Public Health Nurse II - Home Visitor

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Job Title:              Public Health Nurse II – Home Visitor                              

Department:        Crook County Health Department

Reports To:          Nursing Supervisor/Director

I.      Job Purpose:

Under the supervision of the Nursing Supervisor, the primary duties of this position are to assess 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.

  • Number of Employees Reporting to This Position:       0

II.        Duties, Tasks and Responsibilities:

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

  • Areas of focus include CaCoon, Babies First, and Expanded Babies First.
  • Performs intensive home visiting case management services to assigned clients, working towards and achieving a “full” caseload.
  • Performs 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.
  • Provides/promotes screening of potential clients for eligibility and program placement.
  • Performs 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.
  • 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.
  • Promotes Public Health home visiting programs to community partners and agencies. Provides training/orientation to partnering agencies on services provided and the referral process.
  • Coordinates 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.
  • Provides on-going oversight of community health workers with whom the RN has delegated components of the plan of care including case conferencing and guidance. Assures the plan of care is being followed, remains appropriate, etc. Monitors and assists CHWs to follow case plans and family goal plans that relate to identified strengths and needs of individual families.
  • Attends, and successfully completes, required training for the home visiting position. Participates in trainings as required. Maintains up-to-date skills and knowledge base related to early childhood and parenting issues.
  • Implements program objectives, and follows policies and procedures of the Maternal Child Health home visiting programs.
  • Collects and provides data for reports; assists with County, State, Federal, and grant reporting requirements.
  • Maintains client records per protocol. Completes clear, organized, accurate, and timely charting and billing. Learns/utilizes a variety of computer medical record systems, including use of newer office technologies.
  • Responds to subpoenas specific to clients served; prepares for and renders testimony as required.
  • Maintains all applicable professional, legal, and ethical standards including confidentiality and informed consent.


  • Assist in the clinical area performing RN functions as needed during the walk-in clinics as assigned.  This may include immunizations and reproductive health.
  • Train in Public Health Preparedness response:
    • Assist with Emergency Response as needed
    • Training in IS 100, 200, 700, 800
    • Basic core functions for emergency response.

III.      Skills, Knowledge and Abilities:

  • Equipment: Personal computer and related software, telephone, printer, copier, facsimile.
    • Use of computers for word processing, data analysis, and Microsoft Outlook. 
  • Knowledge of principles and practices of nursing and public health nursing including health maintenance and disease prevention; prenatal and child development, 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. 
  • Adaptability: Adapts to changes in the work environment/priorities; manages competing demands; able to deal with frequent change or unexpected events; changes approach or methods to best fill the situation.
  • Attendance and Punctuality: Consistently at work and on time; arrives at meetings and appointments on time.
  • Customer Service: Manages difficult or emotional customer situations; understands and applies the principles of quality customer service; responds promptly to customer needs and request for service and assistance; solicits customer feedback to improve service.
  • Dependability: Follows instructions and responds to management direction; takes responsibility for own actions; keeps commitments; completes tasks on time or notifies appropriate person with an alternative plan.
  • Diversity: Shows respect and sensitivity for cultural differences; promotes and supports a harassment-free environment.
  • Ethics: Treats people with respect; inspires the trust of others; works ethically and with integrity; upholds organizational values. Recognize and respect the impact of cultural, ethnic, and linguistic difference on health care practices.
  • Initiative: Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for help when needed.
  • Innovation: Displays original thinking and creativity; meets challenges with resourcefulness; generates suggestions for improving work; develops innovative approaches and ideas; presents ideas and information in a manner that gets others’ attention.
  • Interpersonal Skills: Focuses on cooperatively resolving conflict; maintains confidentiality; actively listens to others without interrupting; conveys a positive image of the County and its services; keeps emotions under control (remains calm and emotionally available in stressful situations); remains open to others; remains open to ideas and tries new things; establishes positive working relationships with culturally diverse families; relates effectively to individuals of varied ages, ethnic, socio-economic, and cultural groups.
  • Judgment: Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains the reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions, maintain confidentiality. 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; 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.
  • Motivation: Sets and achieves challenging goals; demonstrates persistence and overcomes obstacles; measures self against standard of excellence; takes calculated risks to accomplish goals.
  • Oral Communication: Speaks clearly and persuasively; listens and gets clarification; responds well to questions; participates in meetings; demonstrates group presentation/facilitation skills.
  • Organizational Support: Follows policies and procedures; completes administrative tasks correctly and on time; supports organization’s goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.
  • Planning and Organizing: Prioritizes and plans work activities; uses time resources efficiently; plans for additional resources; sets goals and objectives; works efficiently and independently with little support to meet program expectations and timelines.
  • Problem Solving: Identifies and resolves problems promptly; gathers and analyzes information skillfully; develops alternative solutions; uses reason even when dealing with emotional topics; works well in group problem-solving situations.
  • Professionalism: Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of status or position; inspires respect and trust; accepts responsibility for own actions; follows through on commitments; establishes and maintains positive professional and congenial working relationships with clients, staff, and community partners.
  • Quality Management: Looks for ways to improve and promote quality; demonstrates accuracy and thoroughness; seeks and applies feedback to improve performance; monitors own work to ensure quality.
  • Safety and Security: Observes, and encourages other to observe, safety and security procedures; determines appropriate action beyond guidelines; reports potentially unsafe conditions; uses, and ensures other staff use, equipment and materials properly. Ability and skill in working with the public (upset clients).
  • Teamwork: Balances team and individual responsibilities; exhibits objectively and openness to others’ views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone’s efforts to succeed.  Follow missions, vision, and CCHD guiding principles.
  • Technical Skills: Assess own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
  • Written Communication: Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs; presents numerical data effectively; able to read and interpret written information.
  • Knowledge of Public Health rules including Targeted Case Management.
  • Ability to work evenings and weekends as necessary in a public health emergency and travel when required.
  • Trained in Incident command Functions.
  • Ability to work in a fast paced environment.
  • Ability to lift up to 25 lbs.

IV.      Qualifications: 

  • Associated Degree or Bachelor’s Degree in Nursing Required:  Bachelor’s Degree in Nursing or Associate in Nursing with a Bachelors in a related field preferred. 
  • Experience: Experience in Pediatrics and Public Health or a combination of experience and training.
  • Must hold a valid Oregon driver’s license and valid CPR card.
  • Prior to or on date of hire:
    • Able to complete a thorough employment and/or criminal history check.
    • Able to successfully pass a pre-employment drug test (not required for all positions).
    • Final candidates will be required to provide official proof of college degree and certified transcripts (not required for all positions).

V.      Position Details:

  • The duties outlined in this job description are not all inclusive and additional duties and tasks will be assigned as required. 
  • This position is ‘at-will’, and either Crook County or the employee may terminate the relationship at any time with or without cause.
  • Work location is Crook County Health Department and off-site locations at times. 
  • Fair Labor Standards Classification: Non-Exempt
  • Crook County is an equal opportunity employer.

Location: Prineville, OR
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