SENIOR COMMUNITY HEALTH NURSE - 1

Senior Community Health Nurse

This nursing position serves as a home visitor to Healthy Start clients. The Nurse Home Visitor is responsible for providing face-to-face visiting services to Healthy Start clients either in the home, office, or clinical setting. The Healthy Start Nurse will deliver education, care coordination, screening and interventions/referrals, follow-up in accessing prenatal care and other needed services, anticipatory guidance and ongoing support to participants who have high risk factors associated with an increase in preterm delivery, low birth weight delivery and/or infant mortality. Services are provided to mitigate or eliminate these risk factors and address social determinants of health that contribute to adverse birth outcomes and developmental delays.

Responsibilities of the Healthy Start Nurse home visitor include using nursing assessment skills and judgment to promote positive health outcomes. This may include educating the client to gain a better understanding of medical conditions, medications, recommended schedule for immunizations and well- child checkups. The nurse has a responsibility to teach the client how to communicate with physicians and advocate for themselves and their children. The nurse has a responsibility to act as a liaison with medical staff, counselors, and pharmacists to promote positive health outcomes. The nurse has a responsibility to provide trauma informed care to pregnant women, children birth to aged 3, and their families. The nurse's focus is on linking pregnant women with prenatal, post-partum, inter-conception care, and family planning services. The nurse should provide wellness education and assist families to identify and achieve long-term health goals. The nurse is responsible for promoting strong parent-child attachment and coaching parents on learning activities that improve their target child's development. Nursing responsibilities include case management of a large Healthy Start maternal and infant caseload and the assurance of continuity of care for clients. Many are high-risk Healthy Start families. The cases may include family violence, substance abuse, marital conflict, mental health, family dynamic issues and lack of health promotion orientation. The nurse will utilize good nursing assessment skills and judgment in referring clients for outside services. The nurse will collaborate with other agencies while maintaining client confidentiality.

This position reports to the Program Administrator-SES. Completes psychosocial assessments, planning and case management within the scope of (social work/nursing) practice utilizing state protocols, Healthy Start Program Standards and Guidelines and supervisor's instructions. Demonstrates an in-depth knowledge of the health needs, both physical and emotional of pregnant women and babies as evidenced by the ability to deliver health promotion education, disease prevention education, and health protection services. In addition, performs psychosocial assessments with participants in the Healthy Start Program that are at risk for poor outcomes. Provides an assessment of environmental; behavioral and social factors that impact on the pregnant woman and/or family's health and ability to function. Provides education to Healthy Start clients and family members on various health issues related to pregnancy and parenting. Provides inter-conception education using a standardized curriculum. Provides clarification of and assistance with access to the health care delivery system. Refers clients to services based on needs identified during assessment and mutually established goals. Maintains necessary computer and time management to provide accurate, timely electronic record documentation of all Healthy Start activities in accordance with timelines necessary to meet Healthy Start contract requirements. Provides community-based case management/care coordination services for Healthy Start clients. Provides home visits, health education, and follow-up contacts to assure reduction of risks and completion of tasks and/or referrals. Utilizes the Individual Care Plan and develops a plan of care to assist the client in achieving optimum health status. Coordinates services, reduces barriers, refers clients and evaluates progress to maximize improved health status to ensure continuity of care. Provides assistance/referrals for child passenger safety education, installation, and distribution to promote injury prevention. Provides direction/assistance/referrals for Medicaid and Florida KidCare Insurance for uninsured women, children, and families. Counsels the individual and family to support the process of overcoming environmental, emotional, or social problems that are affecting the health and wellbeing of the pregnant woman/mother/family. Observes for neglect or abuse, or potential for such and provides appropriate referrals and follow-up. Maintains comprehensive and confidential client records according to Healthy Start Guidelines, agency procedures and supervisor's instructions. Performs high-risk home evaluations on infants born to chemically dependent parents, following the Healthy Start Standards and Guidelines, Chapter 12 and the Florida Administrative Code 10D-115 Department Rules for the treatment of these families. Provides community-based case management/care coordination services to substance exposed newborns and their families. Provides an oral report and/or a written report on the results of the Home Assessment and provision of future services to the Department of Children and Families. Provides on-going assessments of the safety, health, and developmental status of the reported child and educates the mother or care giver on ways to promote these factors. Provides parent education and anticipatory guidance based on observation of the mother/caregiver interaction with the child Evaluate developmental status and provide parents with education and strategies Refers for identified services needs and monitor, support follow through on referrals. Acts as liaison between the substance exposed child/mother and family with health care providers and the Department of Children and Families Participate in staffing of substance exposed children and high-risk families with other community agencies involved with the families, as requested. Promotes awareness of the Healthy Start program to clients, colleagues, and community groups according to State guidelines and supervisor's instructions Participate in community agency meetings, state conferences and workshops regarding assigned areas of responsibility as requested Cultivate and maintain professional linkages with colleagues in other community and state agencies. Evaluate care provided, participates in peer review audits of medical records and works to improve quality of service and client satisfaction. Performs other related duties as necessary with adjustable scheduling Adheres to the rules and regulations of Healthy Start as outlined in the 64F-3, Florida Administrative Code, and the Healthy Start Standards and Guidelines. Attends and participates in staff development and in-service/continuing education Programs and Healthy Start Events in the Community. Provides instruction and guidance to volunteers, student interns, paraprofessional and other Sarasota County Health Department (SCHD) staff on the psychosocial and interdisciplinary aspects of health care delivery. Follows Department of Health rules and regulations and departmental policies and procedures. Maintains client confidentiality in a manner consistent with Florida Statutes and SCHD and Department of Health (DOH) policy. Updates all electronic databases. Conducts follow up services on clients referred from SCHD clinics. Provides assistance to other SCHD clinics as needed to maintain the consistency and quality of services of the agency's overall need. Maintains accurate/timely documentation of services and daily activity.

Required Knowledge, Skills, and Abilities: Knowledge of maternal/child health, breastfeeding, childbirth, infant care, and addiction issues Computer skills Knowledge of Microsoft Office Ability to use Florida Department of Health – Health Management System (HMS) Case management skills Interpersonal skills Knowledge of nursing practice

Qualifications: Minimum – Florida driver's license, or the ability to obtain one Active Florida Registered Nursing license in accordance with Florida Statute 464 or a multistate license from another Compact State Preferred – Home visitation experience Maternal/child health experience Case management experience Bachelor's degree in nursing, social work, guidance and counseling, or a related field of study

Where You Will Work: North Port Family Health Center 6950 Outreach Way North Port, FL 34287 and William L. Little Health & Human Services Center 2200 Ringling Boulevard Sarasota, FL 34237 Incumbent will be required to report to the office and to travel throughout Sarasota County.