The Nurse Practitioner functions as an independent healthcare provider who works collaboratively within a multi-disciplinary team of public health professionals to provide comprehensive care to the clients in an outpatient sexual and reproductive health clinical setting.

Essential Functions

Clinical

• Interview patients to obtain general health and sexual history.
• Perform physical examinations; identify deviations from norms in the physical condition of the patient.
• Order appropriate lab tests and collect specimens in conjunction with clinic protocols; consult with the physician as indicated.
• Identify the need to treat asymptomatic contact with sexually transmitted infection (STI) cases; collaborate with Disease Intervention Specialists (DISs) and clinical staff to administer appropriate treatment under program protocols.
• Counsel patients and contacts regarding risk reduction for STIs; provide one-to-one and group educational services regarding diagnosis and treatment.
• Evaluate patients to determine effectiveness of treatments and identify any adherence issues; refer patients to medical, nursing, or community resources for ongoing care and needs.
• Maintain timely and complete medical records and clinical care documentation per Health Insurance Portability and Accountability (HIPAA) guidelines and Milwaukee Health Department (MHD) policy.
• Educate patients on birth control options and prescribe evidence-based methods that align with patient goals and reproductive health needs.
• Perform clinical breast exams, pap smears, and vaginal exams per program guidelines, including follow-up for abnormal screening tests.
• Review and interpret pap smears, mammography, and laboratory findings; consult with the Public Health Nurse to ensure appropriate follow-up.
• Ensure that all quality control standards are met per local, state, and federal guidelines.

Guidance and Quality Assurance

• Serve as a clinical resource, collaborating with the interdisciplinary team to facilitate care delivery. Provide clinical consultation and direction to nurses in the Sexual Reproductive Health (SRH) and Milwaukee Breast and Cervical Cancer Screening Awareness Program (MBCCAP) programs.
• Collaborate with the MHD physician on maintaining standing orders training for nursing staff.
• Address the global needs of the clinic environment; assist program leadership to address issues of regulatory compliance, quality assurance, staff culture, and patient experience.
• Maintain up-to-date clinical licensure, ongoing education, and competency through participation in professional organizations, networking, conferences, webinars, and continuing nursing educational opportunities.
• Collaborate with leaders to analyze program data to understand current patterns and identify areas of improvement. Act as clinical champion for quality improvement priorities as established by department leadership.
• Provide presentations and learning experiences for nursing and other professional students, including in-service opportunities for program peers.

Program Leadership, Coordination and Outreach

• Review current policies and protocols for accuracy and completeness.
• At the request of leadership, represent MHD on relevant local and state committees, community outreach opportunities, and workgroups to promote and support program services.
• Engage in special projects, quality improvement initiatives, and research opportunities.
• Stay current on sexual and reproductive health care information that will impact practice.
• Provide up to date and relevant sexual and reproductive health education to staff in the SRH and relevant programs.
• Collaborate with local SRH and OB/GYN partners to improve services and systems to support clients.

We welcome qualified individuals with disabilities who are interested in employment and will make reasonable accommodations during the hiring process in accordance with the Americans with Disabilities Act (ADA) of 1990, as amended by the Americans with Disabilities Act Amendments Act (ADAAA) of 2008.

Conditions of Employment

The Nurse Practitioner must be willing and able to do the following:

• Participate in a work schedule that includes occasional weekend and evening hours. The current hours of work are Monday through Friday, 8:00 a.m.-4:45 p.m. On rotating Mondays, the schedule is 10:45 a.m.-7:30 p.m.
• May travel outside the City of Milwaukee, occasionally overnight, to attend training and conferences.
• Required to file a Statement of Economic Interests in accordance with the Milwaukee Code of Ordinances Chapter 303-Code of Ethics.
• Must be willing and able to perform medium physical work, including exerting 50 lbs. of force occasionally, up to 20 lbs. of force frequently, and up to 10 lbs. of force often to move objects.
• Wear industry related personal protective equipment (PPE) such as gloves, facemask, or face shield.
• May be required to carry a mobile device during business hours.
• May be exposed to infectious agents or toxins.
• May be required to respond to an emergency and/or broad impact event.

The required pre-employment tests include:

• Physical/lift test
• Audiogram
• Vision
• Medical evaluation for respirator
• Respirator fit test
• Non-DOT drug test

The required pre-employment vaccines include:

• TB Test; at time of appointment and annually throughout employment
• Hepatitis B Vaccine
• COVID-19 Vaccine Confirmation
• MMR Vaccine
• Varicella Vaccine

Minimum Requirements

At time of application:

1. Proof of completion of an accredited Nursing Practitioner program.

2. Master of Science in nursing (MSN).

3. One year of full-time experience performing the duties of a Nurse Practitioners in a licensed Obstetrics-Gynecology (OBGYN), Women’s Health, Reproductive Health, or Family Practice clinic.

At time of application, throughout the selection process, and throughout employment:

4. Valid certificate to practice as a professional Nurse Practitioner from the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP).

5. Valid license to practice professional nursing in the State of Wisconsin.

6. Valid State of Wisconsin certification as an Advanced Practice Nurse Prescriber (APNP).

At time of appointment and throughout employment:

7. Valid certificate in Basic Life Support (BLS).

8. Valid driver's license and possession of a properly insured vehicle for use on the job. Private auto allowance may be paid pursuant to Section 350-183 of the Milwaukee Code.

Within six months of appointment:

9. Completion of a comprehensive training program for the prevention of sexually transmitted infections mandated by the Centers for Disease Control and Prevention (CDC).

10. Completion of the certification for the National Incident Management System (NIMS)/Incident Command System (ICS) 100, 200, and 700.a.

NOTICE: Please do not attach your academic transcripts to your employment application. The hiring department will verify candidates’ education as part of the background screening process prior to extending any job offers.

Desirable Qualifications

• Ability to provide interpretation in Spanish, Hmong, or another language.
• Supervisory or lead worker experience.

Knowledge, Skills, Abilities & Other Characteristics

Clinician and Patient Care

• Knowledge of the core functions and essential services of public health.
• Knowledge of anatomy, physiology, pathophysiology, epidemiology, physical assessment, and basic pharmacology.
• Knowledge of prescribed treatments and medical interventions.
• Ability to perform pelvic, bimanual, and general physical examinations.
• Knowledge of chart documentation requirements, medical record forms, and state and federal laws that govern the release of health care information and patient consent.
• Knowledge of population-based health status indicators, determinants of health and illness, factors contributing to health promotion and disease prevention, and factors influencing the use of health services.
• Knowledge of Wisconsin State law relating to professional nursing practice and the American Nurses Association (ANA) Scope & Standards of Practice for Public Health Nursing.
• Knowledge of Advisory Committee on Immunization Practices (ACIP) guidelines to determine which immunizations are needed for an individual based on individual demographics and medical history.
• Ability to instruct and counsel patients regarding STIs, reproductive health, and general health maintenance.

Leadership and Training

• Ability to delegate tasks, coordinate patient care, and mobilize community resources.
• Ability to foster an environment of inclusion wherein all employees are treated respectfully, are valued for their strengths, and feel that they can safely express themselves.
• Knowledge of adult learning and health education techniques and principles, including reproductive health education and ability to apply those techniques.
• Ability to orient, train, and instruct nursing staff in program protocols and clinic procedures.
• Ability to design and implement instructional modules and use a variety of educational methods.

Communication and Interpersonal

• Written communication skills, including the ability to prepare clinical notes, correspondence, reports, and procedures.
• Ability to build and maintain good working relationships with multi-cultural and multi-disciplinary staff, physicians, associates, and other agencies to improve patient outcomes.
• Ability to engage and maintain good relationships with patients, clients, and families to facilitate an effective plan of care.
• Ability to provide services in a culturally sensitive manner.

Critical Thinking and Professionalism

• Problem-solving and decision-making skills as well as sound judgment.
• Planning and organizational skills and the ability to handle multiple and changing priorities.
• Ability to maintain complete and accurate records of patient services.
• Ability to remain calm under pressure.
• Ability to maintain confidentiality of health related and sensitive information.