Date: Nov 9, 2023

Location: Durham, NC, US, 27701

Company: Durham County

Durham County Government employs approximately 1,900 employees that work towards providing needed services throughout the community. With a wide array of services, Durham County Government is at the heart of a rapidly growing and diverse area offering residents, employees and visitors exciting opportunities to live, work, grow and play. For more information about Durham County Government, visit




DATE POSTED:            

NOVEMBER 9, 2023

CLOSING DATE:           



$50,219.00 - $67,765.00

POSITION NUMBER:            








**This posting is subject to close without prior notification.**





The primary purpose of this position is to provide HIV testing and counseling services in clinical and field settings, to perform client interviews for persons testing positive for communicable diseases, partner tracking and notification, communicable disease surveillance, and to refer and connect clients into treatment and care.   

Part of the Communicable Disease Program, the Sexually Transmitted Infection (STI) Clinic, provides medical examination, screening, evaluation, and treatment to clients with a focus on sexually transmitted infections (STI), HIV, and syphilis; provides free and confidential HIV testing and counseling; provides STI/HIV/AIDS education to encourage and promote prevention; provide counselling about QuickStart, PrEP, and follow-up on community PrEP referral; provides STI/HIV/AIDS education to encourage and promote prevention provides referrals for immunizations, substance abuse, sexual abuse, mental health or other medical issues (hypertension, diabetes, asthma, etc.) as needed; reports all cases of bacterial STI, HIV, syphilis, and other communicable diseases to the NC Division of Public Health.





The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.


  • Informs, counsels, and interviews patients diagnosed with syphilis, HIV and AIDS and their partners and to refer them to medical and/or psychosocial services:
  • Counsel patients on PrEP medication options, financial considerations, adherence, ID provider options, STIs/HIV prevention counseling to include rapid HIV test specific counseling, and to address all questions and concerns patients may have about PrEP medications:
  • Accompanies patients to the lab to initiate the rapid HIV test:
  • Provide HIV rapid test results and appropriate counseling:
  • Instruct patients to wait for the DCoDPH to call with confirmatory HIV results before starting PrEP medication;
  • Obtains the release of information and assist patients in making their PrEP follow-up appointment if they chose to start PrEP medications on the day of the visit or at a later date;
  • Receives verbal ( or written) permission to call patients to give the confirmatory HIV results and to provide appointment reminder calls/follow-up calls to patients;
  • Locates, notifies and counsels sex and needle sharing partners;
  • Assists with patient notification for persons testing positive for gonorrhea and chlamydia;
  • Collaborates with the Raleigh Regional Office on a weekly basis through submission of reports and cases through the North Carolina Electronic Disease Surveillance System (NCEDSS);
  • Assists Communicable Disease Program Manager and Health Director in investigation and issuing of Isolation Orders for suspected Control measures violations;
  • Analyzes comprehensive and complex data to determine the source and spread of disease and plan intervention to reduce occurrence and spread of disease in the community;
  • Assists and refers clients in entering or re-entering treatment and care for HIV when newly diagnosed or have become lost to care and follow-up;
  • Provides pre- and post-test HIV counseling to any client encounter;
  • Provides education on transmission and prevention of HIV;
  • Advises clients in assessing their own risk for HIV and establishing a preventative plan for reducing their risk, including condom use;
  • Documents patient encounters into the Electronic Medical Record and any other relevant source;
  • Completes HIV scan forms or test requisition from NC State Lab of Public Health;
  • Records patients tested in HIV log book;
  • Receives, sorts and documents HIV test results from the State Lab of Public Health;
  • Refers clients needing services outside of DCoDPH;
  • Maintains confidentiality of client information;
  • Reviews communicable disease reports for STD/HIV from all reporting agencies in Durham County;
  • Maintains a thorough working knowledge of medical terminology necessary for disease intervention and control;
  • Maintain proficiency at working independently, make strategic plans, and organize daily activities to meet programmatic priorities and deadlines;
  • Follows up with providers when STD/HIV report cards indicate a lack of treatment or are otherwise incomplete;
  • Completes NC State Morbidity and CDC HIV/AIDS Surveillance reporting forms for patients testing HIV positive;
  • Ensures all persons post-test counseled or self-reporting as HIV positive sign NC Control measures;
  • Adheres to all NC and State laws regarding communicable disease
  • Initiate NC 360 Referrals;
  • Remains current on all required annual training;
  • Remains knowledgeable of current practices and recommendations from the CDC and NC Division of Public Health in regard to STD, HIV and syphilis testing, counseling, and contact investigation; remains up-to-date with STD, HIV/syphilis information by attending workshops, conferences and trainings;
  • Maintains certifications as needed;
  • Performs other related tasks as required.





  • Must possess knowledge of and skill in the application of principles and techniques employed in the field public health in general and in Communicable Disease/STD/HIV/AIDS and syphilis in particular;
  • Must possess a thorough knowledge of community resources and organizations;
  • Must have knowledge and understanding of NC Communicable Disease public health laws regarding STD/HIV case investigations, reporting, and control measures;
  • Must have the ability to deal tactfully and respectfully with others; must possess the ability to accurately record, enter, and understand patient records and laboratory results;
  • Must have the ability to use computer software such as Word, Excel and the North Carolina Electronic Surveillance System;
  • Ability to learn the cause and effect of sexually transmitted diseases, their symptoms, complications, and epidemiology;
  • Ability to learn principles and practices of specific investigative methods, interviewing and supportive counseling techniques;
  • Ability to establish rapport and effective communications with clients, family members, and others involved;
  • Ability to interpret and apply federal, state, and local public health laws, rules, and regulations which are applicable to sexually transmitted diseases;
  • Ability to express ideas clearly and concisely in oral or written form; ability to plan and execute work.





Graduation from a four-year college or university preferably with a degree in human services or science; or an equivalent combination of training and experience.





  • Completion of the CDC developed and sponsored DIS certification (when it becomes available). Required to travel to the field and routinely available therefore a reliable personal/state car and valid NC Driver’s License is required for this position.





Durham County is an Equal Opportunity Employer. ADA requires Durham County to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.



To further the mission of the Durham County Department of Public Health (DCoDPH) to partner with our community to advance health equity, protect the environment, and promote health and wellness for all, DCoDPH is implementing the employee vaccination and tuberculosis screening policies. All DCoDPH employees are considered healthcare personnel (HCP) working in a health care setting with the potential for exposure to patients and/or infectious materials and, therefore, are required to comply and provide documented proof of the following:

  • Measles, Mumps & Rubella (MMR) vaccination/immunity 
  • Varicella-Zoster Virus (Chicken Pox) vaccination/immunity 
  • Tdap (Tetanus, Diphtheria, Pertussis)
  • Tuberculosis (TB) baseline screening within the last twelve (12) months prior to employment
  • Hepatitis B vaccination/immunity – only required for DCoDPH employees with potential Bloodborne Pathogen (BBP) exposures.


Identified DCoDPH HCP with potential Bloodborne Pathogen (BBP) exposure have an additional requirement for the Hepatitis B vaccination. Required vaccination, serological testing to determine immunity, and baseline tuberculosis screening are available for all Public Health employees who elect to become DCoDPH patients upon request and at no cost.

Proof of vaccination and tuberculosis screening must be provided to Human Resources within seven (7) business days prior to the date of employment.



Durham County Government is an Equal Opportunity Employer

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh