The work involves responsibility for assisting the Director of a large Bureau in managing the clinical components of the programs.  An employee in this class works under the general supervision of the Director of the Bureau of Disease Control, and under the direct supervision of the Medical Director.  An employee in this class may exercise supervision over subordinate medical personnel, clerical and service staff.  Does related work as required.



Manages the Point of Care testing lab, including working with the Medical Director, to ensure all staff are trained in the use and interpretation of approved clinical testing, and that quality assurance measures are taken.

Serves as a liaison to the billing department to review all medical bills and clinical notes as needed and provides feedback to clinical staff and makes modifications to ensure compliance with State and local regulations.

Supervises the work of a team of Nurse Practitioners and any other clinical staff as assigned.

Assigns and reassigns staff as needed; coordinates scheduling and resolves scheduling problems.

Reviews nursing techniques and patient care.

Reviews patient medical care records and charts for completeness and accuracy.

Demonstrates new nursing techniques and may assist in the training of new staff.

Provides direct clinical Nurse Practitioner services and performs physical examinations of patients to assist in assessment of the health status of the individual.

Obtains detailed medical histories of patients to systematically collect data on patient background, physical and mental condition, medications or treatments and other pertinent information.

Observes signs and symptoms associated with changes in the physical and emotional health of patients.

In collaboration with the physician of record, orders routine and laboratory tests, such as CBC, blood chemistry, urinalysis, serology and others.

Reviews cases with the physician to discuss findings and to devise plans of patient care covering both medical and nursing aspects.

Interprets New York State and local agency policies and methods of application to programs within patient care services.

Assists in the development and evaluation of grant funded programs, as needed.

Evaluates the effectiveness and current functions of patient services and programs and their relation to total Department programs.

Evaluates quality of services, identifies needs and determines priorities for service, standards of nursing function and appropriate utilization of available staff.

Attends and participates in departmental, other County departments and community programs to explain and clarify health services and programs, to interpret goals and objectives, and to increase community awareness, participation and support.

Participates in public health preparedness activities as trained and assigned.

Utilizes appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial and ethnic backgrounds, sexual orientations, lifestyles and physical abilities.




Comprehensive knowledge of nursing principals and techniques and their relation to medical practice.

Thorough knowledge of the theory and practice of preventative and public health care, inclusive of those skills required to develop and implement a plan of primary health care to meet patient needs.

Thorough knowledge of normal and abnormal signs and symptoms relating to physical and emotional health.

Thorough knowledge of Nurse Practitioner skills, particularly those associated with adult care.

Thorough knowledge of the routines, practices and policies to the agency to which assigned.

Good knowledge of the principles and practices of public health administration.

Good knowledge of the principles and techniques of administrative supervision.

Skill in clinical nursing practices and techniques.

Ability to understand and carry out technical oral and written instructions.

Ability to perform physical examinations and to assess the physical condition of patients.

Ability to recognize signs and symptoms associated with changes in the physical and emotional health of patients and the ability to respond appropriately.

Ability to explain or interpret instructions of a technical and professional nature to patients, families, nursing staff or other personnel.

Ability to supervise the administration of therapeutic measures as prescribed.

Ability to deal empathetically with problems of patients.

Ability to instruct personnel in the techniques and practices of patient care.

Ability to work well with all levels of personnel and to apply leadership skills.

Ability to perform duties in accordance with the ANA Code for Professional Nurses.

Ability to supervise, plan and organize the work of subordinates.

Ability to interpret existing and proposed health programs as they affect nursing.

Ability to communicate effectively, both orally and in writing.

Ability to prepare written and oral reports.




     Two (2) years of permanent, competitive-class status in the title of Nurse Practitioner (Pediatrics) or Nurse Practitioner (Primary Care).


       Open Competitive:

       Possession of a license and current registration from the New York State Education Department as a Nurse Practitioner, with a specialty in one of the following areas:

  1. Adult Health; or,
  2. Community Health; or,
  3. Family Health; or,
  4. Obstetrics/Gynecology; or,
  5. Women's Health;

          And two (2) years of full-time work experience, or its part-time equivalent, as a supervising nurse in a municipal public health department or clinical setting.


11/2021 Revised