Nursing Program Specialist

Florida Department of Health
November 6, 2018
Fort Myers, Florida
Job Type


Requisition No: 47521

Position #64028389

Agency: Department of Health


Position Number: 64028389

Salary:  $44,336.24 - $48,317.88

Posting Closing Date: 11/19/2018

This is a Career Service position with the Florida Department of Health in Lee County.  The Nursing Program Specialist position responsible for managing a caseload of patients with active tuberculosis and latent tuberculosis.  Work is performed under the direction of the Senior Community Health Nursing Supervisor. The employee shall maintain accurate and complete medical records.  The employer, Department of Health in Lee County is the owner of the medical records as defined by Section 455.667 Florida Statutes. This position requires knowledge, understanding and compliance with guidelines set forth in the Florida TB Section Manual and TB Standards of Care, as well as internal operating procedures.  This position serves a large population of Spanish speaking clients and the employee may be required to perform interpreter duties.  This position has access to the following information sets:  TB records, Immunizations, Medical Records, Laboratory, HIV testing and the Health Management System (HMS) system.  Information Custodian Designee: This position has responsibility to carry out information custodian duties as specified in Policy 3-E-9 of DOH Information Security and Privacy Policy, in absence of the assigned Information Custodian or as delegated.

A thorough knowledge of the epidemiology and treatment of TB is required as the primary job responsibility in the management of tuberculosis cases and suspects.  This includes the following: (1) Immediately initiating process to contact, evaluate and begin treatment for all newly identified TB cases/suspects in the LCHD office, the hospital or in the patient's home. Begin and monitor contact investigation to completion. (2) Monitoring active caseload to insure all protocol and orders are carried out, including patients of private physicians who remain involved in the treatment of their patients.  (3) Provide education to the patient and family.  (4) Developing a patient care plan and making appropriate changes as the needs of the patient and family change.  (5) Facilitate referrals for social service or other needed services. (6) Completion of all mandatory surveillance documentation – Report of Verified Case of Tuberculosis (RVCT), initiation of contact investigation within the time frame specified (7) Provides medication to clients receiving Directly Observed Therapy (D.O.T.) both directly and by packaging doses for the Health Services Representative giving D.O.T. in the field.  Gives guidance and supervision to Health Services Representative administering D.O.T. by directly assisting when needed and by monitoring that medication is given and accurately documented (8) Assists in immunization and other directed activities on an as needed basis.

Manage/interview/provide initial assessment of active tuberculosis cases and suspects in the absence of the regularly assigned nurse case manager. Admits interviews and provides follow-up treatment for patients receiving preventive therapy.  This includes:

(1) health history

(2) routine measurements, vital signs and phlebotomy,

(3) monitoring lab work and side effects of medicine,

(4) monitoring compliance and follow-up of non-compliant clients,

(5) patient education

(6) maintaining accurate records,

(7) keeping nursing supervisor, clinic ARNP or MD informed of any problems or potential problems.

Processes chest x-ray results and makes recommendations regarding preventive therapy using established guidelines. Assists in providing transportation to disadvantaged clients in State vehicles when necessary.

Provides medication to clients receiving Directly Observed Therapy (D.O.T.) both directly and by packaging doses for the Health Services Representative giving D.O.T. in the field.  Gives guidance and supervision to Health Services Representative administering D.O.T. by directly assisting when needed and by monitoring that medication is given and accurately documented.

Assists in initiating and/or maintaining other programs in the community such as health fairs, immunization programs, in-service/updates, TB screenings, as well as providing requests for public information about tuberculosis.  Attends pertinent conferences as requested or permitted.

The incumbent is responsible for planning, monitoring, administering, and evaluating all clinical services in the Refugee Health Program. Provides health screening activities for the Refugee Health Screening Program to include:  coordination of services, monitoring of referrals within the Refugee Health Program, general physical assessment, health history, specific examinations/referrals, and lab services.  Monitoring of the Center for Disease Control and Prevention (CDC)/ Electronic Disease Notification (EDN) System electronic referral/case notification system on a regular basis to obtain health and other information on new referrals.  Verify refugee documentation/status and work with Health Program Analyst A to assure initial appointment  and all required activities are documented and completed within established time frames.

Program evaluation- conducts continuous quality improvement and monitor efficiency and effectiveness of refugee Health Program in consultation with supervisor and Health Program Analyst A.

Able to accurately and completely input data into HMS system for EARS, Patient Care Modules, leave and attendance system, CDC/EDN, Refugee Domestic Health Assessment System (RDHAS), and any other computer application necessary to complete work duties within the time frame specified.

 Administers all vaccines in accordance with State Advisory Committee on Immunization Practices (ACIP) guidelines. Assesses the client’s immunization status and health history. Educates clients regarding vaccine contraindications, precautions, possible side effects, and next return date. Properly handles and stores vaccines according to the guidelines. Accurately codes (using HMS or EARs) all vaccines daily. Maintains current references for childhood, adult and overseas travel immunizations.

Provides overseas travel immunizations and PPD skin testing as required. Accurately determines eligibility for any available grant programs. Responds to public inquiries regarding immunization policies and recommendations.

Knowledge, skills and abilities, including utilization of equipment, required for the position:

  • Knowledge of nursing and public health principles, practices and techniques.
  • Knowledge of nursing principles, practices and techniques in specialized areas.
  • Knowledge of the theories and concept of preventive health care.
  • Knowledge of human anatomy and physiology.
  • Knowledge of community resources and organizations.
  • Knowledge of correct spelling, punctuation & grammar usage
  • Knowledge of standard business formats & styles for letters & business forms
  • Skill in the application of nursing theory in specialized areas.
  • Skill in operating a personal computer
  • Ability to work independently or with minimal supervision
  • Ability to administer medications.
  • Ability to provide preventive health care and treatment to groups.
  • Ability to assist in planning and conducting a variety of training activities.
  • Ability to work with patients having a variety of physical problems.
  • Ability to plan, organize and coordinate work assignments.
  • Ability to communicate effectively.
  • Ability to establish and maintain effective working relationships with others.
  • Ability to teach health care
  • Ability to frequently bend, kneel, reach, and sit or stand for long periods of time
  • Ability to lift and carry up to 50 pounds as needed
  • Ability to review data for accuracy and completeness
  • Ability to follow instructions
  • Ability to locate information that is listed alphabetically & numerically
  • Ability to frequently use, telephone, computer, copier and small hand tools, i.e.: stapler, scissors etc.
  • Ability to prioritize individual workload
  • Ability to understand, interpret & apply applicable rules, regulations, policies & procedures
  • Ability to handle telephone calls in a courteous & effective manner

Licensure/registration/certification requirements (If applicable, list the appropriate Florida Statute or federal regulation cite):

  • This occupation requires licensure as a Registered Professional Nurse in accordance with Chapter 464, Florida Statutes or eligible to practice nursing in accordance with Florida Administrative Code 210-8.22 or 8.27.Other job-related requirements for this position:
  • Incumbent may be required to work before, during and/or beyond normal work hours or days in the event of an emergency.  Emergency duty required of the incumbent includes working in special needs or Red Cross shelters, or performing other emergency duties including, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.
  • Valid Drivers’ License
  • Incumbent must have at least 2 years nursing experience
  • A Bachelor's degree is preferred
  • Taking Confidential Information Out of the Health Department:  Prior permission is granted to remove and transport confidential information from the premises of DOH-Lee as defined in the current version of the FL DOH Information Security and Privacy Policy 7.  Employee must maintain the minimum required information in their control at all times in a lockable device.  Information should be returned to DOH-Lee, by the close of same business day. If not feasible, prior permission by the supervisor must be granted to keep information until the next business day.
  • Must have current CPR certification, or obtain such certification during employment.
  • Employee must be able to wear an N-95 particulate mask.

Working hours: (A) Daily from 8:00 A.M. to 5:00 P.M. (B) Total hours in workweek 40 + 40 Note: May be required to work additional hours as needed.

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (DOH) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Departments VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.  Certain veterans and spouses of veterans deemed eligible will receive preference in employment by the state (applies only to Career Service (CS) positions).

 All documentation is due by the closing date of the job announcement.

  • ** Note: Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. **
  • This position requires a security background check and/or drug screening and participation in direct deposit. Fingerprinting is required of the successful applicant for a sensitive position. Successful completion of a drug test is a condition of employment for safety-sensitive positions. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check.
  • Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website:
  • If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.
  • The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.  Only U. S. citizens and lawfully authorized alien workers will be hired.
  • Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days

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