Are you a passionate nurse who is looking for a new position working closely with families in their homes? This unique position partners with Adams County Human Services and engages families with children who are experiencing life's economic or parenting challenges. Nurses provide evidence-based, strengths focused, individualized support, education and community resources to decrease barriers and build strong families. Apply to join our team today!

The Nurse Support Program provides nurse home visitation services to families referred by Adams County Human Services. This program is designed to support families and help them stay together by providing nursing assessments, education, support and resources. The nurse utilizes family centered goals to promote self-sufficiency, healthy caregiver-child interaction and reduce further county involvement. The nurse is responsible for providing nursing assessments and interventions, and meeting program goals.

The Professional Public Health Nurse for the Nurse Support Program (NSP) is a unique, relationship-based, public health nursing role which requires the nurse to establish and maintain a trusting therapeutic relationship with each client, throughout all phases of the program. The nurse assesses the physical, emotional, social and environmental needs of the family and provides health education, referrals, and case management. This position fosters a relationship between nurse and client as a basis for proactive change. This role works with families referred to the Program by Departments of Human Services.

• 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.

Client Relationships, Community Partner, and Case Management

• Promotes the maintenance of health through teaching, conducting needs assessment and case management, direct nursing assessment, and resource coordination. This includes providing information and setting goals in prenatal and postpartum care, nutrition, mental health, parenting, child health and development, family planning, and life course development.
• Prioritizes multiple work assignments, including home visits with clients, thorough and accurate and timely completion of required nursing and programmatic documentation.
• Develops and maintains therapeutic relationships with a culturally diverse client population from a variety of socio-economic backgrounds, utilizing concepts of reflection and motivational interviewing; modeling client-centered, strengths-based, and solution-focused approaches.
• Maintains a program-specific active case load. 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.
• Collaborates with related community agencies and service providers through client referrals, written and verbal communications, and case/team conferences.
• Represents Adams County as a health resource person in the community. Interprets public health programs and policies to individuals, families, community groups, schools, physicians, and other collateral community agencies and service providers.
• Develops and maintains community relationships to support client referrals to needed services and referral to the NSP.
• Represents the NSP vision, mission, and model in actions, and verbally to both internal/external customers and colleagues.
• Participates in the promotion of public health and NSP services through community efforts, including serving on community boards and committees and presenting public health education to individuals and community groups.

Direct Client Care

• Exercises independent judgment in formulating and implementing 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 and case management using excellent decision-making and problem-solving abilities.
• Demonstrates impeccable work ethic, high level of accountability, personal integrity, and transparency, provides high quality, individualized, client-centered care in accordance with the Program model and guidelines, and the Nursing process.
• Assists clients in finding resources to meet needs and makes referrals for services as appropriate.
• Evaluates client progress toward stated goals. Modifies nursing intervention as appropriate.
• Consults and collaborates with other professionals involved in providing services to clients; provides timely and coordinated case management services with a variety of health, behavioral health and social service providers.
• Perform other duties as assigned

Documentation, Assessments, and Testimony

• Completes NSP clinical documentation thoroughly and in a timely manner.
• Completes NSP assessments per required timelines and with a high degree of accuracy.
• Ensures timely and accurate client care documentation.
• Participates in case load review and analysis to identify achievements and areas for improvement.
• Participates in quality improvement efforts.
• Maintain confidentiality of information.
• Provide accurate testimony to the Courts, Child Protective Services, or law enforcement in reference to potential child custody, child abuse, or neglect situations.

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 Public Health Nursing Division 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.

Practice Responsibilities

• Attends and participates in NSP required reflective/clinical supervision sessions with NSP 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 3 joint home visits with NSP Nurse Supervisor each year; approximately every four months 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 NSP Nurse Home Visitor competency requirements.
• Attends and participates in team based reflective practice by contributing to team meeting and case conferences discussions at both the small team and large team level.
• Performs other duties as assigned.

• 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 : Minimum of one-year nursing experience, preferably in the area of Maternal Child Health 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 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 on-line meeting platforms and Microsoft Office tools including Word, Excel, PowerPoint, and Outlook.

• 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,