Come join a passionate team of nurses making a difference for families in Adams County! This role promotes the health and well-being of first-time parents facing the greatest social and economic barriers.  By engaging in long-term relationships, you will provide home-based pregnancy and parenting education, health assessments, screenings, and community resources to families while partnering with them to uncover their innate strengths and skills as parents.

About Adams County Health Department 

Adams County Health Department is a newly formed local public health agency in Colorado.  Working for Adams County Health Department’s Nursing Division you will appreciate being employed by the inclusive and innovative Adams County Government that is dedicated to those living in Adams County. In addition, our nurses enjoy a Monday through Friday work schedule, no routine evenings or weekends, flexible hours including a monthly administrative day, a robust career ladder with competitive wage compensation for your experience, paid Spanish Speaking bonus, reimbursement for mileage, nursing license and CPR renewal fees plus paid professional development.
 
The Department has elected to consider a range of experience for this vacancy.  A candidates' qualifications will determine the level at which they are hired.  

NFP Nurse Home Visitor PHN I : $64,941.360 - $74,682.56
NFP Nurse Home Visitor  PHN II : $72,968.110 - $102,155.35

This recruitment requires a resume and cover letter to be included with the application. 
 
NFP Nurse Home Visitor PHN I 

The Nurse Home Visitor PHN I is an entry-level position performing professional nursing process activities related to the perinatal period such as assessment, planning and evaluating care and treatment of birthing adults and infants up to two years. Must have completed an accredited Bachelor of Nursing degree program and has up to two years of nursing practice. The NFP NHV PHN I is learning program level processes and interdepartmental roles. The position develops therapeutic relationships, provides evidence-based education, support, and resources for the families in the community. Participates in continuous quality insurance activities, and practice improvement activities such as Practice Council. Recognizes the Public Health tenants including the public health nurse role and functions with responsibility as required by the Public Health Nursing Scope and Standards of Practice.  
 
NFP Nurse Home Visitor  PHN II 

The Nurse Home Visitor PHN II is a mid-level position that demonstrates advanced nursing process skills through nursing experience or competency. Must have more than two years nursing experience, preferably maternal/child health. In addition to the responsibilities noted above, this position requires the NFP NHV PHN II to have additional professional skills and experience in:
 

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

Clinical Responsibilities

Promotes the maintenance of health through teaching and counseling, conducting needs assessment and case management, providing direct client care and/or resource coordination and employing appropriate preventative treatment and health maintenance measures:  

• Develops and maintains therapeutic relationships with a diverse and complex client population, utilizing concepts of reflection 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 specific 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 finding 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 nd 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 filing guidelines.  
• Participates in review and analysis of the ETP reports to identify achievements and areas for improvement.  Participates in quality improvement efforts.  
• Maintains confidentiality of information.  

Reflective Practice Responsibilities 

• Attends and participates in NFP required weekly reflective/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 join home visits with NFP Nurse Supervisor each year with a regular cadence.  Utilizes principles of reflection 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 reflective practice by contributing to team meeting and case conferences discussions at both eh small team nd large team levels.  

 Collaboration and Community Engagement:

Team Development and Collaboration

• 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 different viewpoints when analyzing issues. 
• Recognizes accomplishments of team members. 
• Maintains clear, effective, 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 efforts 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 efforts 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.  

Responsibility to Diversity, Equity, and Inclusion

• Must commit to a learning mindset and continuous improvement regarding the practice of diversity, equity, and inclusion in all aspects of work within Adams County and The Department of Public Health including management style, work style, training, and communication.
• Perform both internal and external work in a way that is equitably inclusive and effective within the diverse communities we serve.
• Regularly assess work and support changes to remove systemic barriers, build systems that address inequities, and integrate Health Equity into all areas of work. 
• Create and maintain partnerships and processes that support and integrate diversity, equity, and inclusion into all aspects of Adams County Nurse Family Partnership work.
• Prioritize transparency and supports an open-door culture. 
• Integrate diversity, equity, and inclusion into internal and external goal setting, including recruitment of clients that represent the communities we serve.  

Additional duties:

• Performs other duties as assigned and required.
• Respond, as required, to support public health emergencies, incidents, and events.
• Participate in all exercises and drills on emergency preparedness, as required.
• Complete emergency preparedness and response trainings as appropriate for this level of employee within the health department.
• Maintain sensitive & confidential client information according to the HIPAA policy and Title X confidentiality requirements.

The ability to:  

• The ideal candidate will be able to quickly develop therapeutic alliances with a broad range of diverse clients, demonstrate flexibility, adaptability and creativity in delivery of nursing care, employ strong computer and technology skills and thrive in both traditional and virtual team environments.

• Due to the relationship - based nature of this position, we are looking for a long-term fit.

Education:

The Nurse Home Visitor I-II series requires a bachelor’s degree in nursing from an accredited college or university.

Experience:

NFP Nurse Home Visitor PHN I : 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.  

NFP Nurse Home Visitor  PHN II : A minimum of 3 years professional nursing experience, preferably in the area of Maternal Child Health and community-based services
 
Special Qualifications:

• Must have active Colorado Nursing license and current CPR certification.
• Must have up to date immunization status, including COVID.
• Must be in possession of a valid driver’s license and access to dependable transportation for business purposes as needed.
• Must be proficient in use of online meeting platforms and Microsoft Office tools including Word, Excel, PowerPoint, and Outlook.
• Bilingual in Spanish preferred

• Manual dexterity for performing exams and completing charts.
• Frequent and continual driving, walking, sitting, standing bending/stooping, twisting, kneeling, and squatting. 
• Frequent light lifting/carrying of equipment/supplies and infants (under 15 lbs.), and occasional to frequent moderate lifting/carrying (15 – 49 lbs.) infants and small children.
• Requires sufficient hearing and speech ability to communicate in person and via phone to respond to inquiries, and present information to individuals and groups as well as communicating important topics through language translator services.
• Reading comprehension is necessary to understand client records and medical documents.
• Work is primarily conducted in homes and community settings, with travel to other Adams locations or outside agencies to provide program services or attend meetings. Continuously works closely with co-workers and clients.
• Position requires continual and extensive driving to client residences and other community-based settings, including high risk (increased crime) neighborhoods. In the course of traveling to and working in other locations, may experience exposure to noise, dust, solvents, fumes, smoke or gases, slippery/uneven walking surfaces, sun, road hazards, traffic considerations, motor vehicle accidents, and exposure to inclement weather such as driving in snow, ice, etc. Potential for exposure to community related crimes while on duty.
• Work conducted primarily in client home environments which can be unpredictable, with potential exposure to environmental allergens, smoke, pets, vermin, bed bugs,