Public Health Nurse - Community Outreach

$81,367.92 - $115,819.80 / year

This position is open until the first review and is a bargaining unit represented position.

A cover letter and resume are required with your online application in order for your application to be considered complete. Uploading your resume to auto-fill portions of the application does not automatically attach it to your application. Incomplete applications will not be considered for this position.

Why Join Snohomish County?

Snohomish County’s commitment to life-work balance and an inclusive culture. The County offers outstanding benefits and professional growth opportunities to our employees, and we also enjoy flexible work schedules, telework options and a convenient downtown Everett, WA. location. Snohomish County believes in diversity, equity, and inclusion (DEI) and is committed to embedding these values into our workplace culture. Snohomish County is located on the Puget Sound; we are situated near some of the country’s most scenic national parks and is consistently ranked as one of the best places to live in the U.S.

Teleworking Options

The Health Department typically has a hybrid model for most roles; however, it is outlined by the supervisor for the given role based on performance and business needs. When working remotely, employees are expected to maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours. Snohomish County has a robust collection of tools and resources to support working remotely.

Description

Incumbent will work collaboratively with clients and various disciplines and agencies in Snohomish County, region, and state. The Public Health Nurse serves as a health resource person in the community and interpret public health programs and policies to individuals, families, community groups, schools, physicians and other collateral community agencies and service providers.

This position will primarily support chronic disease screening, referrals, and educational outreach in the rural areas of Snohomish County. Incumbent will also provide new-arrival health screenings and referrals for refugees settling in the county. This position may also provide surge capacity in other programmatic areas of the health department such as communicable disease outbreak response or immunization clinics. Work will be performed in coordination with community and internal partners and will occur in clinical, mobile unit, and community, settings.

The Public Health Nurse demonstrates cultural competency in the ability to engage with people from diverse backgrounds, cultures, and socioeconomic circumstances to influence effective change at multi-levels of communicable disease control and prevention.

Work is performed under general supervision. Program Supervisor, or designee, defines objectives, priorities, and deadlines; and assists incumbent with unusual situations, which may not have clear objectives or precedents. Incumbent plans and carries out assignments and handle problems and deviations in accordance with experienced judgment, instructions, policies, procedures and/or accepted practices. Incumbent is expected to operate with considerable latitude and apply sound judgment and teamwork. Work is evaluated for technical soundness and conformity to practice and policy.

Examples of Work Performed:

Evaluate health trends, health disparities, and risk factors of individuals and communities; assist in determining priorities, assist in researching interventions for identified groups and for specific health issues
Provide public health guidance to medical providers, schools, childcares, community partners and department staff; serve as subject matter expert to staff and community partners
Able to conduct client assessments, provide referrals according to client needs, and maintain electronic medical records
Exercise independent professional judgment in the application of public health principles and nursing practice
Completes Random Moment Time Survey (RMTS) in compliance with Medicaid Administrative Claiming (MAC) program.
Participates in and supports emergency preparedness and response activities, including preparedness for the division, agency, and community
Coordinates client referrals to primary care providers for refugee immunization and other health-related services
Completes documentation required by the Office of Refugee and Immigration (ORIA) services and submits documentation in a timely manner

Policy Development and Program Planning:

Assures practice is in compliance with ANA code and WA State Nurse Practice Act
Participates in the development of disease response policies and protocols

Partnership and Collaboration:

Collaborates with other Health Department programs as needed
Collaborates with community partners to develop and implement communicable and infectious disease control measures and prevention resources in Snohomish County
Acts as a liaison, serves as a resource person and interprets public health nursing and other Health Department services to individuals, groups, agencies and other professional disciplines
Refers, consults and conferences with program manager and team/community members on a regular basis
Assists in orientation of new team members and may act as a preceptor to students

Communication:

Serves as a resource and assists in the development of selected educational materials
Develops written communications for various settings
Presents information sensitively, effectively and professionally with persons from diverse cultural, socioeconomic, educational, racial, ethnic and professional backgrounds and persons of all ages and lifestyle preferences

Associated Duties:

Provides 24/7 call coverage during non-business hours (evenings, weekends, and holidays) as part of a rotation. When on call, act as the primary point of contact for receiving, triaging, and responding in a timely manner to notifications of communicable disease reports from health care providers, laboratories, veterinarians, or other public health agencies
Participates in opportunities for professional growth and development
Performs other related duties as requested by the Program Supervisor
Provide surge support to other Health Department programs as needed
Protects the privacy and security of protected health information as defined in State and Federal law
Adhere to OSHA/WISHA guidelines, including timely completion of mandatory trainings

Qualifications:

Skills for the position may be gained through education, certification, relevant job experience or a combination, such as:

A registered nurse with a bachelor’s degree in nursing from an accredited school of nursing
One year of recent, relevant experience in public health nursing

Licenses, Certifications, and Other Information:

A valid Washington State Registered Nurse license or ability to obtain one by date of hire
Experience in community-based services or public/community health nursing, Preferred
Two or more years of experience with a public health agency, Preferred
Two or more years of experience in communicable disease control, Preferred
Acute nursing care experience within last 10 years, Preferred
Experience with emergency preparedness response, Preferred
Fluency in a foreign language/culture, Preferred
Valid Washington State Driver’s license or ability to obtain one within 30 days of hire and a driving record which meets the requirements of Snohomish County’s insurance carrier
Successful completion of a background check pursuant to RCW 43.43.830

Snohomish County is an Equal Employment Opportunity (EEO) employer.

Accommodations for individuals with disabilities are provided upon request.

EEO policy and ADA notice

If you have any questions regarding this opportunity, please reach out to SHD.HR@co.snohomish.wa.us.

Job Offers are contingent on successful completion of reference and background checks. Snohomish County will not sponsor or take over sponsorship of an employment visa for this opportunity. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States.

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During the first 2 weeks of centralized onboarding, all RN residents will work Monday – Friday, 8 a.m. – 4:30 p.m. During the unit orientation, residents are paired with preceptors and will be assigned shifts to mirror their designated preceptors’ schedules. Four 10 hour shifts per week, Monday- Friday. Responsibilities Assesses physical, emotional, social, and spiritual needs and evaluates patients’ adaptation to health changes Develops a plan of care based on patients’ disease, symptoms, and response to treatment Educates patients, families, and caregivers on disease processes, treatment, side effects and symptom management Coordinates with inter-disciplinary team to ensure continuity of care Refers patients, families and caregivers as appropriate to other clinical resources/professionals such as social work, home health care, clinical nutrition, etc. Implements, evaluates and modifies plan of care Integrates research and evidence based knowledge into clinical practice In addition to primary responsibilities of the Registered Nurses (RN), the Infusion RN will have the following key responsibilities: Nursing Care and Assessment Demonstrate knowledge of standard treatment and medication side effects Perform nursing assessment, review relevant lab results, assess pain and other symptoms Administer IV hydration, electrolyte replacement, chemotherapy/biotherapy, and blood products Safe Handling of Hazardous Drugs Demonstrate an awareness of the potentially hazardous nature of many of the agents administered and uses correct precautions when handling them Follow all procedures regarding safe disposal of any materials used in the administration of chemotherapy or other hazardous agents and blood products Patient and Family Education Provide patient and family education in coordination with treatment and care plan Conduct learning needs assessment for patient and caregiver(s) Ensure patients have clinic contact information and understand when to call if symptoms arise or persist post-infusion therapy Communication and Teamwork Communicate or escalate patient symptoms and concerns to provider as needed Collaborate with the care team to provide effective and efficient patient care Request consultation from social work, dietitian, spiritual care, and or any other supportive care teams when patient's situation indicates Professional Development and Clinic Engagement Participation in continuing education, departmental projects, committee work, and quality improvement initiatives Qualifications Required: Graduate from an accredited school of nursing Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and must upgrade to an MSL with primary state of residence, WA, within 60 days of hire. This requirement may be waived under specific circumstances, subject to approval. Applicants that do not have previous oncology experience will be provided additional training and support Current BLS AHA Health Provider Card (or equivalent course, such as by the American Red Cross) and renewal required every two years Additional certification may be required dependent upon department. ONS Chemotherapy Provider Card (required within 3 months of hire) Critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge Ability to develop clinical judgment. Time Management skills; the ability to organize and manage time and tasks independently Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response. Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skill. Ability to effectively provide information by checking what information the person knows already, giving small amounts of information at a time, using clear terms and avoiding jargon, avoiding detail unless it is requested, checking for understanding, and pausing and waiting for a response. Preferred: Bachelor of Science in Nursing Certification in oncology or specialty practice area 2 years of RN Oncology experiencein an ambulatory infusion setting The hourly pay range for this position is from $51.06 to $93.04 and pay offered will be based on experience and qualifications. Registered Nurses are paid on a step-scale basis and are also eligible for shift differentials and other pay premiums such as advanced degree, preceptor and certification. Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position. This position may be eligible for relocation assistance. Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks). Additional Information We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.