This is a Senior Community Health Nursing position functioning as a Registered Nurse within the Maternal Child Health team in St Lucie County. This position will focus on implementing activities within the Infant Mortality Workplan to reduce chronic diseases and conditions, to include developing and managing interventions that modify behavioral risk factors in diet, physical activity, early prevention screenings, and healthy weight management during pregnancy in an effort to mitigate poor pregnancy and birth outcomes. This includes assessing, planning, implementing, coordinating, monitoring and evaluating services to meet the needs of the identified population. Performs work in an area geographically removed from direct supervision, i.e. Home, hospital, doctor’s office, clinic settings, labs, etc. This position requires local travel using the state and county vehicles to do outreaches, home visits, medical provider office visits, WIC visits, and other field visits as needed to meet the client’s needs. This position requires program development skills, marketing, community engagement with providers and agencies, case management and home visitation skills. This position requires a working knowledge of computers, including Microsoft Word, Excel, PowerPoint, and TEAMS, as well as a working knowledge of pregnancy, diabetes, and hypertension, etc. Serves as the RN in the One Fit Mama Program. Recruit community-based agencies & OB medical providers to participate and refer into the program. Deliver the approved curriculum & related education in-person to pregnant women with BMI >40 and/or those with Type I, Type II or Gestational Diabetes. Providing nursing consultation to pregnant women & their families, other team members and the community, regarding management of the health needs of the patients, assuring continuity of care. Providing education and support to clients to increase their capacity to improve their health literacy. Conducts and/or monitors health screenings, such as BMI/weight, blood glucose, A1C, blood pressure, Hgb, iron, etc., Provides comprehensive case management, home visitation and wrap around services to pregnant women. Create and follow plan of care in collaboration with OB, MFM, and WIC, including field trips to grocery stores. Refer pregnant mothers to community-based programs related to healthy cooking, physical activity, and healthy lifestyles. Ensure mothers are educated on and linked with family planning, primary care and/or endocrinology post birth. This RN will be required to drive to these above-mentioned locations as part of case management, education and follow up responsibilities. Utilizing state and county car to see clients Complete training to become a NDPP Lifestyle Coach or training to become a Certified Diabetic Educator. Participates in Healthy St. Lucie Coalition, St. Lucie Diabetes Coalition, and other job-related community coalitions. Participates in community outreach events with staff and partners that raise awareness about modifiable behavior risks to prevent chronic diseases. Enter services & data into HMS. Document in medical record at the time of service. Maintain and update the One Fit Mama spreadsheets. Complete weekly assignments schedules, monthly case management reports. Maintains a file for each client with required documentation as per DOH guidelines. Completes all case management documentation, EARs, etc. within approved DOH guidelines. Participates in all assigned staff meetings, community meetings related to chronic disease & pregnancy. Attends outreach events as directed. Maintains nursing licensure. Performs other related duties as assigned, including, but not limited to disaster preparedness activities. Attends all required DOH and other meetings/trainings. Apply applicable rules, regulations, policies and procedures. Performs related work as required and other added duties.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees