Pay Plan: [[custSubGroup]]

Total Compensation Estimator Tool

***CAREER SERVICE***

*Note: Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. When completing the online application, all gaps of employment or education greater than 90 days starting from high school must be explained (approximate date, month and year) identifying company name or if unemployed.  Incomplete applications/resumes will not be considered.

Thank you for your interest in career opportunities with the Florida Department of Health in Citrus County.  If you are looking to establish a successful career in Public Health, you have come to the right place.  Many of our innovative and successful health programs are recognized throughout Florida.  We hope you decide to join our team!  Applicants will be contacted directly if selected for an interview.

Your Specific Responsibilities:

Advanced Practice Registered Nurse (APRN) – Duties and Responsibilities

Position Overview:

The incumbent is part of a global public health organization and supports the Florida Department of Health in Citrus County (FDOH Citrus) in its mission to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts. The vision is to make Florida the healthiest state in the nation. The incumbent is expected to embody the agency’s core values: Innovation, Collaboration, Accountability, Responsiveness, and Excellence.

This position provides direct disease management and public health intervention services across multiple programs, including Family Planning, STI/STD, HIV/PrEP, Immunizations, and Communicable Disease/Epidemiology, following established DOH guidelines, protocols, policies, and procedures. The role requires advanced clinical expertise, independent judgment, and the ability to work with diverse populations.

Clinical Responsibilities

• Manage care for adolescent and adult clients with chronic or acute conditions, including well care and screenings.
• Provide medical and nursing diagnoses and formulate treatment plans.
• Perform comprehensive physical examinations and evaluate medical histories and findings.
• Select and interpret diagnostic tests (e.g., urinalysis, blood counts, imaging, cultures).
• Monitor therapies and medications, adjusting treatment as needed.
• Coordinate continuity of care and make referrals for services outside APRN scope.
• Educate clients and families on healthy behaviors (e.g., diet, exercise, substance use, sexual health).
• Counsel on smoking risks and cessation resources.
• Maintain clinic flow efficiency with a minimum productivity of 2 patients per hour.
• Document care and communications in real time using HMS; complete orders before seeing the next client.

Family Planning & Reproductive Health

• Deliver Title X Family Planning services within APRN scope using the Florida Title X Clinical Manual.
• Assess reproductive life plans and provide patient-centered care using shared decision-making.
• Maintain certification and proficiency in insertion/removal of long-acting reversible contraceptives (LARC), including implants and IUDs.
• Perform Pap smears and manage results per ASCCP guidelines.
• Provide infertility and preconception services.
• Offer pregnancy testing and counseling.
• Provide non-directive counseling and informed consent for contraceptive methods.
• Counsel on tubal ligation and vasectomy options.

Florida Breast and Cervical Cancer Early Detection Program (FBCCEDP)

• Assess, evaluate, and enroll eligible clients.
• Order diagnostics (e.g., mammograms, Pap tests) and labs.
• Communicate with program representatives and follow up on all results.
• Manage abnormal results, including referrals for biopsies, MRIs, oncology, and colposcopy.

STI/HIV Services

• Provide routine STI screening and treatment, including HIV, per CDC guidelines.
• Offer pre- and post-test HIV counseling.
• Collaborate with Disease Intervention Specialists to ensure appropriate treatment.
• Offer PrEP to at-risk clients.
• Offer PEP as indicated.
• Evaluate and treat clients of all ages presenting with STI symptoms or requesting testing.
• Review lab results promptly (ideally within 1 business day, no more than 2).
• Notify clients of positive results (may delegate to RN).
• Assist with HIV test-and-treat services per protocol.

Immunization Services

• Administer immunizations per CDC and ACIP schedules.
• Promote recommended (non-required) immunizations.
• Record immunizations in Florida SHOTS.
• Stay current on immunization updates and changes.
• Assess and administer rabies post-exposure prophylaxis per FDOH guidelines.

Other Duties

• Evaluate and select educational materials for clients.
• Working in collaboration with the Epi Team prescribe prophylaxis for contacts to communicable diseases including but not limited to meningitis and pertussis.
• Participate in community events and build relationships with partners.
• Engage in quarterly peer chart reviews.
• Complete mandatory trainings on time.
• Attend in-service education programs.
• Perform other duties as assigned within APRN scope.
• Maintain confidentiality and adhere to Citrus County Health Department policies.
• Attend annual confidentiality and security trainings.

Required Knowledge, Skills, and Abilities:

Knowledge

• Public Health Systems: Deep understanding of state, county, and community health structures and services.
• Clinical Guidelines & Protocols: Familiarity with CDC STI Treatment Guidelines, ASCCP guidelines, Title X Family Planning Manual, and FDOH protocols.
• Disease Management: Knowledge of chronic and acute conditions, especially in adolescent and adult populations.
• Preventive Health: Expertise in immunizations, screenings, and health promotion strategies.
• Reproductive Health: In-depth knowledge of family planning, contraception, infertility, and preconception care.
• HIV/STI Care: Understanding of HIV prevention (PrEP), testing, counseling, and treatment protocols.
• Cultural Competency: Awareness of diverse social, economic, and cultural backgrounds and their impact on health behaviors.
• Confidentiality & Security: Knowledge of HIPAA and FDOH confidentiality policies and procedures.

Skills

• Advanced Clinical Practice: Proficient in physical exams, diagnostics, treatment planning, and medication management within APRN scope. Ability to insert and remove LARCs.
• Patient-Centered Care: Skilled in shared decision-making, counseling, and education tailored to individual needs.
• Diagnostic Proficiency: Ability to select and interpret lab tests, imaging, and other diagnostics.
• Documentation: Accurate and timely documentation in electronic health systems (e.g., HMS, Florida SHOTS).
• Communication: Strong interpersonal and written communication with clients, families, and interdisciplinary teams.
• Time Management: Efficient clinic flow management with a minimum productivity standard (2 patients/hour).
• Community Engagement: Ability to participate in outreach events and collaborate with community partners.
• Technology Use: Competent in using health information systems and immunization registries.

Abilities

• Independent Judgment: Ability to make autonomous clinical decisions in complex and varied settings.
• Multidisciplinary Collaboration: Work effectively with Disease Intervention Specialists, program representatives, and external providers.
• Adaptability: Flexibility to work across multiple clinical areas including OB/GYN, HIV care, and communicable disease programs.
• Leadership: Guide clinical practice, participate in peer reviews, and contribute to program development.
• Education & Advocacy: Promote healthy behaviors and advocate for public health initiatives.
• Compliance & Ethics: Uphold ethical standards and ensure compliance with all relevant health regulations.
• Continuous Learning: Stay current with clinical guidelines, immunization updates, and public health trends.

Qualifications:

Minimum – Clear and active license to practice as an Advance Practice Registered Nurse (APRN) in accordance with Florida Statute 464.

Preferred –

• Certification in Family Practice or Women’s Health.
• Experience in Long-Acting Reversible Contraceptives (LARC) insertion/removal
• DOH experience
• Experience in Family Planning (Title X), STI/STD treatment, HIV care, immunizations

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

Lecanto, FL

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions

(For more information, please click www.myfrs.com);

• Flexible Spending Accounts;
• Tuition waivers;
• And more!

For a more complete list of benefits, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check. 

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.  Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. 

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement.