visiting nurse

Compassionate Visiting Providers, Inc.

<p><b>Nurse Practitioner Job Description</b></p><p><b>Role Description</b></p><p>Compassionate Visiting Providers, Inc. is seeking a Part-time Advanced Nurse Practitioner (ANP) to provide high-quality healthcare to patients. The role involves diagnosing and treating illnesses, managing chronic conditions, performing physical exams, and offering preventative care guidance. This is a part-time, <b>on-site</b> role located in the Greater Houston area. Clinicians will engage with patients at their homes or designated healthcare facilities, ensuring they receive the highest standard of care tailored to their individual needs.</p><p><b>Qualifications</b></p><ul><li>Licensed Advanced Nurse Practitioner (ANP) with active certification and registration</li><li>Strong skills in patient assessment, diagnosis, and treatment planning</li><li>Experience in managing chronic conditions and providing preventive care</li><li>Exceptional communication, interpersonal skills, and ability to establish trust with patients</li><li>Proficiency in maintaining accurate medical records and adhering to regulatory guidelines</li><li>Ability to work independently and manage a part-time schedule effectively</li><li>Experience in home-based care or geriatric care is a plus</li><li>CPR certification and a valid driver&rsquo;s license required</li></ul><p>Job Types: Part-time, Contract, Travel nursing</p><p>Pay: $85.00 - $125.00 per hour</p><p>License/Certification:</p><ul><li>Texas Diverse license (Preferred)</li></ul><p>Work Location: In person</p>

Nurse Practitioner

Jefferson County Colorado

<div></div><div><div>Job Posting Closes at 11:59PM on:</div>
03/30/26<div>
Division:</div>
Public Health Division<div>
Management Level:</div>
Individual Contributor<div>
Scheduled Weekly Hours:</div>
40<div>
Benefit Eligibility:</div>
This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.<div></div><div>
Description:</div><div>
Jefferson County Public Health is currently hiring a Nurse Home Visitor for its Nurse-Family Partnership (NFP) Program. This position provides you the opportunity to work for a county that thrives on working collaboratively and overcoming challenges. We are seeking a game changer, someone that loves what they do and is motivated to share their knowledge with those that they work with.</div><div><br>
This position in Jefferson County Public Health (JCPH) involves community-based public health nursing work to promote and protect the health of birthing individuals, families, and populations using knowledge from nursing, social, and public health sciences. The nurse home visitor is responsible for maintaining the highest standards in clinical nursing practice and adherence to the Nurse-Family Partnership model, policies, procedures. The Nurse Home Visitor works as part of a team to deliver high-quality, preventive health services.</div><div></div><div>
SCHEDULE:</div><div>
Please note this position has a flexible schedule with a 4-day work week. This position is hybrid, with remote, in-office and on-site work in client homes.</div><div></div><div>
COMPENSATION:</div><div>
Hiring Range: $78,234.13 &ndash; $86,926.81 USD Annual</div><div>
Compensation will be determined based on education, experience, and skills.</div><div></div><div>
BENEFITS:</div><div>
Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental, and vision insurance, paid time off and holidays including a starting bank of 40 hours of PTO for new hires, retirement matching, wellness programs, tuition reimbursement and more. For more information,<div></div> for our Total Rewards summary.</div><div></div><div>
ESSENTIAL DUTIES:</div><div>
Involves professional nursing work and case management in a home visitation health care setting to include but are not limited to:</div><ul><li>
Adheres to the nursing process and the Nurse-Family Partnership model of home visitation.</li><li>
Develops therapeutic relationships with birthing and parenting individuals and their families in a home visiting environment.</li><li>
Assesses physical, emotional, social, and environmental strengths and risks of birthing and parenting individuals and their families.</li><li>
Provides education, support, and referral resources in assisting birthing and parenting individuals and their families in attaining their targeted goals</li><li>
Works as part of a nursing team to deliver care in a culturally appropriate and client-centered manner to diverse populations.</li><li>
Works with clients using Motivational Interviewing, Trauma Informed Care and a Strengths Based approach to support positive behavioral changes during pregnancy and beyond.</li><li>
Conducts care coordination and health management with clients.</li><li>
Documents and communicates client care through maintaining accurate, complete, and timely electronic and paper medical records while maintaining confidentiality.</li><li>
Represents the Nurse-Family Partnership and JCPH vision, mission, and model in actions as well as verbally to both internal and external customers and colleagues.</li><li>
Maintains clear, effective, open, and honest communication with both internal and external customers and colleagues.</li><li>
Participate in NFP and community outreach events as requested.</li><li>
Precept and/or mentor nursing students and new employees.</li><li>
Participate in program planning and evaluation, quality improvement processes, and policy and procedure development.</li><li>
Participate in ongoing relevant professional education.</li><li>
Represent JCPH and the public health nursing discipline on internal and external committees and workgroups to promote its concepts including health equity and social determinants of health.</li><li>
Other duties as assigned.</li></ul><div></div><div>
QUALIFICATIONS:</div><div>
Minimum Qualifications:</div><ul><li>
Bachelor's degree in nursing and minimum one (1) year of work-related experience or an equivalent combination of education and experience. For example, applicants will meet minimal qualifications if they have an Associate&rsquo;s degree and 3 years of experience.</li><li>
Licensed as a Registered Nurse (RN) in Colorado, or in a state that has enacted the RN Nurse Licensure Compact at time of employment.</li><li>
Current CPR Certification at hire.</li></ul><div></div><div>
Please note that preferential consideration for interviews will be given to those candidates that have maternal child health, public health, community health, home visiting, home health and/or mental health experience.</div><div>
Preferred Knowledge, Skills and Abilities:</div><ul><li>
Two (2) additional years of experience above the minimum requirements.</li><li>
Experience in use of Electronic Health Records.</li><li>
Spanish speaking ability preferred but not required. JCPH has a policy to additionally compensate workforce members who are able to demonstrate bilingual language skills.</li><li>
Experience working with Nurse-Family Partnership/Nurse Home Visitation Programs.</li><li>
CLC or IBCLC certification and/or work with breastfeeding mothers.</li><li>
Experience working with teenagers.</li></ul><div></div><div>
ADDITIONAL JOB INFORMATION:</div><div>
Accommodations Statement: We encourage people with disabilities to and are committed to providing reasonable accommodations throughout our hiring process. For assistance with applications, interviews, or other hiring-related accommodations, contact <div>careertalent@jeffco.us</div>. This contact is for accommodation requests only and cannot provide application status updates.</div><div></div><ul><li>
Criminal History and MVR Background Checks are required for every position.</li><li>
A valid Colorado driver&rsquo;s license is required for positions that drive on County Business in either a county or personal vehicle within 30-days of hire or beginning to serve as an intern or volunteer.</li><li>
Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references.</li>
Current Jefferson County employees must<li> through their employee profile in Workday.</li><li>
In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.</li></ul><div></div><div>
APPLICATION:</div><div>
Qualified applicants are encouraged to immediately. All applicants must submit an online employment application by 11:59PM on the posted cut-off date. Follow this link to now: <div>Jefferson County Colorado Career Opportunities</div></div><div></div><div>
A resume and cover letter submitted with your application is encouraged but will not substitute for the information requested on the application. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team if selected. To view the status of your application, please log into your <div>candidate portal</div><div>.</div></div><div></div><div>
For more details on the recruitment process, please visit: <div>https://www.jeffco.us/1860/FAQs</div></div><div></div><div>
Questions? Contact the Jefferson County Recruitment Team at 303-271-8420 or <div>CareerTalent@Jeffco.us</div></div><div></div><div>
Education:</div><div>
Experience:</div>
Work Experience: Minimum one year<div></div><div>
Certifications:</div>
Licensed Registered Nurse - State of Colorado<div>
Languages:</div><div>
Category:</div>
Health &amp; Human Services</div>

Nurse Home Visitor

City of Columbus, OH

<div><div><div><h2 class="jobSectionHeader"><b>Definition</b></h2></div>
<p></p><div><div>This position will directly supervise a team of public health nurses and Care Coordination Assistants that provide home visiting services to clients enrolled in the DCY Parents as Teachers Home Visiting Program &amp; Healthy Start home visiting program and ensure compliance and fidelity to evidence-based practices. This position will also assist in writing reports as well as provide some in-home family-centered assessment, education and coordination services to pregnant and parenting women, and their children up to 3 years of age with the goal to mitigate health disparities, improve birth outcomes, prepare children for school and better the health status of women, infants and children.</div><div><b><br>
Pay</b><b>:</b></div><div>
$41.45 to $62.16</div><div><b><br>
Preferred Qualifications</b><b>:</b></div><div>
A bachelor&rsquo;s degree in nursing with 3 years of relevant experience in home visiting, assessment of pregnant and postpartum mothers and newborns, and staff supervision preferred; must be willing to work with culturally diverse populations.</div></div><br>
<p></p>
<div><h2 class="jobSectionHeader"><b>Examples of Work</b></h2></div>
<p></p><div><div><i>(Any one position may not include all of the duties listed, nor do the examples cover all of the duties that may be performed.)</i></div><div><br>
Plans assignments of professional and non-professional nursing and other health personnel;</div><div></div><div><br>
Interprets agency programs and policies to staff;</div><div></div><div><br>
Confers with staff regarding nursing or program problems and procedures;</div><div></div><div><br>
Ensures that nursing staff utilize evidence-based best practices as appropriate;</div><div></div><div><br>
Participates in agency health conferences, case conferences, and committees with other community organizations;</div><div></div><div><br>
Supervises student, practical, and registered nurses and other health personnel to include signing performance evaluations, approving leave requests, and recommending disciplinary actions;</div><div></div><div><br>
Reviews reports and records of staff; evaluates staff performance; leads and participates in staff meetings;</div><div></div><div><br>
Maintains patient medical records and reports;</div><div></div><div><br>
Writes reports;</div><div></div><div><br>
Participates in policy development and the overall planning, implementation, and evaluation of programs and team functions;</div><div></div><div><br>
Coordinates patient care to reach desired outcomes;</div><div></div><div><br>
Acts as consultant to others;</div><div></div><div><br>
May perform grant management activities such as writing, monitoring, and evaluating grants and writing grant reports;</div><br>
<div></div>
May be assigned to serve as a member of an Incident Command System (ICS) Team, or a similar public health response team which may include the conduct of operations on a 24/7 basis at remote locations. Assignment may include serving as a department and/or community incident commander or on the incident command team.</div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<p></p><div><div><div>Possession of a valid State of Ohio license as a Registered Nurse and three (3) years of professional nursing experience. Substitutions: A master's degree in nursing or public health OR certification in a nursing specialty area may be substituted for one (1) year of the required experience.</div><div></div><div><br>
Some positions may require possession of a valid driver&rsquo;s license.</div></div></div><br>
<p></p>
<div><h2 class="jobSectionHeader"><b>Test/Job Contact Information</b></h2></div>
<p></p><div><div>Recruitment #: 26-1645-V1</div><div>
Employment Type: Full-Time (Regular)</div><div></div><div><br>
Should you have questions regarding this vacancy, please contact:</div><div></div><div><br>
Christian Kassahun</div><div>
Columbus Public Health</div><div>
240 Parsons Ave.</div><div>
Columbus, Ohio 43215</div><div>
P: (614) 645-6572</div><div>
E: ckkassahun@columbus.gov</div><div></div><div><b><i><br>
The City of Columbus is an Equal Opportunity Employer</i></b></div></div></div></div><p></p>

Public Health Nursing Supervisor (Vacancy)

Easter Seals Blake Foundation

<div>Description:
<p>
Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then, we have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties and support more than 3,700 children in Foster Care throughout Southern Arizona. Are you ready to make profound, positive differences in people's lives every day?</p><p><br>
We offer our full-time employees the following benefits:</p><ul><li>
Medical, Dental and Vision</li><li>
Flexible Spending Account and Dependent Flexible Spending Account</li><li>
Health Savings Account</li><li>
Voluntary Life insurance</li><li>
Voluntary Short-term Disability insurance</li><li>
Critical Illness insurance</li><li>
Accident insurance</li><li>
Employer paid life insurance, long-term disability insurance, and Employee Assistance Program</li></ul><p><b>
General Position Description:</b> Provides comprehensive nursing services to women and their families, starting during pregnancy and throughout infant/toddler development, in the client&rsquo;s home or other community setting.</p><p><b>
Essential Duties and Responsibilities:</b></p><ul><li>
Provides home visits, in-home and virtual, to eligible women, caregivers, and their families.</li><li>
Adheres to nursing process and the standards of the respective evidence-based model of home visitation [Maternal Early Childhood Home-visiting program (MECSH) or Nurse Family Partnership (NFP)].</li><li>
Develops and maintains community relationships to promote public awareness and to support client referrals.</li><li>
Assesses physical, emotional, social, and environmental needs of women, caregivers, and their families.</li><li>
Provides education, support, and referral resources in assisting clients to attain their targeted goals.</li><li>
Consults and collaborates with other professionals involved in providing services to women and families.</li><li>
Actively engages in case conferences and continuous quality improvement activities. Elicits and considers differing viewpoints when analyzing issues.</li><li>
Maintains a caseload of 25-30 clients, when working as a full-time nurse home visitor.</li><li>
Participates in the process of ongoing professional development and meetings. Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision.</li><li>
Performs other duties as assigned</li></ul>
Requirements:
<p><b>
Minimum Requirements: </b>Associate Degree in Nursing (ADN) or Bachelor&rsquo;s degree in Nursing<b>(</b>BSN) and current RN license in good standing required. Experience in maternal/child health, public health, home visiting or mental/behavioral nursing preferred. Bilingual (Spanish) preferred.</p><p>
Regulatory</p><ul><li>
Must be at least 21 years of age.</li><li>
Current, unrestricted AZ driver&rsquo;s license with no more than two (2) minor moving violations or one (1) accident within the past three (3 years). Three (3) years of driving experience required.</li><li>
Transportation to family homes, sites, attend trainings, and perform work related activities. Organizational vehicles may not be available at all times.</li><li>
Must be able to pass a criminal background check.</li><li>
Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides).</li><li>
CPR and First Aid certification (Employer provides).</li></ul><p><b>
Skills/Job Knowledge/Abilities: </b>Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Able to communicate clearly, effectively, with confidentiality, openness and professionalism with families, colleagues, and stakeholders Able to listen attentively and accurately to the client&rsquo;s current experience. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional appearance, communications, and actions. Basic knowledge of the respective evidenced-based home visitation model&rsquo;s (MECSH or NFP) policies, practices, and procedures. Knowledge of prenatal and post-partum maternal health; the dynamics of intimate partner violence and safety planning; infant/toddler typical and atypical development; family systems and principles of family-centered care; and community health and social service resources. Possess a high level of computer proficiency.</p><p><b>
Working Conditions/Physical Requirements (with or without accommodation):</b> Client in-home and office environment with multiple interruptions in person and through computer and phone. Will work outside and inside environments, as needed. Daily travel to client homes and other locations. Interacts with employees and members of the public on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens, forms and to assess the wellbeing of clients and children. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods. Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances.</p><p><b>
Additional Information:</b> This job description is not intended to be an exhaustive list of all possible duties, skills, job knowledge, responsibilities, and/or qualifications. EBF reserves the right to revise the job description or to assign other duties to this position. This job description is not intended to create a contract or property right to continued employment between the employee and EBF.</p><p>
Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affirmative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.</p><p>
If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at <b>HR@blake.easterseals.com</b> or call 520-327-1529</p></div>

Nurse Home Visitor (FT/PT)

<div>Description:
<p>
Easterseals Blake Foundation started as the Cerebral Palsy Foundation of Southern Arizona. Since then, we have expanded our services to better serve our community members. We are now one of Arizona's top providers of comprehensive behavioral health services, child welfare, and services for individuals with intellectual and developmental disabilities. We serve more than 40,000 individuals and families across 10 counties and support more than 3,700 children in Foster Care throughout Southern Arizona. Are you ready to make profound, positive differences in people's lives every day?</p><p>
We offer our full-time employees the following benefits:</p><ul><li>
Medical, Dental and Vision</li><li>
Flexible Spending Account and Dependent Flexible Spending Account</li><li>
Health Savings Account</li><li>
Voluntary Life insurance</li><li>
Voluntary Short-term Disability insurance</li><li>
Critical Illness insurance</li><li>
Accident insurance</li><li>
Employer paid life insurance, long-term disability insurance, and Employee Assistance Program.</li></ul><p><b>
General Position Description:</b> Provides comprehensive nursing services to women and their families, starting during pregnancy and throughout infant/toddler development, in the client&rsquo;s home or other community setting.</p><p><b>
Essential Duties and Responsibilities:</b></p><ul><li>
Provides home visits, in-home and virtual, to eligible women, caregivers, and their families.</li><li>
Adheres to nursing process and the standards of the respective evidence-based model of home visitation [Maternal Early Childhood Home-visiting program (MECSH) or Nurse Family Partnership (NFP)].</li><li>
Develops and maintains community relationships to promote public awareness and to support client referrals.</li><li>
Assesses physical, emotional, social, and environmental needs of women, caregivers, and their families.</li><li>
Provides education, support, and referral resources in assisting clients to attain their targeted goals.</li><li>
Consults and collaborates with other professionals involved in providing services to women and families.</li><li>
Actively engages in case conferences and continuous quality improvement activities. Elicits and considers differing viewpoints when analyzing issues.</li><li>
Maintains a caseload of 25-30 clients, when working as a full-time nurse home visitor.</li><li>
Participates in the process of ongoing professional development and meetings. Maintains comprehensive communication among all contacts within the agency, members, and external agencies. Models professional standards and ethics in accordance with EBF Code of Conduct, Strategic Plan, Mission, and Vision.</li><li>
Performs other duties as assigned.</li></ul>
Requirements:
<p><b>
Minimum Requirements: </b>Associate Degree in Nursing (ADN) or Bachelor&rsquo;s degree in Nursing<b>(</b>BSN) and current RN license in good standing required. Experience in maternal/child health, public health, home visiting or mental/behavioral nursing preferred. Bilingual (Spanish) preferred.</p><p>
Regulatory</p><ul><li>
Must be at least 21 years of age.</li><li>
Current, unrestricted AZ driver&rsquo;s license with no more than two (2) minor moving violations or one (1) accident within the past three (3 years). Three (3) years of driving experience required.</li><li>
Transportation to family homes, sites, attend trainings, and perform work related activities. Organizational vehicles may not be available at all times.</li><li>
Must be able to pass a criminal background check.</li><li>
Ability to obtain and maintain an AZ DPS Level 1 fingerprint clearance card (employer provides).</li><li>
CPR and First Aid certification (Employer provides).</li></ul><p><b>
Skills/Job Knowledge/Abilities: </b>Able to establish and maintain a team atmosphere of communication and collaboration for all that reach out to the Department. Able to communicate clearly, effectively, with confidentiality, openness and professionalism with families, colleagues, and stakeholders Able to listen attentively and accurately to the client&rsquo;s current experience. Must be self-directed and be sensitive to cultural and linguistic diversity. Excellent customer service in stressful situations. Maintains a professional appearance, communications, and actions. Basic knowledge of the respective evidenced-based home visitation model&rsquo;s (MECSH or NFP) policies, practices, and procedures. Knowledge of prenatal and post-partum maternal health; the dynamics of intimate partner violence and safety planning; infant/toddler typical and atypical development; family systems and principles of family-centered care; and community health and social service resources. Possess a high level of computer proficiency.</p><p><b>
Working Conditions/Physical Requirements (with or without accommodation):</b> Client in-home and office environment with multiple interruptions in person and through computer and phone. Will work outside and inside environments, as needed. Daily travel to client homes and other locations. Interacts with employees and members of the public on a daily basis. May lift normal office equipment and materials up to 25lbs. Visual acuity to read information from computer screens, forms and to assess the wellbeing of clients and children. Able to speak clearly in conversations and general communications. Hearing ability for communication in persona, phone, and/or other electronic methods. Manual dexterity for typing and writing. Able to stoop, squat, reach, pull, push, stretch, ascend and descend stairs, stand and sit for long periods of time. May be required to work additional hours or days depending on circumstances.</p><p><b>
Additional Information:</b> This job description is not intended to be an exhaustive list of all possible duties, skills, job knowledge, responsibilities, and/or qualifications. EBF reserves the right to revise the job description or to assign other duties to this position. This job description is not intended to create a contract or property right to continued employment between the employee and EBF.</p><p>
Easterseals Blake Foundation and Aviva are an Equal Employment Opportunity and Affirmative action employer that promotes a work environment of inclusion and diversity. We are committed to provide employment opportunities to all candidates based on their qualifications free of discrimination based on race, color, religion, national origin, sex (including pregnancy, sexual orientation or gender identity), age, disability, veteran status, genetic information, mental or physical disability, or any other characteristic protected by law.</p><p>
If you have any questions, require assistance or reasonable accommodations while seeking employment, please contact the Human Resource Department at HR@blake.easterseals.com or call 520-327-1529.</p></div>

Viska Homecare and Companion Services

<p><b>Supervising Registered Nurse (RN) &mdash; PRN / Per Diem / ContractViska Homecare | Silver Spring, MD 20901</b></p><p><b>Pay: $100&ndash;$150 per assessment | $75&ndash;$100 per supervisory visit | $45&ndash;$65/hr</b></p><p><b>About Viska Homecare</b></p><p>Viska Homecare is a licensed Residential Service Agency (RSA) and home healthcare agency in Silver Spring, Maryland. We provide skilled in-home nursing oversight, personal care, and aide services to older adults, adults with disabilities, and veterans throughout Montgomery County. Our clinical model is built around individualized care plans, RN-supervised caregivers, and a standard of care that families and referral partners can trust.</p><p><b>Position Overview</b></p><p>We are seeking a Registered Nurse to serve as our clinical supervisor on a PRN, per diem, or contract basis. This is a flexible, self-directed field role with no set minimum hours. You will conduct in-home clinical assessments, develop care plans, and provide ongoing caregiver supervision in compliance with Maryland RSA regulations (COMAR 10.07.05). Your schedule and income grow alongside our client census.</p><p><b>Responsibilities</b></p><p><b>Client Assessment</b></p><ul><li>Conduct comprehensive in-home assessments including vital signs, physical examination, health history, ADL/IADL evaluation, fall risk scoring, cognitive screening where indicated, and home safety review</li><li>Complete and document the full assessment report within 24 hours of the in-home visit and provide a copy to the client&rsquo;s family</li><li>Conduct reassessments following hospitalizations, emergency events, significant condition changes, and on a scheduled quarterly basis</li></ul><p><b>Care Plan Development</b></p><ul><li>Develop a written, individualized care plan for every client based on the initial assessment, specifying daily task assignments, fall prevention protocols, medication schedule, emergency response protocols, and family communication preferences</li><li>Review the care plan with the assigned caregiver before their first shift and confirm comprehension</li><li>Share the completed care plan with the client&rsquo;s family and obtain written acknowledgment before services begin</li><li>Revise and update care plans promptly when client needs change or when a supervisory visit identifies discrepancies between the plan and care being delivered</li></ul><p><b>Caregiver Supervision</b></p><ul><li>Perform scheduled and unannounced supervisory visits to observe caregiver performance, assess client wellbeing, and verify care plan adherence</li><li>Conduct a minimum of one supervisory visit per client within the first 30 days of service and quarterly thereafter</li><li>Document all supervisory visits in a written report including observations, client status, any discrepancies identified, and corrective actions taken</li><li>Provide direct, constructive feedback to caregivers and escalate performance concerns to agency leadership with documentation</li><li>Evaluate new hire caregiver competency during orientation and confirm safe performance of all care plan tasks</li><li>Serve as RN supervisor of record in compliance with COMAR 10.07.05 &mdash; all aide supervision must be performed by the RN</li></ul><p><b>Medication Management</b></p><ul><li>Review and document the complete medication list for every new client at intake including all prescription, OTC, and supplement medications, dosages, schedules, and routes of administration</li><li>Create and maintain a Medication Administration Record (MAR) for each client receiving medication assistance</li><li>Review completed MARs during supervisory visits and report any medication errors, missed doses, or refusals to the family within 24 hours and to agency leadership immediately</li></ul><p><b>Clinical Escalation and Emergency Response</b></p><ul><li>Provide clinical guidance when caregivers report changes in a client&rsquo;s condition including altered mental status, vital sign changes, skin breakdown, falls, or medication reactions</li><li>Contact the client&rsquo;s physician when clinical changes warrant a consult and document that communication in the client&rsquo;s record</li><li>Direct caregivers to activate 911 in any medical emergency and ensure the caregiver remains on-site until emergency services arrive</li><li>Conduct a post-event care plan review following any fall, emergency visit, hospitalization, or significant change in condition</li></ul><p><b>Family and Referral Communication</b></p><ul><li>Participate in new client onboarding meetings with families, explain the care plan, and answer clinical questions</li><li>Communicate proactively with families when client status changes, the care plan is updated, or a clinical concern arises</li><li>Send written assessment summaries to referring hospital discharge planners or physicians within 48 hours of service start when requested</li></ul><p><b>Documentation and Compliance</b></p><ul><li>Ensure all clinical activities comply with COMAR 10.07.05 and the Maryland Nurse Practice Act</li><li>Maintain client records in Viska&rsquo;s home care software in compliance with HIPAA requirements</li><li>Support Electronic Visit Verification (EVV) compliance by ensuring all supervisory visits are properly logged</li><li>Maintain current RN licensure and CPR/First Aid certification throughout the engagement</li></ul><p><b>Requirements</b></p><ul><li>Active, unencumbered RN license issued by the Maryland Board of Nursing</li><li>Minimum 2 years nursing experience in homecare, home health, community health, visiting nurse services, geriatric nursing, or rehabilitation nursing</li><li>Demonstrated ability to perform independent clinical assessments including vital signs, physical examinations, health histories, and ADL/IADL evaluation</li><li>Experience developing and managing individualized care plans for patients with chronic or complex conditions including dementia, Alzheimer&rsquo;s disease, and developmental disabilities</li><li>Competency in clinical procedures in the home setting including medication administration (injections, IV infusions), wound care, catheterization, ventilator care, and ostomy management</li><li>Able to coordinate with physicians, case managers, and specialists for discharge planning, follow-up care, and community referrals</li><li>Familiarity with home healthcare regulations and compliance &mdash; full orientation and training provided</li><li>Strong documentation skills with ability to meet regulatory timeframes</li><li>Reliable, self-directed, and clinically responsive &mdash; available within 2 hours for caregiver clinical questions</li><li>Valid driver&rsquo;s license and reliable personal vehicle for home visits across Montgomery County</li><li>Current CPR and First Aid certification required</li></ul><p><b>Preferred Not Required</b></p><ul><li>Bilingual in Spanish, Amharic, French, Vietnamese, or another language serving the Montgomery County community</li></ul><p><b>How to Apply</b></p><p>Send your resume to:</p><p><b>Homecare@viskahomeccs.com</b></p><p>Subject line: <b>Supervising RN &mdash; Viska Homecare</b></p><p>We respond to all qualified applicants within 48 hours.</p><p><i>Viska Homecare is an equal opportunity employer. We are committed to building a team that reflects the diverse communities we serve across Montgomery County, Maryland.</i></p><p><i>Licensed Residential Service Agency &mdash; Maryland Department of Health, Office of Health Care Quality (OHCQ) | COMAR 10.07.05</i></p><p>Pay: $45.00 - $65.00 per hour</p><p>Work Location: Hybrid remote in Silver Spring, MD 20901</p>

Home Care Nurse

Central Michigan District Health Department

<div><p><b>We need you to help families in our community!</b><br>
We welcome you to join our team as a Registered Nurse (1.0 FTE, 40 hours per week) in the Isabella County Branch offices of the Central Michigan District Health Department, contributing to improve health outcomes for families across the community. This role is best suited for an RN with strong foundation in Maternal Child Health and/or home visiting who is passionate about empowering mothers, infants, and families through education, and support. Strong communication skills to support and accommodate health related needs in a public health settings. CMDHD is a progressive agency that develops people who can solve problems on a daily basis. Requires a current Michigan Registered Nurse (RN) license. Minimum one year experience in maternal/child public health, immunizations, and communicable disease investigation strongly preferred. Bachelor of Science in Nursing (BSN) is highly recommended. CMDHD offers a comprehensive benefits package; including health/life/dental insurances including leave time with 12 vacation and 12 paid sick leave days with an additional 3 &frac12; paid days of personal time per year, 15 paid holidays, and MERS defined contribution retirement with up to 10% employer contribution. This position offers a flexible schedule and great work hours.</p><br>
<p></p>
<p><b>
General Summary</b>: Working independently and with minimal supervision, provides public health nursing services to individuals, families, and population groups in assigned program(s.) Conducts professional planning and evaluation and implements actions directed toward goals of prevention, assessment, risk reduction, and health status improvement for individuals, families and communities. Collaborates and consults with multidisciplinary and multi-agency teams to achieve desirable outcomes for families and communities. Nursing interventions occur at individual, family, community and system levels depending upon position responsibilities and issues involved.
</p><p><b>Essential Duties</b>:</p>
<ul><li>
Promotes health of individuals, families and community through advocacy, education and/or counseling.
</li><li>Utilizes skilled nursing to provide essential and community-based public health services in assigned program area(s.)
</li><li>Organizes and provides assigned program-specific nursing services to individuals and/or families, directly or through referrals to appropriate services.
</li><li>Documents services utilizing program forms and/or electronic health records, in accurate and timely manner.
</li><li>Assesses, plans, implements, and evaluates services and outcomes of care on an ongoing basis.
</li><li>Conducts research, case investigations, or case management utilizing advanced nursing principles and evidence-based decision making.
</li><li>Collaborates with health care providers and community partners, as well as other health department staff to improve individual and population health.
</li><li>Participates in mentoring new staff and allied health professional students.
</li><li>Exercises significant independence and initiative in performance of responsibilities; receives general administrative direction.
</li><li>Maintains professional knowledge, and keeps current on assigned program rules, regulations, protocols, and practices to ensure continual compliance and quality improvement.</li><li>
Reviews scheduled appointments and health record, and assesses client and clinician needs for laboratory testing based on clinical protocols.
</li><li>Performs vitals and client assessment for appropriate laboratory testing. Accurately records client data in electronic health record.
</li><li>Performs prescribed laboratory procedures following clinical standards and program specific policies and procedures including finger sticks and blood draws. Prepares samples for submission to external laboratories.
</li><li>Provides Immunizations and/or injections per scope of practice and agency policies and procedures.
</li><li>Assists clinician as needed during client exam and clinical procedures.
</li><li>Assembles and completes program specific paperwork for external referrals and/or orders including mammography, and so forth, timely and accurately.
</li><li>Maintains laboratory space and exam rooms according to program protocols to ensure compliance with infection control standards including disposal of contaminated supplies, and sterilization of medical instruments.
</li><li>Performs and documents quality control tests on laboratory equipment.
</li><li>Documents accurately and within a timely manner within the paper and electronic health record.
</li><li>Maintains efficient clinic flow by serving as liaison between clients, reception and other clinic staff.
</li><li>Participates in mentoring new staff and allied health professional students.
</li><li>Maintains appropriate clinic supply inventory per county; ordering supplies as needed.</li></ul>
<p><b>
Other Duties &amp; Responsibilities</b>:</p>
<ul><li>
Performs other duties and responsibilities as necessary in response to emergencies, workloads or staffing shortages. Works flexible hours as needed.
</li><li>Participates in Emergency Preparedness Incident Command System (ICS) as assigned.
</li><li>Supports other program and office functions as necessary to ensure effective customer and community service.
</li><li>Maintains up-to-date vaccines including flu (influenza,) in accordance with CDC guidelines: Recommended Vaccines for Healthcare Workers, <i>in which you allow CMDHD to access your current immunization status based on Michigan Improvement Care Registry (MCIR).</i></li></ul>
<p><b>
Minimum Qualifications</b>:</p>
<ul><li>
Graduation from accredited professional nursing program. Bachelor of Science in Nursing preferred.
</li><li>Advanced nursing skill and knowledge of public health policies, procedures and practices at a level normally acquired through two years of related, professional experience.
</li><li>Current license to practice as registered nurse from Michigan Board of Nursing.
</li><li>CPR certification required</li><li>
Ability to enter, retrieve and manage client data, notes and care plans in electronic health records, and other online or network databases or logs.
</li><li>Ability to plan and organize own work and accomplish multiple tasks in accordance with established practice and professional standards.
</li><li>Cultural sensitivity and ability to work with diverse communities and families.
</li><li>Communication and writing skills necessary to interview and instruct clients, conduct professional presentations, write care plans and reports, and collaborate with community partners.
</li><li>Manual dexterity and feeling by touch necessary to pick, pinch, and palpate; and grasp and use small instruments.
</li><li>Reliable transportation with valid Michigan driver&rsquo;s license and certificate of insurance to travel to other locations for work, training, meetings, and/or home or site visits.</li><li>
Completion of National Incident Management System/Incident Command System online and face-to-face training courses based on current Public Health Emergency Preparedness requirements.</li></ul>
<p><b>
Core Competencies</b>:</p>
<p>
Professional Public Health Core Competencies required:</p>
<p>
Domain 1: Data Analytics and Assessment Skills</p>
<ul><li>
1.1. Describes factors that affect the health of a community.</li><li>
1.2. Accesses existing quantitative and qualitative data.</li><li>
1.3. Collects quantitative and qualitative data.</li><li>
1.4. Analyzes quantitative and qualitative data.</li><li>
1.6. Uses quantitative and qualitative data.</li><li>
1.7. Applies public health informatics in using data, information, and knowledge.</li><li>
1.8. Assesses community health status.</li></ul>
<p>
Domain 2: Policy Development and Program Planning Skills</p>
<ul><li>
2.2. Implements policies, programs, and services.</li><li>
2.3. Evaluates policies, programs, services, and organizational performance.</li><li>
2.4. Improves policies, programs, services, and organizational performance.</li></ul>
<p>
Domain 3: Communication Skills</p>
<ul><li>
3.2. Communicates with internal and external audiences.</li><li>
3.3. Responds to information, misinformation, and disinformation.</li><li>
3.4. Facilitates communication among individuals, groups, and organizations.</li></ul>
<p>
Domain 4: Health Equity Skills</p>
<ul><li>
4.1. Applies principles of ethics, diversity, equity, inclusion, and justice.</li><li>
4.2. Engages in continuous self-reflection about one&rsquo;s biases.</li><li>
4.3. Recognizes the diversity of individuals and populations.</li><li>
4.4. Reduces systemic and structural barriers that perpetuate health inequities.</li><li>
4.5. Implements organizational policies, programs, and services to achieve health equity and social and environmental justice.</li><li>
4.6. Contributes to achieving a sustaining and diverse, inclusive, and competent public health workforce.</li><li>
4.7. Advocates for health equity and social and environmental justice.</li></ul>
<p>
Domain 5: Community Partnership Skills</p>
<ul><li>
5.1. Describes conditions, systems, and policies affecting community health and resilience.</li><li>
5.2. Establishes relationships to improve community health and resilience.</li><li>
5.3. Maintains relationships that improve community health and resilience.</li><li>
5.4. Collaborates with community members and organizations.</li></ul>
<p>
Domain 6: Public Health Sciences</p>
<ul><li>
6.1. Describes systems, policies, and events impacting public health.</li><li>
6.2. Applies public health sciences in delivering the 10 Essential Public Health Services.</li><li>
6.4. Contributes to the evidence base for improving health.</li></ul>
<p>
Domain 7: Management and Finance Skills</p>
<ul><li>
7.4. Engages in professional development.</li><li>
7.7. Implements organizational policies, programs, and services to achieve diversity, equity, inclusion, and justice.</li><li>
7.10. Applies critical thinking in decision making.
</li><li>7.11. Engages individuals and teams to achieve program and organizational goals.</li><li>
7.12. Facilitates collaboration among individuals, groups, and organizations.</li></ul>
<p>
Domain 8: Leadership and Systems Thinking Skills</p>
<ul><li>
8.2. Implements a vision for a healthy community.</li><li>
8.3. Addresses facilitators and barriers impacting the delivery of the 10 Essential Public Health Services.</li><li>
8.4. Creates opportunities for creativity and innovation.</li><li>
8.5. Responds to emerging needs.</li><li>
8.8. Advocates for public health.</li></ul>
<p>
Demonstrates Core Values: integrity, positive attitude, communications, customer service, responsibility, and accountability. Professional Public Health Core Competencies required.</p>
<p><b>
Environment &amp; Effort:</b></p>
<ul><li>
Depending on program assigned, works inside in general office or clinic environments; or works in home environments with potential exposure to dust, dirt, odors, poor ventilation, and uncomfortable temperatures. Exposures in home environments could include environmental hazards (lead, mold, animals, or vectors;) or unsafe living conditions (abuse, drugs, meth labs, or weapons.)
</li><li>Exposure Control &ndash; Category A. At higher risk for occupational percutaneous or mucosal exposure to blood or body fluids. Per OSHA&rsquo;s Bloodborne Pathogens standard requirements, CMDHD protects the employee by an established exposure control plan which includes but is not limited to use of universal precautions, engineering controls, work practice controls, personal protective equipment, and worker training.
</li><li>Some exposure to adverse weather conditions when traveling to other locations or conducting home visits.
</li><li>Physical effort necessary to move about office, clinic and/or home environments; lean and bend to administer treatments or do close inspections; and occasionally lift or move objects weighing up to 25 pounds.
</li><li>Visual effort regularly required in reading and reviewing records and reports; close inspection or examination; preparing and analyzing data; viewing computer screens; reading scales, thermometers, and gauges; and performing close contact procedures such as drawing blood, dispensing medications, or administering vaccines.
</li><li>Mental effort and strain from continual review and analysis of data and information, multi-tasking, and pressure of ensuring high degree of accuracy under tight deadlines or time constraints.</li></ul></div>

PH Nurse

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