Advanced Practice Clinician - Temporary PRN (19 hours/week)

This job posting expires at 11:59PM on May 03, 2026. No applications can be submitted after 11:59PM on May 03, 2026.

Job Title: Advanced Practice Clinician - Temporary PRN (19 hours/week)

Department: Employee and Family Health

External Hiring Range: $81,979.68 - $102,355.07

Compensation Grade: 3009

Posted Internally and Externally

This position reports to Millie Feagin, Practice Manager of Employee and Family Health. The position is in person and seasonal to assist with increased census for acute health care needs and health promotion follow up phone calls. The schedule will be 7:30am-4:30pm at 40 Coxe Ave in the Employee and Family Health office. General duties include taking care of acute sick visits, prescription refill, phone triage, physicals, health promotion follow up phone calls, biometric screening review and consultation. The team consists of two Advanced Practice Clinicians, two Medical Office Assistants, a Practice Manager and an onsite Pharmacist. The ideal candidate will be able to start 4-8 weeks after accepting the position. Lifestyle medicine certification, health coaching certification, Diabetes educator and/or nutrition counseling experience highly preferred.

Please post on the Lifestyle Medicine job board (Lindsay can assist with getting this info over to you). Also post on LinkedIn and Indeed if you feel we get enough traffic from those sites.

Purpose of the position:

The primary purpose of this position is to perform medical acts in direct patient care by evaluating, diagnosing, treating, and prescribing appropriate medical treatment(s) to employees and/or clients of Buncombe County.

Minimum Education, Training and/or Experience (required at time of hire): Licensed as a Physician Assistant by the North Carolina Medical Board or approved to practice as a Nurse Practitioner by the North Carolina Board of Nursing and the North Carolina Medical Board and at least one (1) year of experience as a Physician Extender; or an equivalent combination of education and experience.

Additional Training and Experience: Training and experience in Primary Care and Public Health preferred.

License or Certification Required by Statute or Regulation: Licensed to practice as a Registered Family Nurse Practitioner or be a licensed Physician Assistant in North Carolina.

Essential Functions of the position:

• Provide direct medical care, recommend appropriate diagnostic and therapeutic procedures and document findings. Identify subjective data and risk factors crucial to the patient's medical care and formulate an individualized plan of care for the patient.

• Take appropriate client medical history, perform a targeted physical examination, provide client education (or refers to a clinic RN as appropriate), order or perform appropriate laboratory studies (e.g., pregnancy test, urinalysis, cervical cytology, Chlamydia test, wet prep), devise & recommend a plan based on the results of the history/exam/labs, order appropriate medications or immunizations.

• Perform approved procedures as indicated and use professional judgment in consulting with supervising physician.

• Develop a plan of care and counsel clients on their immediate medical problems/needs.

• Order, interpret, manage routine and non-routine laboratory tests; recognize implications of abnormals and order appropriate plan of care.

• Teach patients and their families about their health needs and how to care for themselves to achieve improved health outcomes.

• Performs other related duties as assigned.

Knowledge, Skills, Abilities:

• Knowledge of techniques of client interviewing, medical and relevant history taking, principles and practices of general medicine and disease states as they relate to the area of work.

• Knowledge of Public Health principles, practice, laws, and ordinances.

• Knowledge of health appraisal tools, laboratory tests, and other ancillary findings.

• Ability to plan regimens of care and therapeutic procedures as they relate to the area of work.

• Knowledge of available referral resources and appropriate referral methods.

• Ability to record accurately, clearly, and completely all information necessary to assess, treat and plan care of clients and to convey this information to clients and to other clinical staff.

• Ability to teach and counsel individuals, families, and groups in areas of health maintenance and preventive medicine.

• Ability to recognize signs and symptoms of health, as well as disease, in relation to the physical, mental, and emotional health of the client and caregivers.

• Knowledge of advanced medical theory, practice, principles, and techniques/skills obtained through education and experience.

• Knowledge of anatomy and physiology; physical assessment principles; techniques for collection of laboratory specimens and principles of interpreting results.

• Knowledge of epidemiology and prevention of disease/illness.

• Knowledge of quality improvement and assurance standards.

• Knowledge of other health and social agencies and medical specialist.

Buncombe County Government realizes the importance of a diverse professional workforce and the need to foster a responsive and innovative organizational culture, one that fully engages all of our employees, honoring and building on each employee's unique experiences, opinions, and perspective.

It is the policy of Buncombe County to provide equal employment opportunities (EEO) to all persons regardless of race, natural hair or hairstyles, ethnicity, creed, color, sex, sexual orientation, gender identity or expression, national origin or ancestry, marital or familial status, pregnancy, veteran status, religious belief or non-belief, age, or disability or any other legally protected class under federal or NC State law. EEO practices and employment decisions regarding recruitment, hiring, assignment, promotion and compensation shall not be based on any of these protected classes. In addition, the County expressly prohibits any form of workplace harassment or discrimination.