OCCUPATIONAL HEALTH NURSE - 0626

Job Summary

Under general direction and in compliance with standard operating procedures and policies, works collaboratively with Occupational Health Clinic staff to provide comprehensive health and wellness services to City employees. Provides direct nursing care and health coaching to employees. Coordinates and completes pre-placement, annual safety sensitive, and Department of Transportation (DOT) physicals. Utilizes nursing skills to evaluate patient care needs, prioritize treatment, and maintain patient flow. Evaluates and provides initial first aid/triage for work-related injuries and illnesses. Completes First Report of Injury (FROI) and provides data to Workers' Compensation Third Party Administrator (TPA). Monitors workers' compensation case management in conjunction with the Risk Manager. Serves as a resource and auxiliary collector for drug and alcohol testing. Coordinates annual Fire Department physicals and stress testing, labs, and test results. Facilitates, coordinates, designs, delivers, and evaluates health and wellness initiatives through health education/promotion for the City's onsite wellness program in collaboration with the Health Clinic Administrator. Promotes positive health behaviors through planning, education, and training. Ensures compliance of Occupational Safety & Health Administration (OSHA), DOT, Federal Transit Authority (FTA), Workers' Compensation, Nurse Practice Act, Equal Employment Opportunity Commission (EEOC), Family & Medical Leave Act (FMLA), Americans with Disabilities Act (ADA), Genetic Information Nondiscrimination Act (GINA), National Fire Protection Association (NFPA), and Federal Motor Carrier Safety Administration (FMCSA). Provides for Health Insurance Portability & Accountability Act (HIPAA) compliance with all medical records. Conducts training and provides consultation to managers and employees regarding health policies and regulations to ensure compliance. Maintains required recordkeeping for medical data, office visits, drug testing, physicals, blood work, encounter notes, etc., in compliance with City policy and regulatory requirements. Serves as the interim Health Clinic Administrator in their absence. Provides treatment within scope of practice as defined by state law.

Essential Functions

Essential Functions

% of Time

• Provide Direct Patient Care: Conduct Pre-Placement and Annual Employee Safety Sensitive Physical Assessment. As needed, send notifications to departments in advance of physicals. Prepare charts and forms for physicals. Conduct pre-placement and annual safety sensitive physical assessment (medical history, vital signs, weight, height, BMI, dipstick urinalysis, electrocardiogram (ACC/AHA ASCVD % and HgbA1c > 8), vision, hearing screening, and spirometry as required by OSHA. Review immunization status and provide vaccines, as needed. Coordinate, prepare, and review fasting lab work. Utilize appropriate forms for the specific physical requirements. Discuss assessment findings with employee/applicant and provide results. Use health coaching skills to make suggestions for follow-up/referrals as necessary. Coordinate and schedule psychological exams, Physical Part 1, Physical Part 2, stress testing and fire chest x-rays for Fire and Police job candidates. Review completed SC Criminal Justice Academy (SCCJA) Medical History, Examination, and Fitness for Training form and Fire Brigade Clearance form. Coordinate Annual Fire physical and stress testing, referrals, lab work for all Firefighters with outside provider and Fire Department. Verify Fire Brigade Clearance and final City physician clearance for any referrals. Review results from provider. Notify Fire Administration and Health Clinic Administrator of any restrictions. Ensure annual stress testing make up appointments are scheduled and attended by employees. As needed, conduct drug and alcohol testing. Cross train with other clinic staff on all health clinic functions. Provide secondary assistance for monthly drug testing. Enter DOT drug test orders and obtain DOT drug test results through drug screening vendor portal. Obtain drug test results daily for processing. Maintain all DOT drug testing results and recordkeeping for the City of Greenville and Greenlink separately. Track results for Greenlink DOT testing for MIS reporting and assist Health Clinic Administrator with final report. Ensure any positive drug screen has been verified by a Medical Review Officer (MRO) and obtain final MRO results. Provide direct nursing care and health coaching employee services. Provide service for daily walk-ins. Dispense over the counter medication, as needed. Provide nursing assessment and care for non-occupational and occupational illnesses/injuries following the Standing Orders of the Medical Director. Provide direct patient care through first aid, physician referral, and follow up care to all injured and ill employees. Document accurately nursing assessment, treatments, medications administered, discharge instructions, and follow-up care arranged. Maintain all medical records in using Electronic Medical Records (EMR). Identify emergency situations and provide care within legal scope of practice. Provide Tuberculosis (TB) skin testing and TB skin test reads to employees. Provide services such as blood pressure and blood glucose checks, requests for health information. Offer vaccinations for tetanus and influenza. Provide Hepatitis B vaccines and tit
  

  PI285377339