Nurse Home Visitor

 
Position: Nurse Home Visitor

Job ID: 147254

Department: Nurse Family Partnership

Talent Area: Registered Nurse

Full/Part Time: Full-Time

Regular/Temporary: Regular

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Nurse Home Visitor – someone who is autonomous and confident to assess situations and find solutions independently as well as someone who has a heart to serve low-income populations without judgment and with sensitivity.  In this position, you’ll be responsible for assessing, planning, implementing, monitoring, and evaluating the options and services required to meet mother and baby’s needs related to health, psychosocial well-being, and economic self-sufficiency. This role will primarily be responsible for providing comprehensive, ongoing case management services by coordinating and managing the care of first-time, low-income mothers to meet multiple service needs across the continuum of care and ensure optimal member outcomes that address quality, service, customer satisfaction, and cost effectiveness.  

 

Think you’ve got what it takes?



Responsibilities :

  • Schedules, plans for and conducts home visits with first-time, low-income members and their child over a long-term period of 2+ years. Visits include preparation and planning, education, feedback, data gathering, trust building, problem solving, goal setting, and documentation. 
  • Adherence to the Evidence-based, Nurse Family Partnership (NFP) model and the use of both national and state web-based systems to enter data.
  • Perform routine assessments and obtain vital signs on both mother and child while in the home.
  • Assesses, develops, implements, and monitors a comprehensive plan of care, including goal setting in conjunction with the client in a home setting
  • Proactively identifies first time mothers/members in need of case management through state reports, internal reports, community and internal agency referrals, as well as collaborates with community health education/outreach organizations and providers to help generate referrals and provide for the overall health promotion of members 
  • Comprehensively assesses member’s (as well as member’s child’s) biophysical, psychosocial, and environmental needs, and benefit eligibility
  • Ensures for the provision of continuity of care needs as required and serves as advocate on behalf of members and families on an ongoing basis
  • Collaboratively identifies problems/barriers and opportunities for intervention
  • Routinely assesses member’s status and progress and documents throughout the membership in the program
  • Serves as a liaison with and to communities that support low-income populations, women and children’s comprehensive health needs, and community/state benefit eligibility 
  • Participates in professional development activities 
  • Prepares and monitors outcome data to assist in identification of improvement activities/opportunities
  • Uses Motivational Interviewing techniques to help move members from one stage of change to another as it relates to health and well-being.


Qualifications:

  • Bachelor’s degree in nursing
  • Registered Nurses license in the state of Texas
  • Driver’s license
  • Auto insurance
  • Basic Life Support certificate 
  • 3 years of experience in clinical or public health, preferably in maternal-child nursing, pediatrics, mental health, or community health
  • Proficiency in applying highly technical principles, concepts, and techniques central to the nursing process and profession in the public health and case management domains
  • Ability to comprehensively assess member/family medical, financial, intellectual, psychosocial, and relational needs
  • Exceptional verbal, written, critical thinking, and problem-solving skills
  • Expected to obtain and maintain proficiency in the D.A.N.C.E. certification and exhibit the ability to advance from novice to expert in the use of Motivational Interviewing
  • Excellent customer service skills, and advanced communication and interpersonal skills with all levels of internal and external customers 
  • Bilingual in Spanish and English preferred


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