Administration makes all disability determinations.
This role ONLY performs Disability Assessments on Veterans. You will NOT treat, and you will NOT prescribe medication in this position.
This position performs Disability Assessments on 3-5 Veterans per day, on average.
Schedule: Full-Time (Mon-Fri)
This is an IN-PERSON position.
Key Attributes:
<ul>
<li>Interested in performing Independent Medical Assessments.</li>
<li>Able to analyze data from the medical records and exam findings to complete the questionnaire and form medical opinions.</li>
<li>Skilled in time management, able to stay on task and meet requirements.</li>
<li>Must hold a current and unrestricted Nurse Practitioner license.</li>
<li>Proficiently use a computer.</li>
</ul>
Requirements
<ul>
<li>Must have a current, unrestricted Nurse Practitioner license.</li>
<li>Meets the credentialing requirements set forth by the VA</li>
</ul>
Benefits
<ul>
<li>Training and continued support provided</li>
<li>Health Insurance options available</li>
<li>Computer supplied</li>
<li>Typical day: 3 to 5 patients a day</li>
<li>Would you find it rewarding to serve the Veteran community?</li>
<li>Would you like to work a set schedule during normal business hours and NEVER be on call?</li>
<li>All work is performed in a clinical setting.</li>
</ul>

Nurse Practitioner - Greenville, NC

Work can be performed by a Nurse Practitioner or Physician Assistant
We are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.
In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focused, in-person physical exam on each Veteran.
You will electronically document the exam findings required by the VA through the web portal.
The Nurse Practitioner or Physician Assistant DOES NOT make disability determinations. The United States Veterans Administration makes all disability determinations.
This role ONLY performs Disability Assessments on Veterans. You will NOT treat, and you will NOT prescribe medication in this position.
This position performs Disability Assessments on 3-5 Veterans per day.
Schedule Full-Time (8am-4pm)
This is an IN-PERSON position.
Key Attributes:
<ul>
<li>Interested in performing Independent Medical Assessments.</li>
<li>Able to analyze data from the medical records and exam findings to complete the questionnaire and form medical opinions.</li>
<li>Skilled in time management, able to stay on task and meet requirements.</li>
<li>Must hold a current and unrestricted Nurse Practitioner or Physician Assistant license.</li>
<li>Proficiently use a computer.</li>
</ul>
Requirements
<ul>
<li>Must hold a current, unrestricted NP or PA (NCCPA accredited) license.</li>
<li>Meets the credentialing requirements set forth by the VA.</li>
</ul>
Benefits
<ul>
<li>Training and continued support provided</li>
<li>Health Insurance options available</li>
</ul>
<ul>
<li>Computer supplied</li>
<li>Typical day: 3 to 5 patients a day</li>
<li>Would you find it rewarding to serve the veteran community?</li>
<li>Would you like to work a set schedule during normal business hours and NEVER be on call?</li>
<li>All work is performed in a clinical setting.</li>
</ul>

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