PO Box 1378 3105 Palmyra Rd. Hannibal, MO


The Marion County Health Department is responsible for protecting and promoting the health of Marion County residents, assessing health status and needs, developing policies and priorities, and assuring the communities that public health needs are met.

POSITION:   Public Health Worker, Registered Nurse

JOB POSTING DATE:                 _09/19/2022__

SUPERVISOR: Public Health Supervisor

JOB POSTING CLOSED DATE:  _Until filled_                

POSITION ACCEPTANCE DATE: _TBD__                                          


STARTING PAY: ______$26.00/Hour______



  1. Graduation from an accredited four-year college/university with course work in public health, environmental health, biology, chemistry, bacteriology, food science, soil science, sanitary science, environmental health, nursing or in closely related physical or natural sciences.
  1. Possession of a current license to practice Registered Professional Nursing in Missouri.



The Public Health Worker, RN position is responsible for assisting in all areas of the public health system including WIC, clinic, environmental, community assessments and outreach, emergency response, and vital records. This position required a flexible schedule and a willingness to assist wherever needed. Occasional evening or weekend hours may be required.



Experience working in public health is preferred.   Working knowledge of principles, practices and terminology related to public health.  Working knowledge of health laws, regulations, requirements, and policies.  Ability to communicate effectively.



  1. Learning all aspects of the Health Departments. Assisting with answering phone calls and questions.
  2. Under a physician’s orders, provide skilled nursing services.
  3. Staying informed on communicable disease protocols, guidance, methods of education, and best practices.
  4. Coordinate ancillary services to achieve the highest possible level of wellness for each patient. Makes referrals to other disciplines and agencies as indicated.
  1. Maintains all records and reports in a timely manner that allows maximum accessibility by other staff members to these records and reports.
  2. Assures continuity of patient care and is in accordance with Agency policies and procedures.
  3. Maintains strict standards of confidentiality.
  4. Participate in local health fairs, or other community events to engage and educate the community. Promoting healthy lifestyles, prevention of chronic disease, and providing COVID-19 education.
  5. Stays informed in basic laws, regulations, principles, procedures, and techniques relating to environmental public health programs, including the following: individual water and on-site wastewater treatment systems; food and facility sanitation; food safety inspection; food and waterborne disease prevention and outbreak investigation; child care facility sanitation and safety; commercial lodging sanitation and safety; and environmental public health factors related to disaster response and/or food transportation accidents.
  6. Assists in investigating complaints involving possible environmental public health law violations; prepares reports with recommendations for corrective measures and conducts follow-up investigations.
  7. Enforce environmental health codes by inspecting restaurants, food establishments, daycares, schools, hotels/motels, grocery stores, swimming pools, special events such as festivals and fairs, and other public businesses. Provide assurance to the community by assisting in food recalls, enforcing regulations, responding to public health emergencies, and other public health related ordinances or concerns.  Investigate food borne illnesses and other complaints, interview all essential parties and perform follow-up inspections as necessary.
  8. Job may require evening or weekend work.
  9. Ability to establish and maintain working relationships with the public, co-workers, and other governmental agencies. Perform assigned duties willingly, promptly and in a professional manner.  Prepare reports and documentation in a timely fashion and according to procedural guidelines.
  10. Various other duties as assigned.

Employees should feel free to apply for positions if they meet the qualifications.  Supervisors reserve the right to refuse interviews to applicants who do not meet the experience or educational requirements for a position.

At Marion County Health Department, we offer a number of services to our visitors. To find out more about what we have available please click the button below.

learn more


On-Site Wastewater - Soil Scientists download
On-Site Wastewater - Certification of Installation download
On-Site Wastewater - Permit Application download
On-Site Wastewater - Procedure download
Lodging Establishment Permit Application download
Lodging Establishment Permit Fee Structure download
Temporary Food Permit Application download
Temporary Food Pamphlet download
Temporary Food Policy download
Farmers Market Permit Application download
Farmers Market Food Policy download
Jams and Jelly Requirements download
Class One Maintenance Agreement download
Food Establishment Permit Application download
Marion County Food Ordinance download
Marion County OWTS Ordinance download
Marion County Lodging Ordinance download


Friday, January 27
8:15-4:15 pm Birth & Death Certificates Must have a Photo ID OR two forms of alternative identification
8:15-4:30 pm Blood Pressure Screenings Walk-In's Welcome
8:15-4:00 pm Flu Shots & Immunizations By Appointment Only. Call 573-221-1166
8:15-4:00 pm STD Testing By Appointment Only. Call 573-221-1166
8:30-4:00 pm Pregnancy Testing Walk-In's Welcome
12:00-1:00 pm Office Closed Noon-1pm The office will be closed from 12:00pm-1:00pm for staff meeting
Monday, January 30
8:15-4:15 pm Birth & Death Certificates Must have a Photo ID OR two forms of alternative identification
8:15-4:30 pm Blood Pressure Screenings Walk-In's Welcome
8:15-4:00 pm STD Testing By Appointment Only. Call 573-221-1166
8:15-4:30 pm WIC Mon-Wed By Appointment. Call 573-221-1166 for more information or to make an appointment
8:30-4:00 pm Pregnancy Testing Walk-In's Welcome
Tuesday, January 31
8:15-4:15 pm Birth & Death Certificates Must have a Photo ID OR two forms of alternative identification
8:15-4:30 pm Blood Pressure Screenings Walk-In's Welcome
8:15-4:00 pm STD Testing By Appointment Only. Call 573-221-1166
8:15-4:30 pm WIC Mon-Wed By Appointment. Call 573-221-1166 for more information or to make an appointment

The 2022 Community Needs Assessment can be found Here





Marion County Health Department Closing at Noon

Reminder: The Marion County Health Department will close at noon today, December, 23, 2022 for annual staff training.



Marion County Health Department is Currently Open


Weather Conditions Are Being Monitored 

The Marion County Health Department is open today, December, 22, 2022, and we are monitoring the weather closely.

In the event of a closure

  • The MCHD website will be updated
  • If you have an appointment: our staff will contact you directly.

If you do not have an appointment: please call our office before you travel 573-221-1166

Craig Parsons, Administrator



Palmyra WIC Clinic

The Marion County Health Department is excited to announce that we will begin providing WIC services in Palmyra, MO at the St. Joseph’s Catholic Church, FarischonHall on the Second Tuesday of each month. We will begin making appointments today and our first service date will be January 10, 2023. Please call the Marion County Health Department office to make an appointment or if you need more information: 573-221-1166.

I would like to personally thank St. Joseph’s Catholic Church for their willingness to partner with us to help reduce barriers and improve WIC access to the Palmyra residents and surrounding communities.

Craig Parsons, Administrator

Marion County COVID-19 Weekly Update


1/14/23 – 1/20/23:

New:  20

Total Deaths:  131

Known Hospitalizations: 0

For more information, visit the DHSS website  or the CDC website

Updated Guidance from the CDC

CDC Self Isolation and Exposure Calculator

CDC COVID Vaccine Data Tracker

General COVID Vaccine Information



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