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Job Opportunities

Benefits Guide

2026 benefits guide: KEHP 2026 BSG

Holidays:

  • Martin Luther King, Jr. Day – Monday, January 19, 2026 
  • Good Friday (1/2 day) – Friday, April 3, 2026 
  • Memorial Day – Monday, May 25, 2026 
  • Juneteenth – Friday, June 19, 2026 
  • Independence Day – Friday, July 3​, 2026 
  • Labor Day – Monday, September 7, 2026 
  • Veterans Day – Wednesday, November 11, 2026
  • Thanksgiving – Thursday, November 26, 2026 & Friday, November 27, 2026 
  • Christmas – Thursday, December 24, 2026 & Friday, December 25, 2026 
  • New Year’s – Thursday, December 31, 2026 & Friday, January 1, 2027

Accrued time:

  • 3.5 hrs sick per pay period
  • 3.5 hrs vacation per pay period, increases every five years
  • Compensatory time, accrued and paid in straight time. 200 hour cap, must be used or cashed out in 30 or 50 hr increments.

Additional leaves:

Jury, inclement weather, elections

Other benefits:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Life insurance
  • HRA if medical is waived, if applicable
  • Flex spending account
  • Pension 6% of wages
  • 401k and 457b plans offered (employee funded)
  • 5% wage increase at 6 months
  • National Health Service Corps Site

    Public Health Dentist

    APPLICATION SUBMISSION: CLICK HERE

    Dentist
    Full-Time, Part-Time, and Daily Pay options available
    Location: McCracken Co (Paducah), KY
    Service Area: K–12 schools within the Purchase District Health Department’s service region as well as on-site at our local health centers (McCracken, Ballard, Carlisle, Fulton, and Hickman)
    Annual Hours: Flexible Hours to Full-Time
    Starting Pay: $85.00/hour + 5% increase after successful 6-month probation if Full-Time or Part-Time
    $900/day if dailly pay option

    Position Overview

    As a Public Health Dentist, you will play a key role in the Tooth Transit in-school dental program, delivering restorative care directly to students in grades K–12 across the Purchase District. Services are provided in a state-of-the-art Dental Mobile Unit in partnership with our public health dental hygiene team. This position combines clinical practice with community impact, allowing you to improve access to dental care and help establish a dental home for children in our region.

    This is a non-exempt, hourly contracted role ideal for dentists seeking work-life balance, meaningful community impact, and a mission-driven environment.

    Primary Responsibilities

    Patient Care

    Conduct routine dental examinations and screenings for students.
    Diagnose and treat common dental conditions such as cavities, infections, and minor injuries.
    Provide basic restorative care, including fillings and simple extractions.
    Maintain accurate and confidential patient records using electronic systems.
    Refer patients to specialists as appropriate.
    Collaborate with dental hygienists, school staff, and public health team members to address oral health needs.
    Program Implementation

    Work in conjunction with the dental hygiene team to deliver restorative services within the Tooth Transit program.
    Support program development, including treatment protocols and compliance with state dental regulations.
    Participate in school and community outreach events related to oral health.
    Education & Outreach

    Provide oral health education to students, families, and school staff.
    Deliver presentations and workshops on proper brushing techniques, nutrition, and the importance of preventive care.
    Support distribution of educational materials such as handouts, brochures, and posters.
    Minimum Qualifications

    Position Requirements & Qualifications

    Doctor of Dental Surgery (DDS) or Doctor of Medicine in Dentistry (DMD) degree from an accredited dental school.
    Valid Kentucky dental license in good standing.
    Experience providing clinical dental care; experience with children or in a school setting preferred.
    Strong skills in general dentistry, including restorative treatment.
    Excellent communication and interpersonal skills, with ability to educate and engage children and families.
    Knowledge of dental best practices, oral health principles, and public health values.
    Familiarity with dental software and electronic health record systems.
    Pay and Schedule

    Pay & Schedule

    $85.00/hour starting rate with a 5% raise after successful 6-month probationary period.
    Contracted part-time starting with flexible hours, transitioning to a full-time role.
    Non-exempt position with eligibility for state retirement programs, robust healthcare benefits, and potential student loan forgiveness.

    Why Join Purchase District Health Department?

    If you’re looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role is for you. Our dental hygienists don’t just serve—they thrive with:

    Holidays & Time Off

    • 13 Paid Holidays including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period, with vacation increasing based on years of service.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year of employment.
    • Additional leave opportunities for jury duty, voting, and inclement weather, ensuring you have time for civic responsibilities and unforeseen circumstances.
    • Supports a healthy work-life balance, allowing you to manage personal needs, family obligations, and self-care while contributing to public health.

    Comprehensive Health & Wellness Coverage

    • Low-premium medical insurance plans starting as low as $20.88 per month for single coverage, with additional options for family coverage
    • Annual employer-funded allowance, depending on your plan ($500 – $1000) loaded onto a HealthEquity card each year (HRA dollars roll over each year, up to $7,500)
    • HRA card can be used for eligible medical, dental, and vision expenses, including copays, coinsurance, deductibles, and prescriptions.
    • Preventive care is covered at 100% across all plans — annual checkups, routine screenings, and vaccinations are included at no cost
    • Flexible Spending Accounts (FSAs) available for health and dependent care
    • Telehealth and virtual care options are available, often at lower copays than in-person visits. (Including parenting resources, nurse lines, and more)
    • Prescription coverage includes tiered copays for generic, brand, and specialty medications; pharmacy expenses may count toward your deductible and out-of-pocket maximum
    • All plans include mental health services such as counseling, psychiatric care and behavioral health care

    Dental & Vision Benefits

    • Dental insurance plans starting at $14 per month
    • 100% coverage on preventive care (cleanings, exams, and X-rays) when using in-network providers
    • Coverage for major services such as crowns, implants, and oral surgery
    • Teledentistry available 24/7, giving you remote access to dental consultations anytime
    • Vision insurance available for less than $6 per month for single coverage, with family options also available
    • $150–$175 allowance for contacts, frames, and lenses, with co-pays as low as $10
    • Covers routine eye exams for adults and children, including dilation, when necessary, to support overall eye health
    • Discounts on frames, lenses, and contacts for costs exceeding the plan allowance

    Retirement & Financial Security

    • 6% pension contribution through the Kentucky Employee Retirement System (KERS)
    • Optional 401(k) and 457(b) plans (employee-funded)
    • Mileage reimbursement for approved work-related travel
    • $20,000 of basic life insurance provided at no cost to you, including Accidental Death & Dismemberment (AD&D) benefits. You also have the option to purchase additional life insurance for yourself and eligible dependents for enhanced financial protection.

    Additional Fringe Benefits
    These benefits support your physical, mental, and financial well-being:

    • Carrum Health: Available under certain plans, access top surgeons and cancer specialists for major procedures, including cancer care, orthopedic surgeries (knee, hip, shoulder, spine), heart surgery, and weight-loss surgery—with most services covered at no cost to you.
    • LiveHealth Online: 24/7 virtual visits with doctors, therapists, psychiatrists, and lactation consultants
    • LivingWell Clinics: In-person or telehealth for annual exams, chronic care, labs, immunizations, and women’s health
    • 24/7 NurseLine & Substance Use Support: Get care guidance, provider referrals, and confidential substance use help
    • Tobacco Cessation: Free prescription and OTC aids, online or phone-based counseling programs
    • Diabetes & Chronic Care: Personalized 24/7 coaching, education, and tracking tools through Lark and DSMES programs
    • Maternity & Family Support: Digital tools, prenatal/postpartum guidance, lactation consulting, and newborn tracking.
    • Joint & Musculoskeletal Care: Virtual therapy for back, knee, hip, neck, or shoulder pain via Hinge Health
    • Acupuncture: Covered pilot program for eligible KEHP members at UK Healthcare
    • Behavioral & Mental Health: Online therapy, psychiatry, and coaching through LiveHealth Online, RethinkCare, and Learn to Live
    • Cash Rewards & Wellness Incentives: Earn $25–$850. Wellness engagement can reduce premiums by nearly $500

    Public Health Nurse I

    APPLICATION SUBMISSION: CLICK HERE

    Public Health Nurse I
    Full-Time Position
    Location: Paducah-McCracken County Health Center & Hickman City Health Center
    Schedule: 3 days per week in McCracken, 2 days per week in Hickman
    Pay Range: $20.30/hour (negotiable with experience)


    CHARACTERISTICS OF THE CLASS

    CHARACTERISTICS OF A CLASS: ARE GENERAL STATEMENTS INDICATING THE LEVEL OF RESPONSIBILITY AND DISCRETION OF POSITIONS IN THAT JOB CLASSIFICATION. 

    • Provides entry-level nursing functions and services to individuals and families under close supervision in a clinic or community setting, focusing on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of populations. The nurse in this classification would receive job specific training in the requirements and scope of practice of the various assigned health department programs and services.

    MINIMUM REQUIREMENTS: MINIMUM REQUIREMENTS ARE COMPREHENSIVE STATEMENTS OF THE MINIMUM BACKGROUND AS TO EDUCATION, EXPERIENCE, AND OTHER QUALIFICATIONS WHICH WILL BE REQUIRED IN ALL CASES AS EVIDENCE OF AN APPOINTEE’S ABILITY TO PERFORM THE WORK PROPERLY.


    EDUCATION:
    • (See Special Requirements)
    EXPERIENCE:
    • (None)

    SUBSTITUTION CLAUSE

    EDUCATION:
    • (N/A)
    EXPERIENCE:
    • (N/A)
    SPECIAL REQUIREMENTS: (AGE, LICENSURE, REGULATION, ETC.)
    • Must have RN license in Kentucky or compact state or provisional license in Kentucky, meeting all requirements of KRS 314.041 and approval to practice as Registered Nurse Applicant (RNA).

    POST EMPLOYMENT REQUIREMENTS: EMPLOYEES IN THIS CLASS WILL BE REQUIRED TO OBTAIN CREDENTIALS OUTLINED BELOW WITHIN A REASONABLE TIME, OR IF EMPLOYEES POSSESS SUCH CREDENTIALS AT THE TIME OF HIRE THEY WILL BE REQUIRED TO MAINTAIN THOSE CREDENTIALS SO LONG AS THEY ARE EMPLOYED IN THIS CAPACITY.

    • Must maintain current RN licensure in Kentucky or compact state. Must complete required annual updates.

    EXAMPLES OF DUTIES OR RESPONSIBILITIES OF THE CLASSIFICATION: EXAMPLES OF DUTIES OR RESPONSIBILITIES ARE NOT TO BE CONSTRUED AS DESCRIBING WHAT THE DUTIES OR RESPONSIBILITIES OF ANY POSITION SHALL BE AND ARE NOT TO BE CONSTRUED AS LIMITING THE APPOINTING AUTHORITY’S ABILITY TO ADD TO, OR OTHERWISE ALTER THE DUTIES AND RESPONSIBILITIES OF A POSITION.

    • Conducts nursing assessments and assists with community assessments and epidemiological investigations, as appropriate, using CCSG service guidelines; develops and implements a plan of care based upon identified health risks; provides basic nursing care to the client consistent with the Core Clinical Service Guide, Nursing Scope and Standards of Practice, established policies, procedures and licensing laws; documents services provided to the client according to standards of the CCSG and Administrative Reference (AR); maintains confidentiality and privacy according to guidelines; develops and conducts educational counseling and teaching activities for individual clients and families, and communities. Provides or assists in providing a variety of nursing services to particular at-risk or high-risk populations or populations with limited access to care.

    TYPICAL WORKING CONDITIONS AND UNIQUE PHYSICAL REQUIREMENTS: INCUMBENTS IN THIS CLASSIFICATION WILL TYPICALLY PERFORM THEIR PRIMARY JOB DUTIES UNDER THESE CONDITIONS. THESE CONDITIONS MAY CHANGE ON OCCASION IN PERFORMING THE DUTIES OF AN INDIVIDUAL POSITION.

    • Work is spent primarily inside the clinic or community setting.

    ADDITIONAL REQUIREMENTS:

    • May be required to submit to a drug screening test and background check according to the agency’s policies.

    THE LOCAL HEALTH DEPARTMENTS DO NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, AGE, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, ANCESTRY OR VETERAN STATUS. REASONABLE ACCOMMODATIONS ARE PROVIDED UPON REQUEST.

    Probationary Period:

    This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

    Why Join Purchase District Health Department?

    If you’re looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role is for you. Our dental hygienists don’t just serve—they thrive with:

    Holidays & Time Off

    • 13 Paid Holidays including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period, with vacation increasing based on years of service.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year of employment.
    • Additional leave opportunities for jury duty, voting, and inclement weather, ensuring you have time for civic responsibilities and unforeseen circumstances.
    • Supports a healthy work-life balance, allowing you to manage personal needs, family obligations, and self-care while contributing to public health.

    Comprehensive Health & Wellness Coverage

    • Low-premium medical insurance plans starting as low as $20.88 per month for single coverage, with additional options for family coverage
    • Annual employer-funded allowance, depending on your plan ($500 – $1000) loaded onto a HealthEquity card each year (HRA dollars roll over each year, up to $7,500)
    • HRA card can be used for eligible medical, dental, and vision expenses, including copays, coinsurance, deductibles, and prescriptions.
    • Preventive care is covered at 100% across all plans — annual checkups, routine screenings, and vaccinations are included at no cost
    • Flexible Spending Accounts (FSAs) available for health and dependent care
    • Telehealth and virtual care options are available, often at lower copays than in-person visits. (Including parenting resources, nurse lines, and more)
    • Prescription coverage includes tiered copays for generic, brand, and specialty medications; pharmacy expenses may count toward your deductible and out-of-pocket maximum
    • All plans include mental health services such as counseling, psychiatric care and behavioral health care

    Dental & Vision Benefits

    • Dental insurance plans starting at $14 per month
    • 100% coverage on preventive care (cleanings, exams, and X-rays) when using in-network providers
    • Coverage for major services such as crowns, implants, and oral surgery
    • Teledentistry available 24/7, giving you remote access to dental consultations anytime
    • Vision insurance available for less than $6 per month for single coverage, with family options also available
    • $150–$175 allowance for contacts, frames, and lenses, with co-pays as low as $10
    • Covers routine eye exams for adults and children, including dilation, when necessary, to support overall eye health
    • Discounts on frames, lenses, and contacts for costs exceeding the plan allowance

    Retirement & Financial Security

    • 6% pension contribution through the Kentucky Employee Retirement System (KERS)
    • Optional 401(k) and 457(b) plans (employee-funded)
    • Mileage reimbursement for approved work-related travel
    • $20,000 of basic life insurance provided at no cost to you, including Accidental Death & Dismemberment (AD&D) benefits. You also have the option to purchase additional life insurance for yourself and eligible dependents for enhanced financial protection.

    Additional Fringe Benefits
    These benefits support your physical, mental, and financial well-being:

    • Carrum Health: Available under certain plans, access top surgeons and cancer specialists for major procedures, including cancer care, orthopedic surgeries (knee, hip, shoulder, spine), heart surgery, and weight-loss surgery—with most services covered at no cost to you.
    • LiveHealth Online: 24/7 virtual visits with doctors, therapists, psychiatrists, and lactation consultants
    • LivingWell Clinics: In-person or telehealth for annual exams, chronic care, labs, immunizations, and women’s health
    • 24/7 NurseLine & Substance Use Support: Get care guidance, provider referrals, and confidential substance use help
    • Tobacco Cessation: Free prescription and OTC aids, online or phone-based counseling programs
    • Diabetes & Chronic Care: Personalized 24/7 coaching, education, and tracking tools through Lark and DSMES programs
    • Maternity & Family Support: Digital tools, prenatal/postpartum guidance, lactation consulting, and newborn tracking.
    • Joint & Musculoskeletal Care: Virtual therapy for back, knee, hip, neck, or shoulder pain via Hinge Health
    • Acupuncture: Covered pilot program for eligible KEHP members at UK Healthcare
    • Behavioral & Mental Health: Online therapy, psychiatry, and coaching through LiveHealth Online, RethinkCare, and Learn to Live
    • Cash Rewards & Wellness Incentives: Earn $25–$850. Wellness engagement can reduce premiums by nearly $500

     

    An Equal Opportunity Employer M/F/D

    Public Health Nurse II

    APPLICATION SUBMISSION: CLICK HERE

    Public Health Nurse II
    Full-Time Position
    Location: Paducah-McCracken County Health Center & Hickman City Health Center
    Schedule: 3 days per week in McCracken, 2 days per week in Hickman
    Pay Range: $21.52/hour (negotiable with experience)


    CHARACTERISTICS OF THE CLASS

    CHARACTERISTICS OF A CLASS: ARE GENERAL STATEMENTS INDICATING THE LEVEL OF RESPONSIBILITY AND DISCRETION OF POSITIONS IN THAT JOB CLASSIFICATION. 
    • Provides basic nursing functions and services to individuals and families under moderate supervision in a clinic, school or community setting. With supervision, applies a variety of technical, interpersonal, analytical, and organizational skills to problems of health, as they affect clients, families, and the community. Conducts communicable and preventative disease case finding investigations for the purpose of preventing and controlling diseases and disabling conditions and the promotion and maintenance of health populations.

     

    MINIMUM REQUIREMENTS: MINIMUM REQUIREMENTS ARE COMPREHENSIVE STATEMENTS OF THE MINIMUM BACKGROUND AS TO EDUCATION, EXPERIENCE, AND OTHER QUALIFICATIONS WHICH WILL BE REQUIRED IN ALL CASES AS EVIDENCE OF AN APPOINTEE’S ABILITY TO PERFORM THE WORK PROPERLY.

    EDUCATION:

    • (See Special Requirements)

    EXPERIENCE:

    • One year of Registered Nurse (RN) experience.
    SUBSTITUTION CLAUSE
    EDUCATION:
    • (N/A)
    EXPERIENCE:
    • BSN may substitute for the one year required experience.
    SPECIAL REQUIREMENTS: (AGE, LICENSURE, REGULATION, ETC.)
    • Must have RN license in Kentucky or compact state.

     

    POST EMPLOYMENT REQUIREMENTS: EMPLOYEES IN THIS CLASS WILL BE REQUIRED TO OBTAIN CREDENTIALS OUTLINED BELOW WITHIN A REASONABLE TIME, OR IF EMPLOYEES POSSESS SUCH CREDENTIALS AT THE TIME OF HIRE THEY WILL BE REQUIRED TO MAINTAIN THOSE CREDENTIALS SO LONG AS THEY ARE EMPLOYED IN THIS CAPACITY.

    • Must maintain current RN licensure in Kentucky or compact state. Must complete required annual updates.

     

    EXAMPLES OF DUTIES OR RESPONSIBILITIES OF THE CLASSIFICATION: EXAMPLES OF DUTIES OR RESPONSIBILITIES ARE NOT TO BE CONSTRUED AS DESCRIBING WHAT THE DUTIES OR RESPONSIBILITIES OF ANY POSITION SHALL BE AND ARE NOT TO BE CONSTRUED AS LIMITING THE APPOINTING AUTHORITY’S ABILITY TO ADD TO, OR OTHERWISE ALTER THE DUTIES AND RESPONSIBILITIES OF A POSITION.
    • Performs work with increasing independence and may assume minimal mentoring of LHN I nurses; conducts nursing assessment, as appropriate using CCSG service guidelines; develops and implements a plan of care based upon identified health risks; provides basic nursing care to the client consistent with the CCSG, Nursing Scope and Standards of Practice, established policies, procedures and licensing laws; documents services provided to the client according to standards of the CCSG and Administrative Reference (AR); maintains confidentiality and privacy according to guidelines; understands the team process and applies problem-solving strategies to accomplish job tasks; participates in specialized or program specific clinics; develops and conducts educational counseling and teaching activities for individual clients and families; may serve as a coordinator of a specific program. Assesses the health status of individuals groups and populations through analysis of data collected from clients, families, medical practitioners, community service agencies, schools, and appropriate surveys to identify at-risk populations; analyzes health status assessments and participates in the development of policies and continuous review of plans to prioritize and address the health services and program needs of the targeted population; serves as advocate for at-risk or high-risk population groups; provides or assists in providing a variety of nursing services to particular at-risk or high-risk populations or populations with limited access to care; assists with problem-solving skills; instructs/advises and mentors new staff in the policies, practices and procedures of the agency, as related to public health nursing.

     

    TYPICAL WORKING CONDITIONS AND UNIQUE PHYSICAL REQUIREMENTS: INCUMBENTS IN THIS CLASSIFICATION WILL TYPICALLY PERFORM THEIR PRIMARY JOB DUTIES UNDER THESE CONDITIONS. THESE CONDITIONS MAY CHANGE ON OCCASION IN PERFORMING THE DUTIES OF AN INDIVIDUAL POSITION.
    • Work typically is spent inside the clinic, school or a community setting.

     

    ADDITIONAL REQUIREMENTS:

    • May be required to submit to a drug screening test and background check according to the agency’s policies

     

    THE LOCAL HEALTH DEPARTMENTS DO NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, AGE, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, ANCESTRY OR VETERAN STATUS. REASONABLE ACCOMMODATIONS ARE PROVIDED UPON REQUEST.

    Probationary Period:

    This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

    Why Join Purchase District Health Department?

    If you’re looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role is for you. Our dental hygienists don’t just serve—they thrive with:

    Holidays & Time Off

    • 13 Paid Holidays including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period, with vacation increasing based on years of service.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year of employment.
    • Additional leave opportunities for jury duty, voting, and inclement weather, ensuring you have time for civic responsibilities and unforeseen circumstances.
    • Supports a healthy work-life balance, allowing you to manage personal needs, family obligations, and self-care while contributing to public health.

    Comprehensive Health & Wellness Coverage

    • Low-premium medical insurance plans starting as low as $20.88 per month for single coverage, with additional options for family coverage
    • Annual employer-funded allowance, depending on your plan ($500 – $1000) loaded onto a HealthEquity card each year (HRA dollars roll over each year, up to $7,500)
    • HRA card can be used for eligible medical, dental, and vision expenses, including copays, coinsurance, deductibles, and prescriptions.
    • Preventive care is covered at 100% across all plans — annual checkups, routine screenings, and vaccinations are included at no cost
    • Flexible Spending Accounts (FSAs) available for health and dependent care
    • Telehealth and virtual care options are available, often at lower copays than in-person visits. (Including parenting resources, nurse lines, and more)
    • Prescription coverage includes tiered copays for generic, brand, and specialty medications; pharmacy expenses may count toward your deductible and out-of-pocket maximum
    • All plans include mental health services such as counseling, psychiatric care and behavioral health care

    Dental & Vision Benefits

    • Dental insurance plans starting at $14 per month
    • 100% coverage on preventive care (cleanings, exams, and X-rays) when using in-network providers
    • Coverage for major services such as crowns, implants, and oral surgery
    • Teledentistry available 24/7, giving you remote access to dental consultations anytime
    • Vision insurance available for less than $6 per month for single coverage, with family options also available
    • $150–$175 allowance for contacts, frames, and lenses, with co-pays as low as $10
    • Covers routine eye exams for adults and children, including dilation, when necessary, to support overall eye health
    • Discounts on frames, lenses, and contacts for costs exceeding the plan allowance

    Retirement & Financial Security

    • 6% pension contribution through the Kentucky Employee Retirement System (KERS)
    • Optional 401(k) and 457(b) plans (employee-funded)
    • Mileage reimbursement for approved work-related travel
    • $20,000 of basic life insurance provided at no cost to you, including Accidental Death & Dismemberment (AD&D) benefits. You also have the option to purchase additional life insurance for yourself and eligible dependents for enhanced financial protection.

    Additional Fringe Benefits
    These benefits support your physical, mental, and financial well-being:

    • Carrum Health: Available under certain plans, access top surgeons and cancer specialists for major procedures, including cancer care, orthopedic surgeries (knee, hip, shoulder, spine), heart surgery, and weight-loss surgery—with most services covered at no cost to you.
    • LiveHealth Online: 24/7 virtual visits with doctors, therapists, psychiatrists, and lactation consultants
    • LivingWell Clinics: In-person or telehealth for annual exams, chronic care, labs, immunizations, and women’s health
    • 24/7 NurseLine & Substance Use Support: Get care guidance, provider referrals, and confidential substance use help
    • Tobacco Cessation: Free prescription and OTC aids, online or phone-based counseling programs
    • Diabetes & Chronic Care: Personalized 24/7 coaching, education, and tracking tools through Lark and DSMES programs
    • Maternity & Family Support: Digital tools, prenatal/postpartum guidance, lactation consulting, and newborn tracking.
    • Joint & Musculoskeletal Care: Virtual therapy for back, knee, hip, neck, or shoulder pain via Hinge Health
    • Acupuncture: Covered pilot program for eligible KEHP members at UK Healthcare
    • Behavioral & Mental Health: Online therapy, psychiatry, and coaching through LiveHealth Online, RethinkCare, and Learn to Live
    • Cash Rewards & Wellness Incentives: Earn $25–$850. Wellness engagement can reduce premiums by nearly $500

    An Equal Opportunity Employer M/F/D

    Peer Support Specialist

    APPLICATION SUBMISSION: CLICK HERE

     

    Peer Support Specialist
    Full-Time Position
    Location: Paducah, KY
    Service Area: Purchase District Health Department Region
    Starting Pay: $15.00/hour + 5% increase after successful 6-month probation

    Position Overview

    As a Peer Support Specialist with the Opioid Taskforce, you will play a vital role in supporting individuals affected by substance use disorders (SUD), including opioid use disorder (OUD), across the prevention, identification, treatment, and recovery continuum. This position focuses on harm reduction, recovery support, and connecting highly vulnerable populations with essential wraparound services.

    You will work directly in the community and collaborate with partner organizations to provide compassionate, nonjudgmental support to individuals navigating substance use challenges. This role is ideal for someone committed to meeting people where they are and helping reduce barriers to care while promoting long-term recovery and community wellness.

    This is a non-exempt, hourly full-time position based at the District Office in Paducah, with regular community outreach and travel throughout the Purchase District.

    Primary Responsibilities

    • Provide peer support services to individuals impacted by substance use disorders, including OUD.
    • Assist with harm reduction initiatives, including education, supply distribution, and linkage to treatment and recovery resources.
    • Deliver wraparound services by connecting clients to healthcare, behavioral health, housing, employment, and social support resources.
    • Support prevention and early identification efforts within the community.
    • Conduct community outreach and collaborate with local organizations serving vulnerable populations.
    • Provide HIV and Hepatitis C (Hep-C) testing in community settings following required training and certification.
    • Maintain accurate documentation of services provided and assist with required reporting.
    • Participate in required trainings and maintain Peer Support Specialist certification.
    • Perform other duties as assigned to support Opioid Taskforce initiatives and public health priorities.

    Minimum Qualifications

    • High school diploma or GED.
    • Current Peer Support Specialist certification, or ability to obtain certification within the first two months of employment.
    • Willingness to work with highly vulnerable populations across diverse community settings.
    • Ability to provide harm reduction services in alignment with public health best practices.
    • Strong communication and interpersonal skills.
    • Valid driver’s license and reliable transportation; travel required (mileage reimbursed per department policy).

    Schedule and Compensation

    • Full-time, non-exempt (hourly) position.
    • Monday–Friday schedule with occasional evenings and weekends based on community needs.
    • $15.00/hour starting rate (negotiable based on experience).
    • 5% raise after successful completion of six-month probationary period.

    Why Join Purchase District Health Department?

    If you’re looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role is for you. Our team members don’t just serve—they thrive with:

    Holidays & Time Off

    • 13 Paid Holidays including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period, with vacation increasing based on years of service.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year of employment.
    • Additional leave opportunities for jury duty, voting, and inclement weather, ensuring you have time for civic responsibilities and unforeseen circumstances.
    • Supports a healthy work-life balance, allowing you to manage personal needs, family obligations, and self-care while contributing to public health.

     

    Comprehensive Health & Wellness Coverage

    • Low-premium medical insurance plans starting as low as $20.88 per month for single coverage, with additional options for family coverage
    • Annual employer-funded allowance, depending on your plan ($500 – $1000) loaded onto a HealthEquity card each year (HRA dollars roll over each year, up to $7,500)
    • HRA card can be used for eligible medical, dental, and vision expenses, including copays, coinsurance, deductibles, and prescriptions.
    • Preventive care is covered at 100% across all plans — annual checkups, routine screenings, and vaccinations are included at no cost
    • Flexible Spending Accounts (FSAs) available for health and dependent care
    • Telehealth and virtual care options are available, often at lower copays than in-person visits. (Including parenting resources, nurse lines, and more)
    • Prescription coverage includes tiered copays for generic, brand, and specialty medications; pharmacy expenses may count toward your deductible and out-of-pocket maximum
    • All plans include mental health services such as counseling, psychiatric care and behavioral health care

    Dental & Vision Benefits

    • Dental insurance plans starting at $14 per month
    • 100% coverage on preventive care (cleanings, exams, and X-rays) when using in-network providers
    • Coverage for major services such as crowns, implants, and oral surgery
    • Teledentistry available 24/7, giving you remote access to dental consultations anytime
    • Vision insurance available for less than $6 per month for single coverage, with family options also available
    • $150–$175 allowance for contacts, frames, and lenses, with co-pays as low as $10
    • Covers routine eye exams for adults and children, including dilation, when necessary, to support overall eye health
    • Discounts on frames, lenses, and contacts for costs exceeding the plan allowance

     

    Retirement & Financial Security

    • 6% pension contribution through the Kentucky Employee Retirement System (KERS)
    • Optional 401(k) and 457(b) plans (employee-funded)
    • Mileage reimbursement for approved work-related travel
    • $20,000 of basic life insurance provided at no cost to you, including Accidental Death & Dismemberment (AD&D) benefits. You also have the option to purchase additional life insurance for yourself and eligible dependents for enhanced financial protection.

    Additional Fringe Benefits

    • Carrum Health: Available under certain plans, access top surgeons and cancer specialists for major procedures, including cancer care, orthopedic surgeries (knee, hip, shoulder, spine), heart surgery, and weight-loss surgery—with most services covered at no cost to you.
    • LiveHealth Online: 24/7 virtual visits with doctors, therapists, psychiatrists, and lactation consultants
    • LivingWell Clinics: In-person or telehealth for annual exams, chronic care, labs, immunizations, and women’s health
    • 24/7 NurseLine & Substance Use Support: Get care guidance, provider referrals, and confidential substance use help
    • Tobacco Cessation: Free prescription and OTC aids, online or phone-based counseling programs
    • Diabetes & Chronic Care: Personalized 24/7 coaching, education, and tracking tools through Lark and DSMES programs
    • Maternity & Family Support: Digital tools, prenatal/postpartum guidance, lactation consulting, and newborn tracking.
    • Joint & Musculoskeletal Care: Virtual therapy for back, knee, hip, neck, or shoulder pain via Hinge Health
    • Acupuncture: Covered pilot program for eligible KEHP members at UK Healthcare
    • Behavioral & Mental Health: Online therapy, psychiatry, and coaching through LiveHealth Online, RethinkCare, and Learn to Live
    • Cash Rewards & Wellness Incentives: Earn $25–$850. Wellness engagement can reduce premiums by nearly $500

     

    Ready to Make an Impact?

    This is more than a support role — it’s an opportunity to directly influence recovery outcomes and improve the health and safety of communities across the Purchase District. You will work alongside a mission-driven team committed to reducing harm, expanding access to care, and supporting individuals at every stage of recovery. If you are passionate about public health, recovery advocacy, and serving vulnerable populations, we encourage you to apply.

    MNT Nutritionist I

    APPLICATION SUBMISSION: CLICK HERE

    Public Health Program Coordinator

    APPLICATION SUBMISSION: CLICK HERE

    Public Health Program Specialist

    APPLICATION SUBMISSION: CLICK HERE

    Maintenance/Custodial Worker

    APPLICATION SUBMISSION: CLICK HERE


    Maintenance/Custodial
    Worker
    Full-Time Position
    Location: Paducah-McCracken County Health Center
    Pay: $16.00/hour

    Position Overview

    The Maintenance/Custodial Worker performs routine building maintenance, groundskeeping, custodial, and facility support services at the Paducah-McCracken County Health Center. This position helps ensure the facility remains safe, clean, and fully operational for staff and the public. This is a hands-on role essential to daily operations.

    Essential Duties & Responsibilities

    • Perform routine building maintenance and general repairs.
    • Conduct groundskeeping duties.
    • Perform custodial/janitorial work, including cleaning floors, restrooms, windows, etc.
    • Assist with minor plumbing repairs and basic facility troubleshooting.
    • Maintain and repair locks, keys, and door hardware.
    • and common areas to maintain a safe and sanitary environment.
    • Assist with moving equipment, furniture setup, and general facility needs.
    • Identify and report safety concerns or maintenance issues.
    • Ensure compliance with safety standards and departmental policies.
    • Perform other duties as assigned.

    Minimum Qualifications

    • High school diploma or GED preferred.
    • Experience in general maintenance, custodial work, groundskeeping, or a related field preferred.
    • Basic knowledge of hand and power tools.
    • Ability to lift up to 50 pounds and perform physical labor indoors and outdoors.
    • Valid driver’s license required.
    • Ability to work independently and manage time effectively.

    Schedule & Compensation

    • Full-time, hourly (non-exempt), merit position.
    • Schedule determined by facility operational needs.
    • Starting rate: $16.00/hour.

    Why Join Purchase District Health Department?

    If you are looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role offers both professional purpose and long-term stability.

    Holidays & Time Off
    • 13 paid holidays, including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year.
    • Additional leave for jury duty, voting, and inclement weather.
    Comprehensive Health & Wellness Coverage
    • Low-premium medical plans starting as low as $20.88 per month for single coverage.
    • Employer-funded annual HRA allowance ($500–$1,000 depending on plan), with rollover up to $7,500.
    • HRA funds may be used for eligible medical, dental, and vision expenses.
    • Preventive care covered at 100% across all plans.
    • Flexible Spending Accounts available.
    • Telehealth and virtual care options.
    • Prescription coverage with tiered copays.
    • Comprehensive mental and behavioral health services included.
    Dental & Vision Benefits
    • Dental plans starting at $14 per month with 100% preventive coverage in-network.
    • Coverage for major services including crowns and oral surgery.
    • Vision coverage available for less than $6 per month (single coverage).
    • $150–$175 allowance for contacts, frames, and lenses.
    • Routine eye exams covered.
    Retirement & Financial Security
    • 6% pension contribution through the Kentucky Employee Retirement System (KERS).
    • Optional 401(k) and 457(b) plans.
    • Mileage reimbursement for approved travel.
    • $20,000 employer-paid life insurance with AD&D coverage.
    Additional Fringe Benefits
    • Access to specialty surgical programs under eligible plans.
    • 24/7 virtual medical and behavioral health visits.
    • Chronic disease management and diabetes support programs.
    • Maternity and family support services.
    • Joint and musculoskeletal virtual therapy options.
    • Tobacco cessation programs.
    • Wellness incentives offering cash rewards and potential premium reductions.

    Ready to Make an Impact?

    This role is essential to keeping the Paducah-McCracken Health Center safe, clean, and fully operational. As a Maintenance/Custodial Worker, you will provide critical facility support that directly affects staff efficiency and community health. If you are committed to hands-on work, maintaining public spaces, and supporting a mission-driven team, we encourage you to apply.

    Support Services Associate

    APPLICATION SUBMISSION: CLICK HERE

     

    Support Services Associate
    Location: Fulton, KY (Rotating between Fulton County and Fulton City Health Centers)
    Work Week: 37.5 hours
    Pay: $13.50/hr + 5% increase after successful 6-month probationary period

    Position Overview

    As a Support Services Associate, you will play a vital role in ensuring efficient daily operations within the Purchase District Health Department. This position supports both administrative and public health services, providing front-line assistance to clients, maintaining records, and helping programs run smoothly.

    This is a full-time, entry-level role ideal for detail-oriented, organized individuals seeking a rewarding career in public health administration. Comprehensive on-the-job training is provided.

    Primary Responsibilities

    Administrative Support
    • Greet and direct clients, visitors, and callers to appropriate staff or resources.
    • Prepare correspondence, labels, and other routine materials.
    • Maintain accurate and confidential medical and administrative records.
    • Collect, record, and reconcile fees to ensure accuracy and completeness.
    • Order and maintain office and program inventory supplies.

    Data Entry & Record Management
    • Enter information from Patient Encounter Forms (PEF), Outcome or Assessment Information Set (OASIS), and other program reports.
    • Process and issue WIC vouchers, environmental permits, and program applications.
    • Generate and review reports to verify completeness and accuracy.

    Program Support & Customer Service
    • Assist in gathering information from patients, clients, and insurance providers.
    • Use department systems such as the Environmental Health Management Information System (EHMIS) to support data accuracy and compliance.
    • Provide certificates and documentation for services rendered.
    • Support agency staff and public health initiatives as assigned.

    Minimum Qualifications

    Education & Experience
    • High school diploma or GED required.
    • No prior experience required — on-the-job training provided.

    Special Requirements
    • Must participate in agency-provided training to become knowledgeable in Patient and Community Health Services Reporting and Billing Procedures (PSRS).
    • Must complete ongoing required trainings as outlined by agency policy.

    Skills & Competencies
    • Strong customer service and communication skills.
    • Ability to organize and manage multiple tasks efficiently.
    • Basic computer literacy and accurate data entry skills.
    • Commitment to confidentiality, professionalism, and teamwork.

    Pay and Schedule

    • $13.50/hour, negotiable with experience.
    • 5% raise after successful completion of 6-month probationary period.
    • Full-time, non-exempt role with a 37.5-hour work week.
    • Eligible for full benefits, paid holidays, retirement programs, and professional development opportunities.

    Why Join Purchase District Health Department?

    If you’re looking to make a meaningful impact while enjoying one of Kentucky’s most competitive public benefits packages, this role is for you. Our HANDS specialists don’t just serve, they thrive with:

    Holidays & Time Off

    • 13 Paid Holidays including Juneteenth, Veterans Day, and two days each for Thanksgiving, Christmas, and New Year’s.
    • Accrual of 3.5 hours of vacation and 3.5 hours of sick leave per pay period, with vacation increasing based on years of service.
    • Up to 12 days of vacation and 12 days of sick leave available within your first year of employment.
    • Additional leave opportunities for jury duty, voting, and inclement weather, ensuring you have time for civic responsibilities and unforeseen circumstances.
    • Supports a healthy work-life balance, allowing you to manage personal needs, family obligations, and self-care while contributing to public health.

    Comprehensive Health & Wellness Coverage

    • Low-premium medical insurance plans starting as low as $20.88 per month for single coverage, with additional options for family coverage
    • Annual employer-funded allowance, depending on your plan ($500 – $1000) loaded onto a HealthEquity card each year (HRA dollars roll over each year, up to $7,500)
    • HRA card can be used for eligible medical, dental, and vision expenses, including copays, coinsurance, deductibles, and prescriptions.
    • Preventive care is covered at 100% across all plans — annual checkups, routine screenings, and vaccinations are included at no cost
    • Flexible Spending Accounts (FSAs) available for health and dependent care
    • Telehealth and virtual care options are available, often at lower copays than in-person visits. (Including parenting resources, nurse lines, and more)
    • Prescription coverage includes tiered copays for generic, brand, and specialty medications; pharmacy expenses may count toward your deductible and out-of-pocket maximum
    • All plans include mental health services such as counseling, psychiatric care and behavioral health care

    Dental & Vision Benefits

    • Dental insurance plans starting at $14 per month
    • 100% coverage on preventive care (cleanings, exams, and X-rays) when using in-network providers
    • Coverage for major services such as crowns, implants, and oral surgery
    • Teledentistry available 24/7, giving you remote access to dental consultations anytime
    • Vision insurance available for less than $6 per month for single coverage, with family options also available
    • $150–$175 allowance for contacts, frames, and lenses, with co-pays as low as $10
    • Covers routine eye exams for adults and children, including dilation, when necessary, to support overall eye health
    • Discounts on frames, lenses, and contacts for costs exceeding the plan allowance

    Retirement & Financial Security

    • 6% pension contribution through the Kentucky Employee Retirement System (KERS)
    • Optional 401(k) and 457(b) plans (employee-funded)
    • Mileage reimbursement for approved work-related travel
    • $20,000 of basic life insurance provided at no cost to you, including Accidental Death & Dismemberment (AD&D) benefits. You also have the option to purchase additional life insurance for yourself and eligible dependents for enhanced financial protection.

    Additional Fringe Benefits
    These benefits support your physical, mental, and financial well-being:

    • Carrum Health: Available under certain plans, access top surgeons and cancer specialists for major procedures, including cancer care, orthopedic surgeries (knee, hip, shoulder, spine), heart surgery, and weight-loss surgery—with most services covered at no cost to you.
    • LiveHealth Online: 24/7 virtual visits with doctors, therapists, psychiatrists, and lactation consultants
    • LivingWell Clinics: In-person or telehealth for annual exams, chronic care, labs, immunizations, and women’s health
    • 24/7 NurseLine & Substance Use Support: Get care guidance, provider referrals, and confidential substance use help
    • Tobacco Cessation: Free prescription and OTC aids, online or phone-based counseling programs
    • Diabetes & Chronic Care: Personalized 24/7 coaching, education, and tracking tools through Lark and DSMES programs
    • Maternity & Family Support: Digital tools, prenatal/postpartum guidance, lactation consulting, and newborn tracking.
    • Joint & Musculoskeletal Care: Virtual therapy for back, knee, hip, neck, or shoulder pain via Hinge Health
    • Acupuncture: Covered pilot program for eligible KEHP members at UK Healthcare
    • Behavioral & Mental Health: Online therapy, psychiatry, and coaching through LiveHealth Online, RethinkCare, and Learn to Live
    • Cash Rewards & Wellness Incentives: Earn $25–$850. Wellness engagement can reduce premiums by nearly $500

    Ready to Make an Impact?

    Support Services staff play an important role in keeping our clinics running smoothly each day. In this position, you’ll assist with clerical support, help maintain organized workspaces, and provide general assistance to staff and visitors across multiple clinic locations. Your work helps ensure patients and team members have a safe, welcoming, and efficient environment.

    Employee Requirements
    All employees of the Health Department are required to meet the following conditions as part of employment:

    Immunization Requirements:
    Proof of MMR, TDaP, and Varicella vaccinations or immunity must be provided prior to or within 10 days of hire.

    Background Check:
    Employment is contingent upon the successful completion of a background check.

    Training:
    All employees must complete infection control orientation, OSHA Bloodborne Pathogen training, and hand hygiene education within ten days of hire