Community Health RN
1 month ago
Summary: The incumbent in this position is responsible for providing community and client centered counseling, education and information concerning illnesses, maternal child health, well-being and chronic disease management.
Duties and Scope of Responsibilities: Visit clients in their homes or community sites and make appropriate telephonic contact to assess, plan, and implement a plan of care, evaluate client's response to plan, make changes in plan as appropriate
• Identify participant's risk factors, concerns, priorities, strengths and resources on an on-going basis and track receipt of all services
• Performs psychosocial and nursing assessments for prenatal and infant clients.
• Provide health related counseling on the prevention of communicable diseases; high risk conditions of pregnancy, neonates, infants and children; coordinate health programs with outside organizations and agencies; introduce general health related information and instruction to individuals, families and community groups.
• Provide education and information on a variety of pre-examination tests including skin tests, blood tests, and other tests used in determining communicable disease before and after tests as necessary.
• Assess and evaluate client's response to treatment and medication.
• Act as a nursing liaison between clients, MCO, physicians, provider offices, community partners and government agencies ensuring client has access to quality care
• Conduct screening to identify risk factors such as domestic violence, substance use/abuse, perinatal maternal distress and/or mental health issues
• Screen participant for anxiety, depression and Adverse Childhood Experience (ACE)
• Provide education to participants utilizing program materials to reinforce care plan regimen implemented by medical care team, promotion of medical compliance and progress on medical goals
• Assist participants with accessing medical care and monitor the effectiveness of services and adjust care plan as needed
• Ensure that each participant schedules and completes postpartum visit and provide postpartum education authorization from the participant
• Collect and enter data into the designated data base and participate in quality improvement activities as directed
• Provide disease and chronic illness management education, referral and follow-up services, including referrals to subspecialists, and other needed services.
• Provide instruction and education to help participants self-manage chronic, pregnancy-induced or pregnancy related medical conditions.
• Provide information on medication, side effects, risks of noncompliance
• Conduct necessary follow up calls with participants to obtain any needed information, remind them of appointments and provide additional education
• Complete all necessary programmatic and organization forms, documents and reports in a timely manner
• Participate in proactive team efforts to achieve departmental and company goals
• Provide leadership to others through example and sharing of knowledge/skill
• Follow all organization's policies, practices, and procedures
• Chart and document home visits in a timely manner and evaluate referrals
• Perform other duties as assigned
Special Skills/Licenses/Training/Certifications Necessary:
• Ability to communicate with a range of constituents, prioritize work effectively in a fast-paced, deadline-oriented office environment.
• Excellent interpersonal and writing skills
• Reliable transportation with proof of valid driver's license and auto insurance or the ability and means to travel on a flexible schedule for conducting home visits and other required community-wide travel.
• Bilingual (English/Spanish) required for some positions
Education/Training/Experience:
• Bachelor's degree in Nursing (BSN)
• Valid Florida RN License required.
Qualification/Requirements:
• 1-3 years in maternal and child heath, behavioral health nursing, pediatrics, public health or other fields.
• Community/Public Health Nursing experience including experience with home visits preferred.
• Proficient personal computer experience to include Microsoft Outlook, Word, Microsoft Access, Excel, PowerPoint and Internet applications
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