Nurse Family Partnership - Nurse Home Visitor

What Success Looks Like In This Job

The Adams County Health Department Nursing Division is comprised of Nurse Family Partnership, Nurse Support Program, Harm Reduction, Sexual Health, Immunizations, Child Maltreatment and Fatality Prevention, and Care Coordination for Children and Youth with Special Health Care Needs. The Nursing Division is made up of clinical support staff, medical assistants, harm reduction specialists, operations support, nurses, advanced practice nurses, and midwives.
In this dynamic and ever-evolving field of public health, public health professionals are dedicated to lifelong learning, staying abreast of the latest research, trends, and best practices to deliver evidence-based care and drive positive change. We are not just a healthcare provider; we are educators, advocates, and allies, committed to fostering a culture of health, resilience, and well-being.

Nurse-Family Partnership
Nurse-Family Partnership (NFP) is a program within Adams County Health Department Nursing Division that is a national, evidence-based maternal, infant, and early childhood home visitation program which provides fosters long-term success for first time pregnant and parenting people. Primary goals of the programincludeimprovedpregnancyoutcomes,optimalchildhealthanddevelopment,positive parenting, and family self-sufficiency.
The nurse home visitor in the NFP program:

• Provides comprehensive, professional public health nursing services for low-income, high-risk women, birthing people, and their families, from early pregnancy to the child's second birthday.
• Actively recruits and maintains a caseload of 25 families.
• Maintains fidelity to the NFP program model.
• Consistently meets program goals and objectives.
• Supports client-centered goals.
• Conducts thorough health assessments and targeted public health nursing interventions.

• outcomes measurement,
• delegation,
• competency assessment,
• teaching, precepting and mentoring,
• training and on-boarding new PHNs
• creative problem solving,
• active engagement in continuous quality improvement,
• public health and program model of care champion,
• practice improvement leadership such as Practice Council Chair/Co-Chair,
• accreditation liaison and
• active participant on agency and community committees.

Examples of Duties for Success

• Develops and maintains therapeutic relationships with a diverse and complex client population, utilizing concepts of re?ection and motivational interviewing; modeling client-centered, strengths-based, and solution-focused approaches.
• Recruits and enrolls a caseload of 25 active clients by 9-12 months post-hire and maintains Colorado caseload targets thereafter, per Colorado Caseload Maintenance Guidelines.
• Continues to monitor and support client engagement in the program and proactively implements strategies to retain clients in the program.
• Ensures and adheres to professional boundaries.
• Formulates and implements plans for nursing and general health care for individuals and families based upon evaluation of needs and a focus on meeting mutually accepted health goals and objectives.
• Delivers nursing services through home visits, case management and community outreach programs.
• Completes comprehensive and holistic nursing assessments, including model speci?c assessments such as Dyadic Assessment of Naturalistic Caregiver-Child Experiences (DANCE), Intimate Partner Violence clinical pathway ASQs, PHQ-9, and GAD-7.
• Formulates nursing diagnosis based upon nursing assessments, STAR Framework and client goals, and develops a plan of care with the client.
• Assist clients in establishing realistic and achievable goals and measurable outcomes for promoting their health, caregiving abilities and life course development.
• Plans home visits in accordance with client goals and NFP outcomes. Provides education and in support in assisting women and their families in attaining their targeted goals and educational needs.
• Assists clients in ?nding resources to meet needs and makes referrals for services as appropriate.
• Consults and collaborates with other professionals involved in providing services to women and families; provides timely and coordinated case management services with a variety of health, behavioral health, and social service providers.
• Documents health history, assessments, goals and objectives, and care provided in compliance with department and program policy, procedures, and protocols.
• Completes NFP clinical documentation thoroughly and in a timely manner.
• Completes NFP data collection forms and associated assessments, per NFP required timelines and with a high degree of accuracy.
• As required, completes Medicaid billing documentation per agency and state expectations and ensures that all billable services are submitted within timely ?ling guidelines.
• Participates in review and analysis of the ETP reports to identify achievements and areas for improvement. Participates in quality improvement e?orts.
• Maintains con?dentiality of information.
• Attends and participates in NFP required weekly re?ective/clinical supervision sessions with NFP supervisor to facilitate individualized care planning for clients to facilitate optimal client outcomes and mitigate nurse home visitor secondary vicarious trauma.
• Schedules, prepares for, and completes three joint home visits with NFP Nurse Supervisor each year with a regular cadence. Utilizes principles of re?ection to debrief on visit experiences.
• Assumes responsibility for ongoing learning in relation to program implementation and actively engages in professional development to meet all NFP Nurse home Visitor competency requirements.
• Attends and participates in team based re?ective practice by contributing to team meeting and case conferences discussions at both eh small team and large team levels.

• Assists in creating positive, inclusive work environment that promotes productivity, mentoring, teamwork and cooperation at the small team, large team, and programmatic levels.
• Elicits and considers di?erent viewpoints when analyzing issues.
• Recognizes accomplishments of team members.
• Maintains clear, e?ective, open and honest communication with both internal and external customers and colleagues.
• Creates, maintains, and supports a safe environment for open discussion.
• Seeks and responds appropriately to feedback.
• Collaborates with related community agencies and service providers through client referrals, written and verbal communications, and case/team conferences.
• Participates in the evaluation of community agencies and service providers and recommends the inclusion of service providers for program collaboration.
• Develops and maintains community relationships to support client referrals to needed services and referral to the NFP program.
• Represents NFP vision, mission, and model in actions and verbally to both internal and external customers and colleagues.
• Participates in the development of community planning, organization, education, and promotion of public health and NFP services through community outreach e?orts including serving on community boards and committees and presenting public health education to individuals and community groups.
• Attends and participates in one NFP community advisory meeting annually.
• As requested/required, participates in community coalitions in support of NFP
• As requested/required, promotes public awareness of NFP
• Participates in evaluating ACHD nursing programs and services through documentation, routine statistical reporting, and team conferences.
• Participates in individual, team, and programmatic review of NFP data and development and implementation of quality improvement strategies.
• As requested/required, participates in NFP program evaluation e?orts at the agency, community, state and national levels.
• Represents ACHD as a health resource in the community. Interprets public health programs and policies to individuals, families, community groups, schools, physicians, and other collateral community agencies and service providers.

• Assists in the orientation and training of new employees, students, and interns.
• Participates in quality improvement projects.
• Maintains electronic health record (EHR) proficiency and skills as necessary for daily duties.

Qualifications for Success

Promotes Standards of Nursing Practice

• Appreciates the nature of home visiting,
• Understands requirements of Nurse Practice Act and complies with national standards of nursing practice,
• Knows and complies with state and federal rules such as mandatory reporting and HIPAA,
• Understands need for policies and procedures,
• Commitment to supporting agency and National Service Office policies and procedures.

• Strong time management and organizational skills,
• Flexible work style and approach,
• Able to identify and address needs of self,
• Ability to assess situations, set priorities, and problem-solve quickly and effectively,
• Willingness to work collaboratively with all NFP “partners” in a community of practice environment,
• Understands prevention models and implementation,
• Models the theories and principles of NFP.

• Utilizes nursing process,
• Initiates and maintains effective therapeutic relationships,
• Practices mutual goal setting,
• Is client centered, is strengths based,
• Understands own limitations,
• Pursues own professional growth,
• Has knowledge and skill in current maternal and child health theory and practice,
• Has experience in working in public health/community health programs,
• Has ability to articulate key characteristics of public health/community nursing practice and programs,
• Has ability to mentor, support and motivate clients and team members.

• Ability to communicate clearly and succinctly both verbally and in writing,
• Ability to listen and reflect with supervisor and others,
• Ability to work effectively with diverse groups and situations,
• Good receptive communication (clarifies, asks good questions, etc.),
• Active Listening and Cultural Sensitivity: Building trust and rapport with staff, colleagues and community members is key.

• Sincere,
• Warm,
• Committed,
• Empathetic,
• Self-aware,
• Independent,
• Flexible,
• Reflective,
• Reliable,
• Balanced,
• Good boundaries,
• Resourceful,
• Has enthusiasm for working with parents, children, and families,
• Understands the difference between "fix-it" mode and "strengths-based" mode.

• Understanding of population health, and social determinants of health influence on health outcomes.

• Familiar with how diseases spread in populations and can analyze data to identify health trends and areas of concern.

• This position spends approximately 60% time sitting, driving, and 40% standing, and/or walking.
• Utilize appropriate ergonomics.
• Occasionally lifts, carries, pulls, or pushes up to 20 lbs.
• Occasionally uses cart, dolly, or other equipment to carry in excess of 20 lbs.
• Occasionally uses stairs, climbs, stoops, kneels, balances, reaches, crawls and crouches while performing office or work duties.
• Verbal and auditory capacity enabling constant interpersonal communication through automated devices, such as telephones, radios, and similar; and in public meetings and personal interactions.
• Constant use of eye, hand and finger coordination enabling the use of automated office machinery or equipment.
• Visual capacity enabling constant use of computer or other work-related equipment.

• Integrates Health Equity into all areas of work.
• Creates and maintains partnerships and processes that support and integrate diversity, equity, and inclusion into all aspects of Adams County Health Department work.
• Prioritizes transparency and supports a no wrong door culture.

• Employee responds, as required, to support public health emergencies, incidents, and events.
• Employee participates in all exercises and drills on emergency preparedness, as required.
• Completes trainings identified as appropriate for this level employee.
• This may require weekend, evening, on-call duties.

• Personal vehicle in good working condition for travel to home visits and community meetings.
• Must demonstrate proficiency in using personal protective equipment (PPE).
• Computer use including internet, email, Microsoft Office Suite.
• Audio-visual and other teaching equipment.
• Healthcare equipment.
• Must be able to learn and become proficient with equipment and software programs as required to perform assigned duties effectively and efficiently.

More Qualifications for Success

Education & Experience:

NFP Nurse Home Visitor PHN I :

Requires a minimum of an Bachelor's Degree in Nursing (BSN) from a school accredited by the National League for Nursing Accrediting Commission or the American Association of Colleges of Nursing AND A minimum of one-year nursing experience, preferably in the area of adult, pediatric and community-based services. Clinical rotation hours, internships, and/or volunteer hours worked during the course of a BSN program count as qualifying experience. New graduates are encouraged to apply.

OR

Requires a minimum of an Associate's Degree in Nursing (ADN) from a school accredited by the National League for Nursing Accrediting Commission or the American Association of Colleges of Nursing AND A minimum of 3 years of nursing experience, preferably in the area of adult, pediatric and community-based services. Clinical rotation hours, internships, and/or volunteer hours worked during the course of a BSN program count as qualifying experience.

NFP Nurse Home Visitor PHN II:

Requires a minimum of an Bachelor's Degree in Nursing (BSN) from a school accredited by the National League for Nursing Accrediting Commission or the American Association of Colleges of Nursing AND a minimum of 3 years professional nursing experience, preferably in the area of Maternal Child Health and community-based services.

OR

Requires a minimum of an Associate's Degree in Nursing (ADN) from a school accredited by the National League for Nursing Accrediting Commission or the American Association of Colleges of Nursing AND a minimum of 5 years professional nursing experience, preferably in the area of Maternal Child Health and community-based services.

Professional Qualifications:

• Licensed as a Registered Nurse (RN) in the State of Colorado or compact state. Must maintain active licensure throughout employment.
• Current BLS certification
• Demonstrated experience in Motivational Interviewing preferred.
• Must pass background check

• Flexibility in work hours may be required to accommodate community events, meetings, and outreach activities.
• Travel within the community and participation in evening, weekend and on call duties may be required.
• This position requires a valid driver’s license and reliable transportation.

Adams County and the 17th Judicial District Attorney's Office complies with Colorado’s Job Application Fairness Act (“JAFA”). JAFA prohibits employers from asking individuals to disclose their age, date of birth, or dates of school attendance or graduation on an initial employment application. However, additional application materials such as certifications and transcripts containing this information may be required for certain positions; if such additional materials are requested, applicants may redact information that identifies the applicant’s age, date of birth, or dates or attendance or graduation.