This is a specialized nurse home-visitor position assigned to the Maternal Child Health Division at the Palm Beach County Health Department. The incumbent will lead a multi-disciplinary team in the development and delivery of county-wide case management services to clients enrolled in the Healthy Beginnings System of Care: Prenatal Plus, Nurse Supporting Families Prenatal/Infants and Interconception Care.
This job encompasses working with a culturally diverse prenatal, postnatal, infant and pediatric population. The skill set requirements for this position include the ability to work autonomously, the use of critical thinking, building and maintaining therapeutic long-term relationships with families while maintaining boundaries, the ability to assess client-learning styles and adjust teaching techniques as indicated. The incumbent has strong organizational and time management skills. Provides services to families using a strength-based rather than a deficit-based model. The work required to perform this job will be under the direct supervision of a Senior Community Health Nursing Supervisor. This position is designated as a sensitive position and requires maintaining confidential information in accordance with the Department of Health and Palm Beach County Health Department information security policy, protocols and procedures. The confidential data sets this position has access to include: Clinical Information, HMS-EARS, Efforts To Outcome (ETO), Florida Shots and Healthy Beginnings Data System (HBDS) for the purpose of entering and reviewing client data. This position requires proficiency in data entry to view, update or release client information and uses an electronic medical record database. Travel is required in order to perform the duties of this position and expenses will be reimbursed on a per mileage basis. Incumbent is expected to communicate by phone, in person and electronically in a courteous and professional manner at all times. Incumbent is expected to adhere to all established DOH safety procedures and practices while in the workplace and the field. Incumbent is expected to work with others to support and accomplish the goals of the program, division and department.
Conducts home visits to provide case management and curriculum based health education services to a caseload of up to 25 pregnant women and families with newborns. Initiates the planning and implementation of needed services for individual clients and their families. Conducts nursing assessments for infant and toddler development and initiates referrals for those children not meeting typical developmental milestones. Assess for perinatal depression at multiple periods during client service and initiates referrals for counseling when indicated. Utilizes family-centered interventions to improve pregnancy outcomes, promote health literacy, strengthen family self-efficacy, support early childhood social-emotional development and decrease the risk of child abuse and neglect. Communicates with other health professionals and agencies to assure a coordinated approach to the care of the mother, child and family. Utilizes nursing processes and clinical expertise to differentiate normal from abnormal client findings and reports concerns to the client’s health care provider when indicated. Identifies community resources and links families with appropriate services as needed: including but not limited to, establishing medical home, payor source, accessing transportation, and supporting the overall development of self-sufficiency. Documents in the appropriate systems all client encounters in compliance with Department of Health protocols, Healthy Start Program Standards and Guidelines, and contractual requirements. The nurse will provide education and support to the clients in order to meet the following goals: improved pregnancy outcomes, improve child health and development and parental life course toward self-sufficiency
Telework: This is a nursing position in a nurse home visitation program. Travel to clients’ homes is required in order to perform the majority of duties for this position. Documentation of services, and other activities related to nurse home visitation, is performed via telework subject to supervisor/department head approval. Position is assigned a cell phone and a laptop computer. The incumbent will be required to sign a detailed telework agreement.
Leads case conferences, which are comprised of an interdisciplinary team of healthcare professionals. Leads reflective practice group sessions for peers utilizing Touchpoints™ principles. Participates in reflective supervision, team meetings, agency meetings, and community/committee meetings. Completes mandatory trainings, monthly reports, home visit forms and daily activity logs.
Knowledge, skills and abilities:
Knowledge of the theories and concepts of preventative health and skills in the application of nursing theory in Maternal Child Health.
Possess the ability to demonstrate respect for individuals and diversity by providing services using a non-judgmental, tolerant approach.
Possess good listening skills.
Possess the ability to engage in mutual goal setting with families by using problem solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory.
Possess the ability to learn and develop competencies in reflective practice and trauma-informed care.
Possess the ability to work autonomously and use of critical thinking;
demonstrates sufficient competency in using electronic health records, digital curriculums, digital videos clips, and Microsoft Office applications (Outlook, Word, Excel, PowerPoint) in order to work successfully with department processes, procedures and practices.
1-3 years post licensure experience in maternal child health nursing such as antepartum, labor and delivery, postpartum, mother/baby, neonatal intensive care, and pediatrics.
Nursing experience in home visitation, mental/behavioral health, or a minimum of 6 months of professional case management experience is desired.
Licensure/registration/certification requirements (If applicable, list the appropriate Florida Statute or federal regulation cite): Florida Nursing License:
This occupation requires licensure as a Registered Professional Nurse in accordance with Chapter 464 Florida Statutes or eligible to practice nursing in accordance with Florida Administrative Code 64B9.