NURSE PRACTITIONER

Located on the western shore of Lake Michigan, Milwaukee is an urban hub bursting with energy. Milwaukee provides a casual sophistication – big city appeal without the big-city hassles. We are accessible and affordable, and our residents are welcoming. Milwaukee has evolved through the years, bringing together its unsurpassed old-world charm with a breathtaking Art Museum, top-flight arts and cultural attractions, professional sports, lakefront festivals, recreational opportunities and great restaurants. 

The City of Milwaukee is proud to employ a diverse workforce that is committed to providing exemplary service to the City’s residents. If you have a passion for being a part of an inclusive team of public servants, please consider the following opportunity.

Working with patients in the Sexual and Reproductive Health Program (SRH) and the Milwaukee Breast and Cervical Cancer Awareness Program (MBCCAP), the Nurse Practitioner creates health plans, performs screenings, testing and follow-up care and provides clinical practice direction to Milwaukee Health Department (MHD) clinical staff.

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 medical standing orders or 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 (DIS) and clinical staff to administer appropriate treatment under program protocols.  
• Counsel patients and contacts regarding risk reduction for sexually transmitted infections (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 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 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 SRH and MBCCAP programs.
• 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 education 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 and Coordination

• 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.  

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.

Please be advised that new employees are required to have received either both doses of the Moderna or Pfizer or one dose of the Johnson & Johnson vaccine prior to their employment start date or have an approved religious or medical accommodation prior to their employment start date. You can find further information relative to the City’s COVID-19 Vaccination Policy here.

• Standard hours are 8:00 a.m.-4:45 p.m. Monday through Friday; however, on rotating Mondays and Thursdays, the schedule is 10:45 a.m.-7:30 p.m.; occasional weekend and evening hours may be required.
• Must be willing to travel between and/or work at both the Keenan and South Side Health Centers.
• May travel outside the City of Milwaukee, occasionally overnight, to attend training and conferences.
• 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.
• Must wear industry related personal protective equipment (PPE) such as gloves, facemask, or face shield.
• Must pass a TB skin test annually.
• May be required to carry a mobile device during business hours.
• May be exposed to infectious agents or toxins while performing the duties of this job.
• Is considered essential staff during the current public health emergency.

At time of application:

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

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

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

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

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

At time of appointment and throughout employment:

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

6.    Valid driver's license and possession of a properly insured vehicle for use on the job. Mileage reimbursement is provided.      

Within six months of appointment:

7.    Completion of a comprehensive training program for the prevention of sexually transmitted infections mandated by the Center for Disease Control (CDC).

8.    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.

• Ability to provide interpretation in Spanish, Hmong, or another language.

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 human systems (i.e., wellness, illness, growth and development, basic nutrition, human behavior, psychosocial development, and family and community systems).
• Knowledge of prescribed treatments and medical interventions.
• Ability to perform pelvic, bimanual, and general physical examinations.
• Ability to effectively monitor and document the patient's treatment progress and response.
• Ability to refer to appropriate providers and resources as indicated.
• Knowledge of health care technology, equipment, supplies, and materials needed for medical treatment.
• 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 Scope & Standards of Practice for Public Health Nursing.
• Knowledge of option counseling and emergency contraception services. 
• Ability to assure comprehensive, medically accurate, and culturally sensitive care and health care education.
• 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 evaluate health histories and results of examinations and to identify medical deviations from the norm.
• Ability to instruct and counsel patients regarding STIs, reproductive health, and general health maintenance.
• Ability to effectively use computer applications, including the Internet and spreadsheet, database, and word processing software.

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.
• Verbal communication skills, including the ability to provide clear and concise information and to make presentations, both internally and externally.
• Ability to read and interpret documents such as safety rules and technical materials.
• 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 work cooperatively, effectively, and fairly with coworkers and residents whose background may differ from one’s own.
• 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.

The current salary range (2MX) is $76,988-$107,782 annually, and the resident incentive salary range for City of Milwaukee residents is $79,297-$111,016. Appointment above the minimum is possible based upon level of experience and other qualifications and is subject to approval.  

Benefits

The City of Milwaukee provides a comprehensive benefit program which includes:

• Defined Benefit Pension Plan
• 457 Deferred Compensation Plan
• Health and Dental Insurance
• Paid Parental Leave
• Comprehensive Wellness Program
• Onsite Clinic Services
• Onsite Employee Assistance Program
• Alternative Work Schedules
• Long Term Disability Insurance
• Group Life Insurance
• Tuition Benefits
• Paid Vacation
• 11 Paid Holidays
• Paid Sick Leave and other paid leaves
• Flexible Spending Arrangements
• Commuter Value Pass  

For full details of the benefits offered by the City of Milwaukee, please visit http://city.milwaukee.gov/Benefits.

THE SELECTION PROCESS will be job related and will consist of one or more of the following: education and experience evaluation; written, oral or performance tests; or other assessment methods. The Department of Employee Relations and the Milwaukee Health Department reserve the right to call only the most qualified candidates to the oral examination. Oral examinations may include written exercises. Selection process component weights will be determined by further analysis of the job.  

INITIAL FILING DATE - The examination will be held as soon as practical after Friday, August 12, 2022. Receipt of applications may be discontinued at any time after this date without prior notice. However, recruitment may continue until the needs of the City have been met. Qualified applicants will be notified of the date, time, and place of the examination. Unless otherwise required by law, the City of Milwaukee will not provide alternative test administration. The applicant is responsible for attending all phases of the job selection process at the time and place designated by the City of Milwaukee.

• Applications and further information may be accessed by visiting https://www.jobapscloud.com/MIL.  
• If you would like assistance completing an application, please contact the Department of Employee Relations at (414) 286-3751 or staffinginfo@milwaukee.gov.
• The Department of Employee Relations is in City Hall, 200 E Wells St, Room 706, Milwaukee, WI 53202.

EEO Code = 206  

The City of Milwaukee values and encourages diversity and is an equal opportunity employer.