Community Health Nurse 2 - Maternal, Child, & Family Health

Position Summary

Lincoln County Public Health is looking for a highly motivated individual to be a part of a diverse team to provide healthcare services to pregnant and postpartum clients and their babies in our community. This person will work in a community setting, providing quality nursing care in Public Health's General Field program, this includes Babies First! and CaCoon. This role will work for the health of pregnant and postpartum clients and their babies in Lincoln County through home visiting services. This nurse will use the standards of practice for community health nurses and assigned program models as guidelines to practice.

$40.19 - $54.02 per hour*

*Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer.

Lincoln County offers a comprehensive benefits package including:

• Medical, Dental, & Vision Coverage
• 11% County contribution to 401(k)
• County funded Health Savings Account (HSA)
• $40,000 County Paid Life Insurance
• Employee Assistance Programs (EAP)

Essential Functions/Major Responsibilities

The incumbent must be able to perform these functions with or without reasonable accommodation. Community Health Nurses will follow the six standards of practice:Assessment – Collects comprehensive data related to the health of the population served. Document assessment data in terms that are understandable to all involved in the care process.Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Document diagnoses or concerns in a manner that facilitates the client's participation in developing a plan of care.Outcome identification – Based on the diagnosis the CHN2 will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives. Participate in and leads quality improvement measures.Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes. Document the plan using health literate and culturally competent language that can be understood by care team and the population being served.Implementation – The CHN oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education.Document activities and status of care coordination.Evaluation – Apply on-going assessment data to revise plans, interventions, and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions.

For General Field the CHN2 will perform additional job responsibilities:Apply theories and principles integral to the Babies First and CaCoon programs.Use the nursing process to deliver individualized client care by means of home, telehealth, office, or hospital visits, provide professional Community Health nursing services in areas such as Maternal, Child & Family Health family planning, and communicable disease control. Assist in planning and operating clinics as needed.Provide ongoing case management to at-risk clients such as pregnant clients, clients using substances and high-risk infants. As part of case management functions, observes family dynamics as well as assesses food, shelter and transportation needs.Set personal schedule, track clients who are often very difficult to find, and perform visits on a drop-in basis if needed.Meet training requirements and practices with fidelity to the assigned programs.Establish therapeutic relationships with clients.Participate in on-going quality improvement and reports from data systems to guide and improve practice.Use reflective supervision to evaluate and improve practice and takes part in self-care activities.

Other functions:Participate in epidemiological investigations in homes, schools, or other locations in the community; order immunizations and tests as needed and make recommendations to prevent and control the spread of disease.Interact and convene with community partners and resources as necessary to assure population needs are being met.Attend and participate in team meetings, trainings, and activities to further the health of the community.

Typical Qualifications

EDUCATION

An Associate's Degree in Nursing with at least 2 years of experience in a Maternal Child Health home visiting program.

EXPERIENCE

Two- Three years experience in nursing.

Substitution Note: Practicums in nursing programs and lived experience may substitute for years of experience.

LICENSES

Oregon Driver's License required within 30 days of hire.

Must possess a current unencumbered license to practice in the State of Oregon as a Registered Nurse at time of hire.

Desirable Qualifications: Bachelor of Science degree in Nursing (BSN) from an accredited school of nursing with one year of nursing experience, preferably in a maternal child health position. Bilingual and/or bicultural competencies for the Latino population are preferred.

Knowledge of/Ability to:

• The principles, practices, methods, and procedures of nursing as applied to community and public health.
• The uses and effects of medications and immunizations.
• Issues of alcohol and drug abuse.
• The "strength-based" model of behavior change.
• Problem-solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory.
• Utilization of community resources.
• Medical record keeping practices.
• Functions and resources of private and public agencies.
• Electronic Health Record.
• Health inequities among LGBTQIA+ and BIPOC (black, indigenous and people of color) communities.
• Build therapeutic relationships and maintain therapeutic boundaries.
• Engage clients in mutual goal setting; provide professional nursing care independently.
• Identify community and individual health problems and to plan and administer solutions.
• Administer medications and immunizations.
• Interpret and apply written policies, procedures, and guidelines.
• Establish and maintain records.
• Learn new information quickly and adapt to changing situations.
• Use research, data, and evidence-based practices to inform and improve nursing practice.
• Courteously meet and deal with patients.
• Act in a professional manner and to understand and commit to a professional code of ethics.
• Maintain the confidentiality of privileged information in accordance with HIPAA and Lincoln County policies.
• Maintain effective working relationships with staff, supervisors, physicians, other agencies and the public
• Create a positive work environment that promotes productivity, mentoring, teamwork, and cooperation.
• Elicit and consider differing viewpoints when analyzing issues.
• Recognize the accomplishments of team members.

REASONABLE ACCOMMODATIONS

Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.