Madigan Army Medical Center is seeking a NURSE (CLINICAL/COMM-OCC HLTH) to join our growing team! 

The facility is one of four Level II Trauma Centers in Washington State and participates in unique partnerships with civilian facilities to provide care to non-beneficiary trauma victims beyond the gates of Joint Base Lewis-McChord.

At Madigan you will practice alongside civilian and military health care experts and experience unique professional opportunities. Our staff serves by caring for our military but are not subject to military requirements. We operate within safe staffing standards - giving you time to provide exceptional care. 

Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord (JBLM) is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Seattle, Tacoma, and the welcoming neighboring communities. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and new sports are a way of life in Washington State.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/

Serves as a Public Health Nurse/Community Health Nurse for a Defense Health Agency (DHA) Medical Treatment Facility (MTF). Responsible for providing essential Public Health Services and comprehensive Community Health Assessment of the serviced area.

MAJOR DUTIES:

Responsible for the following major areas in Public Health Nursing: Health Consultation Services-Child Youth Services, Disease Prevention and Control, and other Infectious Diseases and Health Promotion in support of the readiness of the warfighting forces. Identifies health needs and apply primary prevention intervention

1. Administers and interprets AR 608-10 and interim guidance on the health requirements for CYS staff and clients. As a member of the Multi-disciplinary Team Inspections (MDTI); conducts initial, monthly and/or quarterly, Health and Sanitation inspections for youth centers, school age services, child development centers, and family child care. Follows all protocols, policies and reporting process utilizing available tools in place for site assessment visits. Plans, coordinates, conducts and evaluates health education classes on medication administration, communicable diseases, pediatric health conditions and health promotion practices. Advises CYS Director and Staff of proper health and sanitation; and develops action plans for the CYS Multi-disciplinary Inclusion Action Team (MIAT) meetings and Accommodation Processes IAW AR 608-10 and AR 608-75 on pediatric health and developmental concerns as they arise for children enrolled in CYS programs. Ensures that CYS Director and staff are aware of all new, current, and revised requirements for requesting medical exception to policies and situations such as use of medications or immunizations. Provides information, instruction, precautions, and reporting requirements related to reports of communicable disease clusters or outbreaks. Coordinates with MTF providers, off post health care providers, hospitals, DoDEA schools and local public health departments in consultation with CYS, to facilitate appropriate care.

2. Epidemiology Program:

Plans, directs, administers, and evaluates a segment of the serviced population as part of the Epidemiology Program. Independently evaluates the effectiveness of surveillance and control of communicable and infectious diseases, identifies deficiencies, and implements measures to improve processes pertaining to infection control, health promotion, wellness, and individual home visits. Functions independently or in a team to conduct epidemiological investigations of disease outbreaks, communicable disease surveillance, and control in accordance with policies, regulations and standards of operations. Assesses environmental hazards and other health threats using appropriate guidance, the Electronic Surveillance System for the Early Notification of Community-Based Epidemics (ESSENCE) and the Army Disease Reportable System internet (ADRSi). Serves as part of a multidisciplinary team for public health emergencies not limited to communicable diseases. Facilitates effective and timely communications with installation agencies, county and state public health departments and military regional health centers to manage and/or report data or coordinate care within the region regarding observed outbreaks. Works with medical providers on infectious diseases case management to ensure that the affected individuals are treated and contacts are appropriately identified and counseled. Provides educational instruction and presentations to individuals and groups. Conversant with the reportable medical events (RME) and communicable disease prevention and control programs relating to assigned epidemiology programs, serves on a team to critically review and monitor RME using relevant and ongoing process improvement programs. Plans, coordinates, and implements educational programs for community and military groups on the nature, transmission, and control of Rabies, Tuberculosis (TB), Sexually Transmitted Infection (STI), and other infectious diseases to include HIV infection, and diagnoses of public health significance. Receives and reviews all positive test reports, performs a confidential epidemiological assessment, secures a health and developmental history from the patient or parent, records findings to make clinical evaluations and initiates orders for treatment, and makes appropriate referrals to county, state and Army Public Health in accordance with the standing delegation orders, standard operating procedures and in conjunction with a credentialed provider. Orders and interprets diagnostic and screening test results to confirm or rule out assessments; provides referrals to individual for treatment based on observation of symptoms and laboratory results and ensures self-compliance with Army, DoD, TRICARE, and Defense Health Agency policies and regulations. Case manages the Active Duty positive soldiers who require Infectious Disease appointments and conducts case contact interviews, counseling, education and support for soldiers and their families to ensure affected individuals are treated and contacts are appropriately identified. Notifies and ensures required counseling is performed by Soldiers Company Commander and Army Public Health Nurse. Provides public health nursing referral for Soldiers and families who are transferring under Permanent Change of Station (PCS) to gaining installation or component. Monitors for adverse reactions to medications and symptoms for TB and STI Programs. Provides input in the assessment, planning, administration, execution, and evaluation of the Influenza Vaccine Program for ages 6 months and older. Updates and maintains client information in required systems to include the Composite Health Care System (CHCS I and/or II), Armed Forces Health Longitudinal Technology Application (AHLTA), Medical Protection System (MEDPROS), Medical Occupational Data Systems (MODS), ESSENCE and ADRSi, Develops metrics to support assigned programs and track for continuous operational and outcome improvement. Monitors and tracks progress of patient’s response to treatment plan including, environmental and social conditions. Modifies treatment plan based on evaluation of patient’s progress, to achieve optimal outcome and/or personal goals, and the outcome of the plan being administered; also ensuring family, and or/contacts are connected with additional services needed to enhance health and quality of life by.

3. Health Promotion Manager:

Plans, directs, administers, and evaluates a segment of the serviced population as part of the Health Promotion Program. Develops, conducts and analyzes needs assessments for program planning, assessing health status, identifying health risks, identifying resources, cost benefit analysis, and establishing priorities for health promotion and disease prevention activities within the Military community, in accordance with AR 600-63, Army Health Promotion. Identifies indicators for assessing individual and community health status and identifies risk factors for morbidity, mortality and loss of productivity. Assesses trends and developments in health promotion, community health nursing and other related fields, in order to predict future impact on health promotion. Evaluates integrated, multidisciplinary lifestyle management interventions for clients with pre morbid health states to enhance productivity and efficiency of the work environment and medical readiness of deployment forces. Takes comprehensive health histories and conducts health risk assessments on individuals by conducting screenings to assess preventive service needs in individuals and aggregates. Reviews laboratory values to evaluate health risk factors; counsels and/or refers patients with abnormal values for additional nutritional or medical evaluation. Provides preventive services such as immunizations and counseling related to lifestyle health risks. Provides professional consultation to health promotion advocates such as, but not limited to, proponents in Child and Youth Services, Family Advocacy, and medical personnel within the hospital, in the management of complex health promotion and community health problems. Decides appropriate course of action, resources needed, and carries out action on-site, making decisions and recommendations as needed. Develops, implements, and evaluates structured health education programs and classes such as tobacco cessation and OTSG’s Performance Triad. Establishes priorities for health promotion and community health programs for clinical, work site, community settings and staff/line commands. Establishes outcome objectives for health promotion and community health programs that enable comparison with national public health objectives. Develops protocol and procedural guidance for implementation and evaluation of primary, secondary and tertiary prevention programs. Develops patient education and health promotion classes, pamphlets, and handouts for use in community-based education. Develops guidelines and appropriate curricula for new programs to be implemented by the health promotion staff. Trains health promotion staff on new programs, utilizing above curricula and new strategies as available. Coordinates scheduled Health Fairs and other health promotion related activities. Provides health awareness activities to include monthly health observance information and health screening activities at community fairs and forums, using various media including print and electronic. Makes available age-appropriate information, guidance, and educational programs to a wide range of ages to include school aged children and retirees. Provides articles on health promotion for print publication in the serviced area and dissemination in various media. Coordinates referral of participants with high-risk behaviors to other resources for education and follow-up e.g. diet, cholesterol control, weight reduction and other key seasonal topics. Coordinates health promotion related efforts and activities with Regional Army Public Health. Recommends process improvement where deficiencies exist to Chief, APHN. Serves as the education coordinator for the Pregnancy/Postpartum Physical Training (P3T) Education Program. Maintains an annual calendar of education classes that follows the DA level core education curriculum with a variety of topics on maternal/child and parenting issues for the P3T. Coordinates appropriate qualified subject matter experts to provide education from both the military and civilian communities. Collaborates with the Installation P3T Program Manager and Medical Expert to ensure a quality review of entire program.

4. Public Health Administration and Analysis:

Collaborates with various agencies to include the local, state health departments, community-based and other nongovernmental organizations both within and outside the serviced area, to promote the health of a population, in the analysis of data to identify trends, health problems, environmental health hazards, and social and economic conditions that adversely affect the public’s health. Serving or leading committees, special groups and task forces for the purposes of health improvement, health promotion, risk reduction and disease prevention, and program evaluation to ensure that identified desired outcomes are met and process improvement interventions are ongoing for the MTF Service population and local communities. Develops and updates internal Standard Operational Procedures (SOP) and implementation of operations related to assigned programs. Documents in the Electronic Medical Records patient encounters and direct patient services. Ensures compliance with the Joint Commission (JC) Standards and The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule in preparing reports and developing educational materials and tools. Maintains annual programs documents, monthly activity calendars and reports. Ensures requests for supply and equipment are directed to the appropriate channels by notifying the Nurse Supervisor or the Chief, Public Health Nursing in the absence of the Nurse Supervisor. Participates in professional meetings, journal clubs, continuing education courses, reading current professional journals and literature for self-development and incorporation into improving work operations. Promotes community health engagement in conjunction with the public relations within the serviced community through infomercials to provide publicity about patient and health education/program activities.

Performs other duties as assigned.