Employment Opportunities

The PUTNAM COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER has an immediate opening for a : NURSE PRACTITIONER / ADVANCED PRACTICE NURSE Contact: Please send resumes to: lisa.bumbalough@tn.gov

Deadline to Apply: November 15, 2026

Job Responsibilities Overview

This employee will be responsible for clinical nursing specialty duties of considerable difficulty; and perform related work as required. The employee in this class functions as a clinical nurse practitioner in a specialty area providing assessment. diagnosis, and nursing/medical care for patients and families. Under this classification the employee will meet the requirements to write and sign prescriptions or issue non-controlled legend drugs.

The selected employee will need to be knowledgeable in devising evidence-based treatment strategies to meet the needs of patients with difficult diagnosis, detect and respond to adverse drug reactions, medical emergencies, perform basic life support or CPR, provide Psychosocial counseling, preventative health care, and care according to patient needs.

Additional duties include but not limited to: analyze findings from physical examination, laboratory reports, and other diagnostic testing, audit patient charts for protocol, standards of care, and compliance with agency and outside accrediting/licensing organization's guidelines and collaborate with consulting physician about patient's plan of care.

Necessary Special Qualifications: Licensed or eligible for licensure as a Registered Nurse with Advanced Practice Nurse certificate in the State of Tennessee and current national certification or eligible for national certification in the appropriate nursing specialty area. Licensure as a Registered Nurse with Advanced Practice Nurse certificate in the State of Tennessee and national certification in the appropriate nursing specialty area are required within 60 days after employment. Possession of a Certificate of Fitness from the Tennessee Board of Nursing is also required within 60 days after employment.

Position: Flagger/Full-time/Temporary

40 hours per week/10 hours per day/Monday – Thursday/November to April

Starting pay: $15.00-$16.00 per hour

Benefits: Paid Holidays and eight (8) hours of sick pay earned per month

Job Description:

· The Putnam County Highway Department is accepting applications for a temporary traffic flagger position. Must have a valid driver’s license. Requires setting up traffic control devices such as, cones, barricades, and signs. Ensure the safety of all on-site personnel and motor vehicle traffic by establishing and maintaining a secure work safety zone. Use handheld STOP/SLOW paddles and flags to alternate traffic on single-lane roads or through active work zones. Talk with other flaggers via two-way radios to coordinate single-lane alternating traffic and notify workers of incoming hazards, and watch for emergency vehicles, speed changes, heavy queues, and reckless drivers.

Must be able to follow all safety policies and procedures, will require lifting, bending, reaching, and standing for significant lengths of time.

Applications/resumes will be accepted at the office of the Putnam County Highway Department Monday – Thursday 6am – 4pm until position is filled.

Putnam County EMS is seeking licensed EMS personnel to work in a highly advanced and progressive EMS environment. The following is a general job description for all levels of licensure; a more tailored description for each level of licensure is presented to each employee upon employment at PCEMS.

The employee must be capable of utilizing all medical equipment in PCEMS inventory that falls within their state and local approved scope of practice. This includes equipment for the treatment and transport of the patient. In addition, the employee must be able to safely drive PCEMS ambulances in accordance with state laws and standards established by PCEMS. The employee must be capable of using computers and other electronic devices with regularity and skill. This is not an exhaustive list.

Location for this job is not easily defined. Jurisdiction falls within the realm of Putnam County, with the need for travel to other locations within the State of Tennessee, and occasionally outside the State. Location may also be in any extreme of weather or terrain found in Tennessee.

ESSENTIAL JOB FUNCTIONS:  Treat and care for sick and injured patients in the location in which they are found, within the employee's scope of practice. This includes assisting higher trained EMS personnel or managing patient care if no higher licensed personnel are present or deemed appropriate by higher trained personnel. Transport patients from locations to appropriate facilities, as designated by medical direction. Communicate with 911 dispatchers, hospitals, patients, families, and other providers professionally and efficiently using written and verbal means, including in person, and via phone, email, and radio. Appropriate documentation of all patient encounters.

ADDITIONAL FUNCTIONS OF THE JOB:  Maintain a clean station.  When partnered with a higher level of licensure, follow the direction of the higher-level provider, and assist in patient care unless the treatment is inappropriate, or the patient is endangered. In this case, notify the Administration immediately.  Check the ambulance and equipment at the beginning of each day, and document using the inventory system. Note and fix any deficiencies.  Maintain a clean ambulance, inside and out. Disinfect regularly and as needed. Make steps to be ready for the next call quickly once patient transport is completed.  Assume command in case of disaster until it is relieved by appropriate personnel. Then, proceed as set forth in the disaster plan. g) Be able to deliver patient care consistent with AEMT level of training.  Skill in organizing and coordinating simple and complex teams in patient care situations. Be capable of performing tasks as set forth by the Administration and other portions of this manual.

QUALIFICATIONS/REQUIREMENTS:  The employee must be capable of moving the patient and cot over all types of terrain with the assistance of a partner. The crew must be capable of carrying patients weighing up to 250 pounds, plus the weight of the cot.  The employee must be capable of performing tasks requiring hand-eye coordination, such as driving, patient assessment, IV therapy, etc. The AEMT must be capable of driving and navigating an ambulance safely in all types of weather and lighting conditions. ii) Must be at least 18 years old. Must have a valid Tennessee Class D driver’s license. Must have and maintain a safe driving record. Must successfully complete PCEMS Emergency Vehicle Operations Course. Must have a high school diploma or GED.  Must hold and maintain a current EMT license or higher level of prehospital licensure issued by the State of Tennessee.  Keep a current copy of State EMS license, driver’s license, CPR card and current CEHs uploaded electronically. iv) Must immediately report any revocation, suspension, restriction, expirations, or legal action pending against any licensures or certifications pertaining to employment at PCEMS.  Must submit to hepatitis B vaccination, provide proof of vaccination, or sign a form showing you refused the vaccinations. Must submit to a physical examination to prove fitness for duty, when requested.  Must pass a pre-employment physical agility test.  Must be initially evaluated and trained under supervision of Trainers. The training period will be determined on a case-by-case basis. Convictions resulting in a misdemeanor or felony could possibly result in disqualification for employment. This will be assessed on a case-by-case basis. Required to remain competent on all skills included in AEMT scope of practice.

Putnam County Fire Department

Qualifications: Applicants must be at least 18 years of age and possess a valid Tennessee Driver’s License. Must be a legal resident of Putnam County or possess a waiver approved by the Fire Chief. Applicants will be required to complete a 16 hour Introduction to Fire and Emergency Services course in-house upon acceptance to the fire department. Upon completion of the 16 hour Introduction course, applicants must pass the department’s physical agility test, a pre-employment drug screening, and a background check before actively performing in fire department functions. Within one year of completing the Introduction to Fire and Emergency Services course, applicants will be required to complete a 64 hour Basic Firefighting course in-house and a weekend Live Burn class at the Tennessee Fire Service and Codes Enforcement Academy. Volunteer Firefighters are also required to complete 40 hours of training annually with the Putnam County Fire Department.

Job Summary: Examples of work performed but not limited to: control and extinguish fires, perform forcible entry, search and rescue, respond to hazardous materials incidents, respond to alarms, perform station and equipment maintenance, participate in fire prevention and training activities, perform equipment checks and upkeep tasks, keep all equipment in a state of readiness, participate in pre-fire planning, maintain and flow fire hydrants, make public presentations or conduct station tours on occasion, use a computer to enter data and generate reports, and perform related duties as required.

Essential Functions: Physical strength and ability to perform heavy labor and strenuous work for extended periods of time under extremely dangerous and uncomfortable conditions while wearing provided protective gear, including self-contained breathing apparatus, weighing in excess of sixty pounds or more. Must be able to lift up to one hundred pounds frequently, pull and drag hose, and force entry. Perform ventilation, climb ladders, work from heights, and perform rescues. Endure heat, cold, smoke, and exposure to hazardous materials. Requires fast response or reaction time, good hand-eye coordination to operate equipment and a good personality to interact with fellow personnel and the public.

Deadline for Applications: The Putnam County Fire Department is always accepting applications for Volunteer Firefighters. Once an application is submitted, it will be kept on file until a 16 hour Introduction to Fire and Emergency Services course is scheduled for PCFD. Introduction to Fire and Emergency Services classes are scheduled every three to six months at the Putnam County Fire Department based on the number of applications on file and other various factors.

Submit Applications to:

Putnam County Fire Department

700 County Services Dr

Cookeville, TN 38501

Questions Relating to this Position Should be Addressed to:

Chief Jeff Hicks or Assistant Chief Coty Nash  PCFD non-emergency phone number: (931) 528-1200

Putnam County is an equal opportunity employer.