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Lincoln County Communicable Disease CHN2 in Newport, Oregon

Communicable Disease CHN2



Communicable Disease CHN2


Depends on Qualifications


Lincoln County, OR

Job Type

Full-Time or Part-Time



Job Number

20-37 (502-4)



  • Description

  • Benefits

  • Questions

Position Summary

We continue to hold the care of the residents in our community at the highest priority. Anyone who may consider working with us would be joining a team of public health professionals to protect the community from Covid-19.

The Public Health Communicable Disease, Immunizations Community Health Nurse 2 works in a professional community clinic and field setting to provide a wide variety of professional community health nursing duties, including direct patient care and treatment at public health clinics, schools, homes, jails and related facilities. Promotes healthy behavior and educates public and patients on health conditions and health maintenance. Assesses the needs of individuals, families, groups and/or community and determines a plan to meet these needs, implements or helps to implement that plan and then evaluates results while utilizing a systematic holistic approach. The Community Health Nurse 2 is frequently the primary health advisor to clients and/or client families.

Essential Functions/Major Responsibilities

a) By means of home or office visits, provides professional Community Health nursing services in areas such as immunizations and communicable disease (including sexually transmitted infections, HIV/AIDS and tuberculosis) control. Assists in planning and operating clinics, both at the Health Department and at alternative sites. Works under standing orders and telephone orders signed by Lincoln County (County) Health Officer.

b) Performs assessments. Reviews medical histories and evaluates treatment. Plans and administers treatment. Refers problems to health care providers as appropriate, and monitors results of referrals.

c) Accesses state operated databases for immunizations (IRIS and ALERT) to determine immunization history, consults standing orders and uses good nursing judgment prior to vaccinating clients.

d) Follows Oregon State Public Health Laboratory and private lab policy and protocols for collecting specimens and packaging of human feces, blood, urine, nasopharyngeal secretions and vomit for testing. Thoroughly completes laboratory test requisition form according to policies and procedure.

e) Promotes physical and emotional health, and prevention of disease; addresses health concerns of clients; educates clients on various health care issues including communicable disease prevention and HIV risk reduction and provides information on health choices; demonstrates nursing care.

f) Takes reports of communicable diseases from labs, local and out of County health care providers and State Acute and Communicable Disease program; initiates thorough investigation in a timely manner and according to Investigation Guidelines, and County Health Officer review. Notifies nursing supervisor and Health Officer immediately in the event of an outbreak. Keeps nursing supervisor and Health Officer apprised of trends in communicable diseases and conditions in County. Reports investigation results in writing to State Acute and Communicable Disease program via computer database in accordance to established timeframes. Must follow applicable OAR for all communicable disease investigation, control and prevention.

g) Provides treatment of partners of those diagnosed with a sexually transmitted infection under standing orders. Educates partners and clients about communicability of infection and prevention and risk reduction measure. Coordinates treatment in cases where multiple partners are involved.

h) Works with community groups as a catalyst in promoting public involvement in current health issues and planning. This includes working with hospitals, primary care offices, schools and pharmacies.

i) Maintains records and charts of nursing services provided to clients and makes reports as required. Follows strict medical confidentiality guidelines as required by federal, state and HIPAA laws.

j) Completes required data collection forms including immunization (VARS), billing encounter forms and communicable disease reporting (including sexually transmitted infections, HIV/AIDS and tuberculosis).

k) Participates in epidemiological investigations and flu immunizations in the community; orders immunizations and tests as needed and makes recommendations to prevent and control the spread of disease.

l) Participates in planning and practicing for public health emergencies. Participates in the Communicable Disease On-call system by periodically taking call and being ready to respond in accordance with applicable policies, procedures and protocols.

m) Provides ongoing case management to at-risk clients with a suspected or confirmed communicable disease. As part of case management functions, observes family dynamics as well as assesses food, shelter and transportation needs when performing nursing services during home visits.

n) Participates in activities that will enhance professional knowledge and skill; assumes individual responsibility for pursuing independent continuing educational activities and engages in quality improvement activities.

Typical Qualifications


Considerable knowledge of the principles, practices, methods and procedures of nursing as applied to community and public health; considerable knowledge of the uses and effects of medications, immunizations provided in a community health clinic; considerable knowledge of issues of alcohol and drug abuse. Knowledge of and ability to utilize community resources. Knowledge of electronic medical record keeping. Reasonable knowledge of functions and resources of private and public agencies. Ability to plan and evaluate in a wide variety of health care programs; ability to provide professional nursing care independently; ability to identify community and individual health problems and to plan and administer solutions; ability to administer medications and immunizations; ability to interpret and apply written policies, procedures and guidelines; ability to establish and maintain records; ability to learn new information quickly and adapt to changing situations; ability to courteously meet and deal with patients; highly skilled in communicating effectively both orally and in writing; ability to perform detailed work on multiple and concurrent tasks with time constraints; skilled in maintaining effective working relationships with staff, supervisors, physicians, other agencies and the public; ability to act in a professional manner and to understand and commit to a professional code of ethics; ability to maintain the confidentiality of privileged information.


Bachelor of Science degree in Nursing from an accredited school of nursing with one year of nursing experience, preferably in a public health position; or an Associate degree in Nursing from an accredited school of nursing with three years of nursing experience, preferably in a public health position. Bilingual and/or bicultural competencies for the Latino population are preferred. Must possess a valid license to practice in the State of Oregon as a Registered Professional Nurse as defined by statutes or administrative rules, which include but are not limited to ORS 678.010 to 678.360 at the time of appointment. This position also requires an insurable driving record and a valid Oregon driver's license within 30 days of appointment. The employee is required to maintain current and active licensures and certifications, as applicable, and to provide the appropriate verifications at the time of renewals.


Operates from established and well-known procedures with opportunities to contribute to development of new concepts and programs. Work is of considerable complexity. Decisions are made within policy constraints and treatments developed with regards to individual assessments. Operates independently with minimal supervision. Often works in outreach areas without direct supervision. Work is reviewed by Public Health Director.

Job Conditions and Physical Demands


May be required to work long hours. May report to other clinics within County. May be on call for public health emergencies. Exposure to hazardous conditions due to potential daily handling of body fluids, including drawing of blood. Deals with clients that could be potentially violent (e.g. Corrections or Juvenile Facility inmates, or mentally unstable abusive parents, etc.). May be required to lift heavy supplies in and out of homes, clinics on a daily basis. Required to handle emergency situations that arise such as severe reaction to medications. May provide services to dysfunctional families in private homes.


The physical demands are typical of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Physical capability to handle high mobility demands and complex personal interactions.

a) Physical Ability: Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-20 pounds).

b) Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some tasks require the ability to perceive and discriminate sounds.

c) Environmental Factors: Tasks are regularly performed without exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals/wildlife, toxic/poisonous agents. Tasks are sometimes performed with exposure to violence, disease, or pathogenic substances.

Lincoln County will provide reasonable accommodations to qualified individuals with disabilities to allow them to perform the essential functions of the job when such individuals request an accommodation.

Lincoln County offers a comprehensive benefit package including vacation, holiday, and sick leave as well as medical, dental, vision which is paid at 90% by the County and 10% by the employee. Other fully paid benefits include life, AD&D, long-term disability insurance. Other optional insurances are available. A 401K retirement plan is also provided. The County's current contribution rate is 11%.

Regular and Trial Service employees working between 20 - 39 hours per week on a regular basis are eligible for pro-rated employee benefits.


Tell us about your experience working in a public health setting.


Public Health serves vulnerable populations, give us an example when you worked with this population and what did you gain from that experience?

Required Question


Lincoln County


210 SW Second St.

Newport, Oregon, 97365