Public Health Nurse II - Home Visitor (Lead)

Prineville, OR

Department:     Crook County Health Department

Reports To:       Health & Human Services Director

Classification:   Exempt

Salary Grade:    $27.19 - $31.07

Summary

Under the supervision of the Public Health Director, the primary duties of this position are coordinate maternal child health activities for Crook County Health Department, including oversight of the Community Health Specialist.  In addition, the position assesses client needs through Home-Visit Based Case Management to high risk perinatal clients and children from birth up to age 21 years who are enrolled in Crook County MCH programs.  These services include: assessment of the individual’s and family’s physical, mental, emotional, developmental, environmental strengths and needs,  access to resources, coping strategies; development of care plans and goals; nursing interventions and referrals; measurement of outcomes; confidential multi-tier documentation at state, federal, and program levels. This position requires the commitment to continually improve quality of care and services provided by the health department.  The position will work closely with the Director to develop and implement MCH programs for Crook County that are:

• data-driven,

• developmentally appropriate,

• culturally informed,

• equitable,

• trauma-informed,

• and as comprehensive and sustainable as possible.

As designated lead staff for the Maternal Child Health team, this position will work collaboratively on a variety of public health initiatives in support of the department-wide mission to preserve, promote, and improve the health and well-being of populations, communities, and individuals.  This position will carry out maternal child health activities for Crook County Health Department to include program planning, strategic communication, and implementation of programs, coordinating services with community partners, data gathering, interpretation, and evaluation.

Essential Job Functions 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Leadership

1. Facilitate organizational meetings for MCH Team

2. Main point of contract for CaCoon, Babies First and Family Connects programs

3. Coordinate reporting of MCH Programs to the Oregon Health Authority

4. Participate on Leadership Team

5. Assist with recruitment and training of new MCH staff

6. Participate in regional meetings to implement new programming

Maternal Child Health, Babies First, Expanded Babies First, CaCoon      

Areas of focus include CaCoon and Babies First Programs.

1. Perform intensive home visiting case management services to assigned clients, working towards and achieving a “full” caseload.

2. Perform home visiting services, per program policies/protocols, to increase family   functioning, promote parent-child interactions, promote child growth and development, identify and set goals, promote problem solving skills, enhance self-sufficiency, reduce family stressors and barriers, and increase family supports. Check physical development, vision, hearing, gross and fine motor skills, adaptive behavior and cognitive development of children.

3. Provide/promote screening of potential clients for eligibility and program placement.

4. Perform a comprehensive assessment and periodic reassessment of child/family needs; case planning, implementation of the plan of care, coordination with other services providers, on-going monitoring the plan of care, referrals and linking to available/needed resources, and assisting the family to establish personal/family goals. Assessment must be done as early as possible, and may be done at the family home, the hospital, and the health department offices, at the Early Intervention Program or other special clinics. Teach the family special techniques for caring for the special needs child.

5. Through home visits, clinic visits and telephone consultations, provide nursing services, case management, counseling, outreach and education for men, women, and children, including prenatal and postpartum care, child health care, communicable disease management and referral, high risk child/infant follow-up and family planning services; participate as needed in response. 

6. Promote Public Health home visiting programs to community partners and agencies. Provide training/orientation to partnering agencies on services provided and the referral process.

7. Coordinate services when multiple agencies are involved with child/family to enhance child and family functioning and service delivery. Act as a liaison between the family and healthcare or Social Service agencies.

8. Provide on-going oversight of community health specialist(s) (extender(s)) with whom the RN has delegated components of the plan of care including case conferencing and guidance. Assure the plan of care is being followed, remains appropriate, etc. Monitor and assist extenders to follow case plans and family goal plans that relate to identified strengths and needs of individual families.

8. Attend, and successfully complete, required training for the home visiting position. Participate in trainings as required. Maintain up-to-date skills and knowledge base related to early childhood and parenting issues.

9. Implement program objectives, and follow policies and procedures of the Maternal Child Health home visiting programs.

10. Collect and provide data for reports; assist with County, State, Federal, and grant reporting requirements.

11. Maintain client records per protocol. Complete clear, organized, accurate, and timely charting and billing. Learn/utilize a variety of computer medical record systems, including use of newer office technologies.

12. Respond to subpoenas specific to clients served; prepare for and render testimony as required.

13. Maintain all applicable professional, legal, and ethical standards including confidentiality and informed consent.

Clinical Services 

1.    Perform skilled nursing assessment services and client education in a clinical setting, including but not limited to: Family Planning services, options counseling, contraceptive counseling, medical/family assessment

2.   Assess client’s medical needs by performing limited examinations, reviewing and discussing medical histories, evaluating existing treatments, administrating treatment based on department protocols or provider orders in EMR, and monitoring results.

3. Promote health and prevention of disease in clinic and community settings.

4. Refer clients to appropriate health and social agencies or practitioners.

5. Maintain required documentation and statistical data, and compile required reports as needed.

6. Develop and maintain effective, harmonious and positive work relationships with others.

7. Maintain regular and predictable work attendance.

8. Attend health related workshops as arranged. Complete required education and certifications.

9. Perform other duties as assigned.

10. Participate in county’s emergency response functions, as assigned.

Medication

1. Describe and demonstrate proper dispensing of pharmaceuticals.

2. Administer medications in a safe manner using universal precautions and sharps safety according to standing orders and procedures.

3. Describe procedures accurately for clinic related emergencies.

Documentation

1. Complete all forms, consents, records, and other documentation as required by Crook County and Oregon Health Division.

2. Competently use electronic medical record documentation process.

3. Understand terms and concepts involved in determining payer source for family planning services with local, state and federal programs or private insurance.

General

1. Assist in the clinical area performing RN functions as needed during the walk-in clinics as assigned.  This may include immunizations and reproductive health.

2. Train in Public Health Preparedness response:

o Assist with Emergency Response as needed.

o Training in IS 100, 200, 700, 800

o Basic core functions for emergency response.

Competencies

1. Equipment used – Personal computer and related software, telephone, printer, copier, facsimile.

o Use of computers for word processing, data analysis, and Microsoft Outlook.  

2. Knowledge of principles and practices of nursing and public health nursing including health maintenance and disease prevention; the effects of physical, social, and emotional factors on health; principles and techniques of teaching, counseling, interviewing, and history taking; resources available through other health and welfare agencies; integration and linkages between community agencies.  

3. Knowledge of prenatal care and child development.

4. Ability to exercise independent judgment and plan, organize, and administer safe and effective public health nursing care; work effectively with individuals and families to assist them in the satisfactory solution of health programs; recognize and respect the impact of cultural, ethnic, and linguistic difference on health care practices; act as a liaison with other agencies to coordinate care of clients; maintain effective working relationships; maintain complete and accurate records and reports; evaluate situations accurately and adopt an effective course of action.

5. Ability to communicate effectively in both oral and written forms. 

6. Ability and skill to communicate effectively.

7. Ability and skill in working with the public (upset clients).

8. Ability and skill to contribute to a positive work environment through the Crook County Health Department vision, mission, and guiding principles.

9. Supervisory Skills

10. Knowledge of Public Health rules.

11. Knowledge of Community Resources.

12. Ability to maintain confidentiality.

13. Ability to work evenings and weekends as necessary in a public health emergency and travel when required.

14. Ability to learn and explain established policies and procedures using judgment and diplomacy.

15. Trained in Incident command Functions.

Performance Indicators

1. Contribution to a minimum of one organization-wide initiative per year (i.e. Quality Improvement processes, reaccreditation, annual staff training implementation, department-wide meetings, et cetera)

2. Adherence to work plans as developed for each program responsibility. Programs assigned to this position are subject to change and updates will be reflected in this document. 

3. Timely submission of reporting requirements for each assigned program, including recorded outcomes in VMSG database.

4. Engagement in Regional Health Improvement Plan efforts.

5. Documentation of sustainability efforts, including but not limited to grant submissions, partnership development and maintenance, et cetera.

6. Utilize Basecamp project management software to support department-wide initiatives including website and social media communications, and translation requests.

Supervisory Responsibility 

Lead and oversight responsibility for Home Visit extender position(s).

Work Environment 

This is largely a clinical role, with some sedentary work; however some filing, lifting and carrying may be required. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Ability to work in a fast paced environment, along with home visiting in client’s homes.

Physical Demands 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit; stand; walk; lift; use hands to finger, handle or feel; and reach with hands and arms.  Ability to lift up to 20 pounds, twist, and bend. Ability to perform CPR if needed.

Position Type and Expected Hours of Work 

This is a full-time position. Days and hours of work are Monday through Friday, hours vary based on home visits.

Travel 

There is considerable travel for home visiting, training, and regional meetings.

Required Education and Experience 

• Completed Registered Nurse program with current RN license

• Experience working with postpartum parents, and children of all ages

• Experience in Public Health or combination of experience and training

Preferred Education and Experience

• Bachelor’s of Science Degree in Nursing

• Supervisory or lead experience

• Experience working with new parents/families

• Bilingual

Additional Eligibility Requirements

• Must hold a valid Oregon driver’s license and valid American Heart Association CPR card.

• Prior to or on date of hire:

o Able to complete a thorough employment and/or criminal history check.

o Able to successfully pass a pre-employment drug test (not required for all positions).

o Final candidates will be required to provide official proof of college degree and certified transcripts (not required for all positions). 

Safety Sensitive Requirements

• This position is considered to be a safety sensitive position subject to drug screen(s) and adherence to all vaccine/immunity requirements for healthcare settings.

AAP/EEO Statement 

• This position is ‘at-will’, and either Crook County or the employee may terminate the relationship at any time with or without cause. 

• Crook County is an equal opportunity employer

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.