Assistant Child Health Coordinator

Salary : $65,231.00 Annually
Location : Nashville, NC
Job Type: Full Time
Job Number: 2025-00113
Department: Health Department
Division: Health Departments
Opening Date: 11/25/2025
Closing Date: Continuous

General Statement of Duties

Provides Child Health Services and medical care to residents, to improve the health and welfare of area children through preventative measure of comprehensive screening exams, immunizations, education, treatments, referrals and follow-up services. Serves as Assistant Child Health Program Coordinator and performs professional level nursing services in the Nashville and Rocky Mount Branch offices. Serves as a community resource person in several areas regarding child health issues. Works as nurse in other clinical programs outside of the child health program. Works closely with the Department of Social Services, CDSA, Trillium Mental Health, Nash UNC Health Care, local pediatricians, medical centers, and the Nash County Public Schools. Maintains a professional and working relationship with all area primary care physicians for Child Health Services.

WORK SCHEDULE: 8:00 AM to 5:00 PM, Monday through Friday. Occasional extended hours or weekends for community health fairs, flu shots, and immunizations clinics, etc. Hours may vary depending on department services.
Essential Duties and Tasks
SERVES AS ASSISTANT CHILD HEALTH PROGRAM COORDINATOR:
Serves as liaison with local physicians, local and regional hospitals, surrounding health departments, and other disciplines within the department to ensure that patient needs are met.
Assists with the orientation of new staff to the Child Health Program.
Acts as a resource person to other staff, patients, and the community in the area of Child Health.
Responsible for maintaining child health records in accordance with local and state policies. Reviews records at Nash County Health Department.
Serves as a member and secretary of the Child Health Quality Assurance Team, which meets quarterly to review program needs for future planning, reviews policy, updates as necessary, and performs record audits. Representatives from all Child Health Programs and agency disciplines serving Child Health are in attendance.
Follow-up on all referrals made by CHERRN & PA for patients seen at NCHD in the Child Health Program
Makes referrals to in-house and outside Provider programs, such as WIC, CMARC, and the Blood Lead Program, as indicated.
Clinical resource person to nursing staff, reference immunizations for children.
Child Health Program (Child Health Enhanced Role Nurse)
Completes Child Health Enhanced Role Nurse Course and Practicum.
Completes an initial or interim history (medical, family, social, developmental, and nutritional).
Performs visual acuity and hearing screening and takes blood pressure on children three years and older.
Assesses developmental status using the PEDS or PSC.
Applies topical fluoride varnish and provides education regarding the same.
Orders appropriate lab work.
Performs pediatric physical assessments using inspection, palpation, percussion, and auscultation. Distinguishes normal from abnormal findings.
Counsels parent regarding nutrition, growth and development, medical concerns, immunizations, care of the newborn and older child, etc.
Initiates necessary referrals.
Dispenses medications according to the agency's Child Health and Pharmacy Policies, Procedures, and Standing Orders.
Updates immunizations per Standing Orders.
Document finding and all activities in the patient's medical record according to the Department's Medical Record Policy.
Serves as one of the preceptors for nurses attending the Pediatric Physical Assessment Course.

IMMUNIZATION
Reviews immunization record of new WIC clients weekly and advises WIC staff on immunization needs of these infants/children.
Coordinates immunization services with WIC, Child Health and other programs within the department.
Collaborates with Nash County Public Schools, Rocky Mount Preparatory, Inc. and Clinical Support to get immunizations entered in State Register System if needed.
Provides technical assistance and serves as an immunization resource person for other staff and the community.
ADULT HEALTH
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding problems identified such as chronic disease and disease prevention.
Dispenses medications according to the Department's Standing Orders and Pharmacy Policy and Procedures.
Initiates referrals for abnormal findings and needs identified.
Updates immunizations per Standing Orders.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
STD/HIV PROGRAM
Completes an initial or interim medical and sexual history.
Orders appropriate lab tests.
Provides education and counseling regarding problems identified.
Dispenses or administers appropriate treatment according to the STD Policy, Procedures, and Standing Orders and according to the Department's Pharmacy Policy and Procedures.
Updates immunizations per Standing Orders.
Provides pre and post-test HIV counseling.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.

PRENATAL PROGRAM
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding medical and psychosocial problems identified.
Provides appropriate education and counseling such as nutrition, danger signs of pregnancy, etc.
Dispenses appropriate medications and/or vitamins and iron according to the Department's Pharmacy Policy and Procedures and Prenatal Policy and Procedure.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
WOMEN'S PREVENTIVE HEALTH
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests.
Provides education and counseling regarding medical and psychosocial problems identified.
Provides education, counseling, and instructions regarding methods of birth control and method chosen.
Dispenses appropriate medications and/or birth control method according to the Departments Pharmacy Policy and Procedure and Family Planning Policy and Procedures and Standing Orders.
Updates immunizations per Standing Orders.
Initiates referrals for abnormal findings and needs identified.
Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy.
COMMUNITY HEALTH and OTHER DUTIES
Assists in other programs as needed.
Backs up school nurses and assists other health department staff with school activities (ex., school-based screenings, immunizations, communicable disease services, etc.).
Attends staff training and other continuing education programs and monthly staff meeting. Maintains a log of continuing education units required to continue practicing as a Rostered Child Health Screener.
Helps maintain a safe working environment.
Assists with department wide community activities (ex., community flu programs, health fairs, etc.)
Participates in disaster services as needed.
Other duties as assigned.
OTHER POSITION CHARACTERISTICS:
Accuracy Required in Work: Requires accuracy in medication dispensing, medication administration, reviewing lab data and diagnostic reports such as EEG, EKG, CT scan, Mammogram and X-ray reports. Accuracy in completing physical assessment exams, identifying needs and initiating appropriate referrals and for legal purposes all charting must be accurate and comprehensive. Responsible for reviewing all labs and reports in each office with MD, PA, NP or Pediatrician.
2.Consequence of Error: Errors could result in severe health problems or even death for patients seen in screening and immunization clinics. Timely and accurate interpretation of test results is vital to maintain credibility with the public and maintain the health of the patient. Errors could result in legal liabilities.
3.Instructions Provided to Employee: This position has scheduled clinic assignments. Management responsibilities and program responsibilities are prioritized by the employee. Employee maintains a monthly work schedule. Guidance is available from the nursing supervisor if requested.
4.Guides, Regulations, Policies and References Used by Employee:

Nash County Policies, Procedures, and Standing Orders

Maternal Child Health Manual

Nash County Health Department Personnel Policies

ICD-10 Code Book

Blood Lead Manual

Care Management for At Risk Children

North Carolina ACIP Manual

PEDS/PSC Screening Tools

The Red Book

North Carolina Communicable Disease Laws & Rules

Communicable Disease Manual

Bright Futures/AAP ()

Current Health Check Billing Guide ()
5.Supervision Received by Employee: Work is supervised by the Nursing Supervisor. Child Health Policies and procedures, and Standing Orders are reviewed quarterly by members of the Child Health Quality Assurance Committee and updated as needed by the Program Coordinator and Nursing Supervisor. Formal, written performance evaluations are done per Agency Policy.
6.Variety and Purpose of Personal Contacts:

Variety of contacts include:

Outside physicians while making referrals for patients.

State laboratory staff.

Surrounding area Health Department Personnel (five county catchment area)

Nash County Public Schools, DSS, Trillium Mental Health, local pediatricians and physicians, UNC Nash Health Care and medical centers.

CDSA.

Patients on a daily basis to assure that all needed services are provided for referrals made.

Multiple telephone calls regarding resource, referrals, pediatric problems, etc. daily.

Interaction with other agencies, vendors, physicians, medical centers, consultants and the public is all is all necessary.
7.Physical Effort: Requires the provision of patient services each day whether physically through applying direct clinical skills, phone calls, records management, or attending a continuing education workshop. Requires frequent travel between the Nashville and Rocky Mount offices. Requires home visits at times. Assists during examinations, sometimes by physically restraining to prevent injury during procedures and occasionally help assist patients on and off exam table.
8.Work Environment and Conditions: Usual work environment is the office or clinic setting. Has the potential to be exposed to body fluids. Adheres to the Blood Borne Pathogen and Infection Control Policies of the Agency to minimize this exposure. Driving is required sometimes during bad weather for clinic duties and home visits.
9.Machines, Tools, Instruments, Equipment and Materials Used:

Blood pressure cuff/stethoscope, audiometer, copy machine, computer, scales (adult and infant), OAE, fax machine, typewriter, tongue blade, titmus machine, otoscope, ophthalmoscope, Welch Allyn Ear Wash System, needles, syringes, weight grids, and automobile.

10.Visual Attention, Mental Concentration and Manipulative Skills:

Must be able to identify, organize and complete work efficiently.

Must be able to perform quality work independently.

Requires good communications skills.

Must have good writing skills to record documentation and initiate referrals.

Must have good humanistic, technical, and conceptual skills.

Document on Medical Records.
11.Safety for Others: Must follow recommended guidelines to prevent transmitting any communicable diseases. Universal precautions are used for safety of staff and patients. Must be knowledgeable of local policies, procedures, and standing orders. Must have nursing expertise to provide appropriate patient care. Must be adequately immunized per agency policy.
12.Dynamics of Work: Flexibility is an important component of this position. New and sometimes complex situations arise everyday. Ability to prioritize work is essential since workload and schedule may change. Positive attitude is crucial to be able to motivate patients and clinic personnel. Diplomacy and tactfulness in dealing with sister agencies regarding referrals is very important.
Knowledges, Skills and Abilities
Position requires strong assessment skills and qualifications to perform physical assessment on children. Good verbal and writing skills are needed to document findings and communicate well with patients. Requires knowledge of available resources and appropriate referral methods. Requires the ability to plan and coordinate work with others, to deal tactfully with others and to exercise good judgement in appraising situations and making decisions.

Desirable Education and Experience
REQUIRED MINIMUM TRAINING:

Graduation from an accredited school of professional nursing and one year of professional nursing experience
ADDITIONAL TRAINING/EXPERIENCE:

NC Credentialed Public Health Nursing Course (NCCPHN)

Introductions to Public Health in North Carolina Online Training Series, Certificate of Public Health Nursing in North Carolina

State approved Child Health Training Program

A minimum of twenty continuing education hours in Child Health related issues to continue practicing as a NC ROSTERED CHILD HEALTH SCREENER

ICS Training 100, 200 and 700

Red Cross Disaster I and II

CPR Certificate

CPR/Defibrillator training

HIV counseling and testing program

OAE Training

PEDS/PSC Developmental Screening Training

Dental Varnishing Training

Breast exam Assessment Training
LICENSE OR CERTIFICATION REQUIRED BY STATUTE/REGULATION/AGENCY:

Current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing. Valid North Carolina Driver's License.
INSURANCE PROGRAMS

Group Health Insurance

Nash County provides full time and part-time benefit eligible employees working 30 plus hours per week with Health Insurance coverage with the North Carolina State Health Plan

Included in each selection is:

• Preventative Care Coverage
• Prescription Coverage
• Chiropractic Coverage

Health Insurance may become effective for employees the first day of the month following employment.
Group Dental Insurance
Nash County provides full-time and part-time regular employees working 30 plus hours per week. Dental Insurance becomes effective for employees the first day of the month following the 30th day of employment.
Group Life Insurance

Nash County provides term Life Insurance for full-time and part-time regular employees working 30 or more hours per week.

Life insurance is paid for you by Nash County and pays your beneficiary one time your annual salary not to exceed $200,000 in the event of your death. Accidental death and dismemberment coverage is also provided.

Life Insurance becomes effective the first day of the month following 30 days of employment. Voluntary supplemental term life insurance coverage for you, your spouse or your dependent children is also available - please see the Human Resources Department for more details.

Short Term Disability Insurance

Nash County provides active full-time regular employees working 30 plus hours per week the option to purchase Short Term Disability Insurance.

Short Term Disability Insurance may cover up to 70% of an employee's monthly salary with a maximum of $2,000 per month, in the event of an injury or illness, for up to 13 weeks.
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.

Credit Union

Local Government Federal Credit Union membership is available to all employees. Once you join, you can remain a member for as long as you choose. Immediate family members such as spouse, children, stepchildren, brothers, sisters, and parents can all become members.

Employees of both the Departments of Social Services and Public Health are eligible to join the State Employees Credit Union.
LEAVE PROGRAMS
Vacation Leave

For regular full-time County employees, vacation leave accrues based on length of service. 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 at 8.0 hours per month. 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.

NOTICE OF PRIVACY PRACTICES

The benefits offered by Nash County are subject to change. In the event there is a conflict between the above contents and Nash County policies and/or a State or Federal statute, the policy/statute shall control. Plan documents will govern benefits plans should there be a conflict with this information. They are not held out to any employee as part of any contractual agreement. Benefits, policies, and procedures are subject to change or termination at any time.

Information provided on this site is for informational purposes only. Actual provisions of each plan will be provided on the certificate of coverage as part of the Summary Plan description.

Nash County is an Equal Opportunity Employer/Provider

In accordance with Federal civil rights law and the U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs).
Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's Target Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint filing cust.html and any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form.
To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

1. mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW
Washington, D.C. 20250-9410;
2. fax: (202) 690-7442; or
3. email: program.intake@usda.gov

USDA is an equal opportunity provider, employer, and lender.
01

Are you currently licensed to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing?

• Yes
• No

02

How many years of public health nursing experience do you have?

• None
• Less than 3 years
• 3 or more years

03

Do you have a minimum of one year of nursing experience?

• Yes
• No

Required Question

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