Vacancy Announcement

PRACTICAL NURSE I (LPN)

 

 

Salary Grade:

61

Salary Range:

$28,676.23 – $37,278.79 – $45,879.29

Closing Date:

Open until filled

Position Number:

535-53-452

Location:

Rutherford County & McDowell County

Description of Work:

• Participate primarily in screening, referring, information gathering, and client follow up.
• Provides injections and immunizations, screens clients, obtains pertinent data, collects vital signs and specimens, assists the physician as needed and prepares and cleans laboratory.
• This position will perform lab duties for Maternity and Family Planning Clinics and also helps with the interview process of clients.

Minimum Education And Experience:

Graduation from a State accredited program of Practical Nurse education; or an equivalent combination of education and experience.

Necessary Special Qualifications:

General knowledge of practical nursing techniques in the routine care and treatment of stable, subacute, convalescent, and chronically ill clients; general knowledge of sanitation, personal hygiene, basic health and safety practices applicable to work area. Ability to make accurate observations of clients and families, and to record and communicate this clearly; ability to understand the special physical and emotional problems of clients, and to establish and maintain effective working relationship with them and their families; ability to work with others in the performance of these duties and assisting with other routine tasks of a reasonably high level of complexity.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Equal Opportunity Employer

 

 

 

Vacancy Announcement

PUBLIC HEALTH NURSE II

OB Care Management

 

Salary Grade:

69

Hiring Range:

$41,134 – $53,473

Closing Date:

This position will remain open until filled

Position Number:

535-50-323

Location:

Marion, NC

Description of Work:

• Pregnancy Care Management (PCM)/OB Care Management (OB CM) program works to achieve wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation to all Medicaid eligible maternity clients within the Foothills Health District. OB Care Managers help to identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source.
• Provide outreach, population, identification, assessment and risk stratification and interventions. Review and enter all initial a follow-up pregnancy risk screens received from Pregnancy Medical Homes covered by the pregnancy care mangers.
• PCM/OB CM services are provided to all Medicaid eligible patients with a positive pregnancy risk screen in the Foothills Health District. If the risk screen is positive OBCMs complete a pregnancy assessment to identify patient problems and needs.
• Patient contacts and tasks will be carried out through various communication methods as face-to face contact during prenatal visit, home visit, community encounters, phone contact, mail, text, and e-mails.
• OBCM provide patients resources, education, referrals, and community contacts to address identified problems and needs. All positive and negative maternity risk screens are entered into the CMIS within 7 days.

Minimum Education And Experience:

Graduation from a four-year college or university with a B.S. in Nursing which includes a Public Health Nursing rotation and one year of Public Health Nursing experience; or a Master’s in Public Health and graduation from a school of professional nursing and one year of professional nursing experience; or graduation from a school of professional nursing and two years of professional nursing experience including one year of Public Health nursing experience; or an equivalent combination of training and experience.

Current license to practice as a Registered Nurse in the State of NC by the NC Board of Nursing, and valid CPR.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to: Foothills Health District ATTN: Cindy Snyder (personnel@foothillshd.org) 221 Callahan-Koon Road Spindale, NC 28160, or fax to (828) 287-6059.

Applications can be obtained from the Personnel Office or downloaded at www.foothillshd.org . Resumes without an accompanying PD-107 will not be considered.

 

 

 

Vacancy Announcement

PUBLIC HEALTH NURSE II

Nurse Family Partnership

 

Salary Grade:

Not Provided

Salary Range:

$41,134 – $53,473

Closing Date:

This position will remain open until filled

Position Number:

Not Provided

Location:

Spindale, NC (travelling is required 75% of the time)

Description of Work:

• Nurse Family Partnership (NFP) is an evidence-based, nurse home visiting program that improves the health, well-being and self-sufficiency of low-income, first-time parents and their children.
• Responsible for providing comprehensive community health nursing services to women and their families eligible for the NFP Program.
• Nurse Home Visitors (PHN II) enroll and coordinate services to a caseload of 25 first time, low-income, expectant mothers. Work requires specialized knowledge in the NFP mission, vision and visit guidelines.
• NFP Nurses are required to travel 75% of the time to make home visits.
• Considerable knowledge of and skill in the application of nursing theory, practices, principles and techniques in the application of providing comprehensive community health nursing services to women and their families.
• Considerable knowledge of available resources and organizations and the ability to coordinate these as needed.
• Ability to provide intensive preventive health and social services to women during their first pregnancy and to children birth to 2 years of age.

Minimum Education And Experience:

BSN Graduate and one year of Public Health Nursing experience is required ; or BSN graduate with one year of child health experience or one year of maternity experience. A current unrestricted license to practice as a Registered Nurse in North Carolina by the N.C. Board of Nursing and a valid unrestricted NC driver’s license.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to:

Foothills Health District
ATTN: Cindy Snyder (personnel@foothillshd.org)
221 Callahan-Koon Road
Spindale, NC 28160
Fax:  (828) 287-6059

Applications can be obtained from the Personnel Office or downloaded at www.foothillshd.org.31   Resumes without an accompanying PD-107 will not be considered.

 

 

 

 Vacancy Announcement

Social Worker II

Care Management for At-risk Children

 

Salary Grade:

66

Salary Range:

$35,532 – $46,193 – $56,853

Closing Date:

Open Until Filled

Position Number:

535-40-204

Location:

McDowell County (Marion, NC)

Description of Work:

• Care Management for At-risk Children (CMARC) is a population management model: CMARC CM’s refer families to community-based interventions for children to maximize health outcomes for children birth – 5 years of age. The program targets the highest risk and highest cost children for care management.
• The responsibilities of this position are: 1) assess children birth – 5 years of age who are identified as having priority risk factors; 2) be assigned to specific medical homes that serve children birth – 5 years of age living in McDowell County; 3) provide CMARC services based on patient need and according to risk stratification guidelines.
• Identify children at greatest risk through data reports, utilization of risk screening data, provider referrals, and refer to area resources as needed.
• All CMARC documentation is completed on-line in Virtual Health (VH).
• Close collaboration as indicated through phone calls, written updates, and/or office visits with PCP medical homes serving children residing in Foothills Health District.
• Care Managers are responsible to educate families, medical homes and community organizations of the benefits of the program
• Attend staff meetings/In-Services/Webinars/Phone Conferences/Trainings/Community Partner Meetings.

Minimum Education And Experience:

Bachelor’s degree in social work from an appropriately accredited institution; bachelor’s degree in a human services field from an appropriately accredited institution and one year of directly related experience; bachelor’s degree from an appropriately accredited institution and two years directly related experience; or an equivalent combination of education and experience.

Necessary Special Qualifications:

Considerable knowledge of social work principles, techniques, and practices and their application to individual casework group work and community problems. Knowledge of the psychosocial, socioeconomic and behavioral problems and their treatment. Knowledge of governmental and private organizations and community resources. Knowledge of laws, regulations and policies which govern the program. General knowledge of medical terminology, disease processes and their treatment is required In certain programs or settings. Skill in establishing rapport with a client and applying techniques of assessing psychosocial. behavioral, and psychological aspects of client’s problem. Ability to establish and maintain effective working relationships with administrative superiors members of case load and their families, and with civics medical, social and religious organizations. Ability to train or instruct lower-level social workers, students, or interns. Ability to express Ideas clearly and concisely and to plan and execute work.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Resumes without an accompanying PD-107 will not be considered. This position will remain open until filled. EOE

 

 

 

Vacancy Announcement

Public Health Nurse I

 

 

Salary Grade:

67

Salary Range:

$37,308 – $48,502

Closing Date:

Open Until Filled

Position Number:

535-50-166

Location:

Rutherford County, NC (Spindale, NC)

Description of Work:

• Perform all clinical services related to maternity, family planning, immunizations, adult health, child health and communicable disease. Primarily working in In-take.
• Collect data for history and review of systems, collect laboratory specimens and performs pregnancy testing.
• Collects data for history, interviews for problems, functions as a laboratory technician by collecting lab specimens by venipuncture, checking blood pressure, heights and weights and urine specimens.

Minimum Education And Experience:

Graduation from a four-year college or university with a B.S. in Nursing which includes a Public Health Nurse rotation, or Master’s in Public Health and graduation from a school of professional nursing; or graduation from a school of professional nursing and one year of professional nursing experience; or an equivalent combination of training and experience. Individuals employed in a local Health Department without a B.S. Degree which includes a Public Health Nursing rotation or a Master’s in Public Health, will be required to complete the “Introduction to Principles and Practices of Public Health Nursing” course within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule.

Necessary Special Qualifications:

A current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Resumes without an accompanying PD-107 will not be considered.  This position will remain open until filled. EOE

 

 

 

Vacancy Announcement

PUBLIC HEALTH NURSE II

MATERNITY COORDINATOR

$ 5000 SIGN ON BONUS

 

Salary Grade:

69

Salary Range:

$41,134 – $53,473 – $65,813

Closing Date:

Open until filled

Position Number:

535-50-323

Location:

McDowell County (Marion, NC)

Description of Work:

• This position functions in all working areas of maternity clinic, i.e., laboratory, nurse interview including medical and reproductive history taking, as well as education, assists M.D. in exam room, writes referrals as needed per order(s) and makes sure patient is scheduled for appointment(s), assists patient when applicable, counsels, instructs and interprets clinical findings to patient.
• Follows and carries out all orders received by M.D. (written, verbal, telephone and fax).
• Assists “in take” with decision making when needed for triage phone calls and/or walk-ins.
• Monitors maternity records and assures knowledge of compliance and audit documentation requirements by reviewing all charting for accuracy and completeness.
• Reviews new (initial) charts after clinic to assure accuracy and completeness and to follow-up M.D.’s order(s) and plan of care.
• Previews active charts for next scheduled clinic visit and ascertain plan of care.
• Reviews active charts after subsequent clinic visit and follows up on M.D.’s order(s) and plan of care. Marks care plan check sheet for next scheduled visit.
• Makes list of necessary lab slips, reports, results, and chart items that are needed for next scheduled visit and give to maternity secretary.
• Post review post-partum charts for patients with abnormal pap results who need colpo.
• Reviews and signs all maternity lab work and follows-up on abnormal lab results.
• Reviews and signs all MSAPF (Maternal Serum Alpha-fetoprotein) reports and take verbal reports from genetics regarding abnormal results. Notify M.D. of results and make appropriate referrals as ordered by M.D.
• Reviews standing orders and keep current with annual signatures. Revises and make additions to standing orders, as M.D. deems necessary. Advises staff of changes and answers questions regarding program. Writes memo’s to staff and prepares patient instruction sheets and education sheets.
• Orientates new nurses and nursing students to maternity clinic. Keeps local manual updated as changes occur and annually. Creates new policies as needed. Updates procedures when needed.
• Serves as liaison between contract physician’s office, hospital and health department. Ensures OB records delivered to office each week.
• Participates in annual quality assurance through internal district audit.
• Coordinates with physician’s office manager when OB clinics need to be adjusted and/or rescheduled due to inclement weather or holiday conflicts.
• Annually assists administration with completing contract addendum each fiscal year.
• Other duties as outlined in job description.

Minimum Education And Experience:

Graduation from an accredited school of professional nursing and one year of professional nursing experience.

Individuals employed in a Local Health Department without a B.S. Degree which includes a Public Health Nursing rotation or a Master’s in Public Health, will be required to complete the “Introduction to Principles and Practices of Public Health Nursing” course within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule.

Knowledge, Skills and Abilities:

Considerable knowledge of, and skill in, the application of nursing theory, practice, principles, and techniques employed in the field of public health and related programs; considerable knowledge of and ability to apply the principles and practices of public health; knowledge of available resources and organizations and the ability to coordinate these as needed; general knowledge of current social and economic problems relating to public health, including health disparities; ability to plan, coordinate, and oversee the work of others; ability to deal tactfully with others and to exercise good judgment in appraising situations and making decisions; ability to work in partnership with patients and with other service providers to elicit needed information and to maintain effective working relationships; ability to record accurately services rendered and to interpret and explain records, reports, and medical instructions; adequate computer skills to allow communication, patient record documentation, and accessing of information.

Necessary Special Qualifications:

Considerable knowledge of, and skill in, the application of nursing theory, practice, principles, and techniques employed in the field of public health and related programs; considerable knowledge of and ability to apply the principles and practices of public health; knowledge of available resources

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Resumes without an accompanying PD-107 will not be considered.  This position will remain open until filled. EOE

 

 

 

 

3

 

 

2023 Holiday Schedule

New Year’s Day January 2, 2023 Monday
Martin Luther King, Jr. Birthday January 16, 2023 Monday
Good Friday April 7, 2023 Friday
Memorial Day May 29, 2023 Monday
Independence Day July 4, 2023 Tuesday
Labor Day September 4, 2023 Monday
Veterans Day November 10, 2023 Friday
Thanksgiving November 23 & 24, 2023 Thursday & Friday
Christmas December 25, 26 & 27,2023 Monday, Tuesday &Wednesday

Vacancy Announcement

Foreign Language Interpreter I/Processing Assistant III

 

 

Salary Grade:

57

Salary Range:

$22,902 – $28,741 – $36,644

Closing Date:

Not Provided

Position Number:

Not Provided

Location:

McDowell County Health Department

Description of Work:

• This position will assist the nursing staff, physicians, clerical staff and client with interpreting.
• Translate documents and forms that are posted or handed out to clients and the general public.
• When not translating or interpreting this position will be answering the phone, making appointments for clinic services, process clients for clinic appointments, gather client information for medical records, master cards, and eligibility for various clinical programs.
• Helps interpret for WIC clients when needed.

Minimum Education And Experience:

High School or GED and one year of experience in interpreting and translating English and the required foreign language.

Necessary Special Qualifications:

Basic everyday living skills, the ability to understand and follow directions as well as the ability to read, write, add and subtract. Vocational or business skills such as fax machines and computers. The ability to work with computers, work with and communicate effectively with the public and staff and maintain professional relationships with providers of services. Ability to maintain patient confidentiality.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Open until filled. Equal Opportunity Employer

 

 

 

 

 

 

By Jason Masters
     Environmental Health Director

Image of Thinking Health Inspector

 

 


A

QHello Jason. Well, I have a question… Every year at this time, I remember taking my kids
out for Halloween trick or treating. They would come home with bags and bags of candy, and
being the good parent I was, I had to go through all of it and pull out the “moldy” pieces. I’m
sure I saved my kids from all kinds of sickness, but I’d like to understand the differences
between mold on food and mold in a dirty ice machine. I’ve read a lot of health inspections,
and I noticed that “Ice machine is in need of cleaning to remove visible accumulation of mold
and mildew” is marked quite a bit. In the spirit of Halloween, I was hoping you could lend
some insight as to why this mold and slime is such a big deal.
-Keith M.

 

A

Happy Halloween Keith! Great question. You know, I remember when I was a kid growing up in the 80s, after my mom bought my brothers and me a costume, you know, one of those old 80s costumes with the one piece outfit and plastic mask? When you were at the store shopping for them, you could look right in the box and see that plastic mask through the cellophane window? Things like Smurfs, Transformers, He-Man, Magnum PI… those kind of things? Anyway, Halloween would finally arrive and we would all get our costumes on and my dad would drive us around the community and stop at all the houses. We would have to drive because we didn’t live close enough to any neighbors to walk. It was a big deal to get three kids out of the car, make sure all of our costumes were right, and finally get to the door. Of course, after all that, there was certainly no surprise when we knocked on the doors of the neighbors. Heck, we’d been there for twenty minutes before ever walking up to the house! But still, that didn’t stop my dad from loading us all back up after we got our usual Mary Janes, sugar daddies, maybe a Twix, and those inevitable (and awful) peanut butter things wrapped in orange or black paper, and heading out for the 4 minute drive to the next house. Yep, Halloween was a special time for my family and me in the 80s, and we still love it. But now, on to your question…

Slime. Mold. Mildew. All of these words evoke thoughts of an oozing mass of green, pink, black, or red ectoplasm, especially when used in conjunction with something like an ice machine, where it is usually seen. Makes sense though, ice machines are full of water and humidity, which is the perfect environment for the growth of moldy-ness. Now, is all mold harmful? Heck no! Penicillin comes from mold! Bleu Cheese comes from a molding process! And fermentation is kind of like controlling a molding process, and we all know what that leads to…Of course! Kimchi! And beer and wine, and that stuff too, if that’s what you’re into.

 

So if mold leads us to good things like fermented beverages, fizzy vegetables and tangy cheeses, why is it such a big deal in an ice machine?

 

Well here’s why… Picture, in your mind’s eye, a big green Jell-O mold in the shape of Slimer from Ghostbusters, with some tasty raisins inside. Here is the catch though, you can only get to those delicious raisins by wiping the side of the Jell-O with a rag. It’s going to take a lot of rubbing to get to those raisins. Well, in an ice machine, things like Listeria, E. coli, and Salmonella can get stuck in that mold and mildew layer. That layer is called a biofilm, and is going to provide a certain amount of protection to those pathogens, and allow them to grow and multiply, just like our friend Slimer is protecting those raisins. Wiping out mold and mildew when I point it out during a routine inspection does not solve the problem. Only a thorough cleaning, with the use of some kind of sanitizer will effectively clean the mold and mildew in an ice machine. How do those pathogens get in the ice machine in the first place? Well, if you are a regular reader of my articles, you already know that people don’t always wash their hands when they should. Food Employees in restaurants frequently handle raw proteins, and inevitably, some amount of pathogenic contamination is going to occur. Why do I care? I care because the 2017 FDA Food Code defines ice as a food. Now because we all live in a time where we don’t really have to worry about how safe our drinking water is, it really should come as no surprise that we just believe something as ubiquitous as ice is also safe and clean. Think about the applications of ice in a restaurant. Of course, the obvious, ice in drinks, but ice is used to cool foods quickly, by either placing hot pots or pans of food into ice baths, or by simply adding ice to a food product. Sometimes bottles or cans are placed in ice to keep them cold. That’s a lot of back and forth trips to the ice machine
with scoops and hands plunging deep into mounds of shiny, cold ice. Take a look at any meat market and you’ll see raw proteins sitting on top of ice all over the place. Easy to see how pathogens could make the jump there. Now that we’ve talked about some of biological hazards associated with ice machines, let’s talk for a second about physical hazards. In much the same way that pathogens can jump from bare hands into an ice machine, think about chunks of food that might be stuck on a food employees hands. If you work with food, you know that there is always a moment when something sticks to your hands. Could be a small piece of diced onion, might be a sticky piece of raw chicken fat, heck, it could even be something that gets stuck in your jewelry. Sometimes pieces of mold fall into the ice, sometimes screws fall into the ice, sometimes people put their leftover sardine sandwich in the ice machine to keep it cold. My point is, always be sure to keep an eye open for things in food that isn’t supposed to be there. You might be able to spot a nut or bolt in your cherry coke, but you aren’t going to see Salmonella or E. coli. That is
one of the reasons you have to be SUPER detailed if you call in to our office and claim you got sick. We are going to need to know EVERYTHING you ate, including what beverages.

Stay safe, friends, and have a great Halloween!

Vacancy Announcement

Physician Extender II (Nurse Practitioner or Physician Assistant)

$5,000 Sign on Bonus

 

Salary Grade:

80

Salary Range:

$ 70,354 – $ 91,459 ( hiring range )

Closing Date:

 

Position Number:

Not Provided

Location:

Off-site Clinic in Rutherford County, NC

Description of Work:

• This position is to provide clinical medical services at on off-site satellite clinic in Rutherford County, NC. Serves as Nurse Practitioner in an established clinic setting, primary care, general public health services and employee health services provided on walk-in or appointment basis.
• Provide medical care, recommend appropriate diagnostic and therapeutic procedures and document findings and counsel clients on their immediate medical problems/needs.
• Perform rapid tests for flu, strep and COVID.
• Perform physicals, particularly for professional and academic purposes.
• Provide Acute illness care.
• Administer PPDs (TB Tests).
• Family Planning services.

Minimum Education And Experience:

Licensed as a Physician Assistant by the North Carolina Medical Board or approved to practice as a Nurse Practitioner by the North Carolina Board of Nursing and the North Carolina Medical Board and one year experience as a Physician Extender; or an equivalent combination of education and experience.

Necessary Special Qualifications:

Considerable knowledge of and skill in the application of nursing and Nurse Practitioner theory, practices, principles, and techniques employed in the field of Public Health and related programs; general knowledge of and ability to apply the principles and practices of Public Health; working knowledge of current social and economic problems relating to public health; working knowledge of available resources and organizations.

 

Application Process:

To apply for this position, submit the required NC state application (PD-107) to the Foothill Health District Personnel Department, 221 Callahan-Koon Road, Spindale, NC 28160. Applications can be downloaded at www.foothillshd.org. Completed applications and resumes can be e-mailed to personnel@foothillshd.org or faxed to (828) 287-6059. Open until filled. Equal Opportunity Employer