Advanced Practice Provider II

Job Title

Provide comprehensive, patient-centered clinical services across child and adolescent health, women's and reproductive health, maternal health, sexually transmitted infection (STI) services, and adult preventive health in a local health department setting.

Child & Adolescent Health (Birth–20 Years)
• Deliver EPSDT/Health Check well-child care and problem-focused visits, including Kindergarten assessments and school/sports physicals.
• Obtain comprehensive medical/surgical/family/social and behavioral/mental health histories; conduct age-appropriate physical and developmental assessments.
• Order/interpret labs and screenings (e.g., lead, hemoglobin, sickle cell, urinalysis; BP, hearing, vision; dental and developmental screening).
• Update immunizations under standing orders and document in NCIR.
• Provide anticipatory guidance and coordinate referrals (PCP, WIC, CDSA, behavioral health, dental).
• Manage common pediatric conditions per protocol; consult or refer for issues outside scope. Women's & Reproductive Health
• Perform comprehensive and problem-focused reproductive health visits; provide contraceptive counseling and methods (condoms, oral contraceptives, diaphragm, Depo-Provera).
• Perform LARC insertion and removal per competency and protocol; manage post-procedure care.
• Conduct pelvic/breast exams as indicated; order/interpret labs (urinalysis, hematocrit, pregnancy tests, wet mounts).
• Diagnose and treat vaginitis and STIs per CDC/NC guidelines; order HPV, Hep B, and other indicated vaccines.
• Initiate consultation/referral for abnormal findings beyond protocol; dispense medications per agency pharmacy policy and standing orders. Maternal Health (Prenatal/Perinatal)
• Complete initial and return prenatal visits per protocol, including comprehensive histories, targeted physicals, fundal height, fetal heart tones, and indicated specimens (e.g., GC/CT, GBS) and Pap per guidelines.
• Order/interpret prenatal labs; treat infections and pregnancy-related conditions within scope; prescribe prenatal vitamins/iron and other medications per standing orders.
• Provide education (warning signs, nutrition, lactation, substance use risk reduction, family planning); coordinate referrals for high-risk pregnancies; ensure continuity with obstetric providers. STI Services
• Obtain sexual health histories; perform focused exams and collect appropriate specimens.
• Diagnose and treat STIs and conditions such as condyloma per guidelines and standing orders.
• Provide counseling, partner services coordination, and risk-reduction education; offer linkage to HIV care/PrEP/PEP where available; update immunizations under standing orders. Adult Preventive Health
• Conduct preventive and problem-focused visits, including age- and risk-appropriate screenings (e.g., BP, diabetes/lipids, cervical cancer).
• Diagnose and treat common conditions within protocol; provide education and immunizations; coordinate referrals. Additional Duties
• Support general clinic services (e.g., pregnancy testing, TB medication administration, vaccine visits, BP checks, injections).
• Precept nurses for adult/child physical assessment as assigned.
• Participate in quality improvement, chart reviews, staff meetings, continuing education, and public health emergency/disaster response. Cross-Cutting Responsibilities
• Maintain current Collaborative Practice/Supervisory Agreement; participate in required chart reviews and QA per NC rules and agency policy.
• Document thoroughly and promptly in Patagonia Health EHR; ensure accurate coding (ICD-10-CM/CPT), EPSDT/Health Check documentation, and billing compliance.
• Utilize NCIR for immunizations; ensure timely lab follow-up, abnormal result management, care coordination, and referrals.
• Apply health-equity, plain-language, and trauma-informed approaches; use interpreter services appropriately.
• Serve as a clinical resource to multidisciplinary staff; liaise with local physicians, hospitals, schools, and community partners to ensure continuity of care.

Knowledge, Skills, and Abilities
• Advanced clinical…