Title: Director- Nursing and Community Health
Department: Health Updated: 01/2018
Division: Nursing and Community Health FLSA Status: Exempt
Bargaining Unit: CANUE Wage Range: Not Available

Supervises the work activity involving multiple programs and personnel of the nursing division of the County Health Department. Under the direct supervision of the Medical Health Officer, assists in the development, monitoring, and presentation of internal quality measures and initiatives, coordinates tracking, reporting, and analysis of community and clinical outcome data, follow-up of intervention plans, and coordination of collaborative initiatives.


·         Assists Medical Health Officer in planning and evaluating preventive public health programs and community health collaborations and initiatives.

·         Promotes individual and population health by leading community health planning initiatives. Responsibilities include developing and implementing community health assessment and planning cycles in collaboration with Department staff, staff in other County Departments, community stakeholders, elected officials, and community partners.

·         Interprets the public health program to persons who request information or are otherwise interested.

·         Attends meetings of agencies and organizations whose work is related to public health programs and initiatives.

·         Responsible for developing methods for data collection and extracts data as required.

·         Uses surveillance systems to collect disease or health outcome data. Generates descriptive analyses of surveillance data for a variety of audiences.

·         Compiles statistics concerning departmental and community nursing activities and prepares periodic activity reports.

·         Interviews, hires, supervises and disciplines nursing personnel.

·         Oversees the execution of administrative orders, assists supervisors in overseeing client care programs.

·         Develop, implement and coordinate Quality Improvement processes, policies and procedures. Manage and coordinate committees and project teams. Provide education and training about quality improvement to all health department staff.

·         Work cooperatively with other county departments and other health and human service providers.

·         Facilitate success of required minimum programs requirements and State of Michigan Accreditation for nursing division programs.

·         Conduct assessments of the health department’s readiness to seek national accreditation (PHAB).

·         Coordinate the development and implementation of the health department’s internal plan to complete the national accreditation (PHAB) process.

·         Mandatory participation in orientation and training for basic public health emergency preparedness and response concepts.

  • Other duties as assigned.



Work is performed under the general supervision of the Administrator and/or Medical Health Officer.


Supervision is exercised over nursing and other departmental support staff.


·         Nursing degree (BSN), or Bachelor’s Degree in Public Health or related field from an accredited school, or university.

·         Master’s degree in Nursing or Public Health related field preferred.

·         Experience in epidemiology and leading a quality improvement program preferred. Five years working in a Public Health / Community Health setting preferred.

·         Thorough knowledge of principles and practices of Public Health nursing.

·         Knowledge of principles and practices of health care policy and administration including trends in health care planning, epidemiology, policy, management, and program evaluation.

·         Experience working with diverse populations preffered.

·         Ability to disseminate results of investigations, special studies, routine surveillance, and analyses of health outcome data. 

·         Ability to plan and coordinate departmental and community health initiatives.

·         Ability to write grant proposals for funding programs.

·         Outstanding skills in data collection, analysis, and presentation.

·         Experience in the use of spreadsheets and data bases for epidemiological and QI-related data management and display.

·         Manage and direct departmental operations, including budgeting, strategic planning. Knowledge of and interpret applicable federal, state and local regulations. Develop, apply and explain department and County procedure and policies. Plan and coordinate work staff activities, prioritize, instruct, set deadlines, objectives, measure success, and make recommendations and resolve issues. Methods of research, planning, conducting and implementing major studies or projects. Design and recommend new forms, reports or procedures. Ability to understand and work in complex data processing system, analyze data and exercise sound financial judgment. Analyze administrative problems, evaluate alternatives and implement sound solutions. Prepare and present reports, speeches or training programs to groups. Provide training and guidance in handling difficult or complex problems or resolving escalated complaints or disputes. Work independently with limited direct supervision. Coordinate activities with other departments.

·         Complex accounts receivable/payable practices, banking procedures, third party billing and private pay processes.  Proficient in accounting software, i.e. Bi-Tech or One Solution. Ability to reconcile financial reports or records; process department payroll; prepare and reconciled journal entries; purchasing procedures. Knowledge of accounting principles, audit standards, budgeting; annual financial reporting; and IRS practices for Federal, State and Local. Knowledge of liability coverage and claims procedures.                                            

·         Writing, reading, mathematical principles; proficient computer skills-Microsoft Office Suite, Outlook; exercise sound judgment and decision making in accordance with policies and procedures; ability to research and problem solve independently; knowledge of County operations and functions; ability to prioritize and time manage; handle stressful situations, provide effective and friendly customer service; support the County's mission and values; ability to think critically where necessary.             

·         Knowledge or understanding of basic administrative tasks: operate standard office equipment; document management; prepare and maintain records, various correspondences and reports; answer general inquiries and refer as necessary; answer telephone calls, process mail, order supplies/equipment; prepare meeting agendas, attend meetings, record/transcribe/distribute minutes; entering, transcribing, recording, storing or maintaining information in written or electronic form with speed and accuracy; maintain calendars, arrange meetings, schedule rooms and equipment as necessary.    

·          Ability to communicate effectively and efficiently with management, co-workers and clients; obtain and communicate accurate information; apply common sense understanding to complex instructions and respond accordingly;  communicate complex ideas through graphs, charts, presentations, reports or other professional correspondence.


·         Ability to demonstrate predictable, reliable, and timely attendance.                 

·         Ability to read, write & communicate in English; follow written and verbal instruction and understand basic mathematics and figure checking.              

·         Ability to interpret and apply procedures, rules, technical information, instructions, manuals to complete tasks accurately and on schedule.                                     

·         Ability to learn from directions, observations, and mistakes; and apply procedures using good judgment.                                                                        

·         Ability to use discretion and maintain sensitive and confidential information.     

·         Ability to work independently or part of a team; ability to interact appropriately with others such as County officials, employees, vendors and the general public.

·         Ability to work under supervision, receiving instructions/feedback, coaching/counseling and/or action/discipline.                                            

·         Adaptability to change in the work environment, managing competing demands and ability to deal with frequent changes, delays or unexpected events.

·         Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction

·         Proficient skills using Microsoft Office programs including, but not limited to: Word, Excel, Access, and Outlook required.  Proficiency may be tested.       

  • Prior to starting employment, the candidate must complete a satisfactory background check.  The background check encompasses all forms of pre-employment screening, including but not limited to: drug screen, physical, criminal background, driving record, sex offender registry, education, training and licensing verification, employment history, credit check, and professional and personal references.
  • Must possess a valid State of Michigan operator license and maintain this license throughout employment in this position.
  • Auto insurance and reliable transportation required.

·         Registration as a Sanitarian in the State of Michigan and/or with the National Environmental Health Association.

·         Required to report to duty when called upon in the event of a Public Health Emergency regardless of declaration.



The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without accommodations.  Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.


While performing the duties of this job, the employee is regularly required to:

·         Risk of blood borne pathogens

·         Speak to others to convey information effectively.

·         Read, interpret and understand procedures, rules, technical information, instructions and manuals.

·         Hear and understand information presented through spoken words and sentences.

·         Specific vision requirement includes close vision, distance vision, color and depth perception.

·         Use hands to operate a computer, handle materials and operate equipment.

·         Push or pull carts, reach with hands and arms forward, above and below shoulder level.

·         Lift, move or carry objects, equipment and supplies weighing up to 25 pounds.

·         Sit, bend, stoop, crouch, crawl and kneel in an ergonomically correct manner.

·         Stand and walk, climb stairs.

·         Normal office hours are from 8:00 a.m. through 4:30 p.m.

·         Generally works in a normal office environment.

·         Occasionally works in areas where universal precautions and confrontation avoidance techniques are required, and is occasionally exposed to risk from bodily fluids or client actions.

·         The noise level in the work environment is moderate with many interruptions.



Disclaimer: The statements contained in this job description are intended to describe the general nature and level of work being performed by individuals assigned to this position.  They are not to be construed as an exhaustive list of all job requirements or duties performed.  The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.





It is the policy of St. Clair County not to discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, marital status, disability that does not prevent performing essential job functions or because he or she is a protected veteran.