Appendix A - Job Descriptions.pdf

Appendix A: Job Descriptions

Role of Nurse Team Lead

The nurse team lead will work at the team level to assure that Bright Start is implemented according to program and agency policies. The team lead uses principles of team leadership, reflective practice, and staff development to provide support and oversight to the nurse home visitors. The team lead will model a strengths-based, client-centered culture. In NFP, the nurse team lead is referred to as the nurse supervisor. The candidate must hold a current registered nursing license and possess an accredited nursing degree (Bachelor of Science in nursing or higher).

Program Oversight: The team lead directs day-to-day activities of the Bright Start local team. This includes travel to sites within the team’s service delivery area to support nurse home visitors.

Service Delivery: The team lead is not expected to provide direct service to a caseload of families.

However, they may carry a partial caseload of families during nursing staff vacancies.

Referral Management: Subrecipient staff will assist in coordinating referrals and client intake across the Bright Start service delivery team and engaging community partners to support a local coordinated intake and referral process. Coordination must occur with other maternal child home visiting programs in the service delivery area. Obtain consent from all clients that enroll in home visiting services funded by the State. Home visiting services must be provided on a voluntary basis.

Coordination with personnel and agency supervisors, and the NFP

• Consult with DOH program and service delivery staff as needed

• Participate in team lead meetings, and other agency meetings to represent Bright Start as requested by nurse manager or Home Visiting Administrator

• Complete a monthly report of activities to the nurse managers.

• Communicate with the NFP Manager of Nursing Practice and the home visiting nurse managers as requested

Staff Onboarding and Education: The team lead will:

• Assist in recruiting and hiring nurse home visitors as requested

• Assure nursing staff attend the required Nurse Family Partnership (NFP) trainings

• Assess knowledge and skills of home visitors and support staff, and develop strategies to address any needs identified

• Coordinate the initial orientation and on-going training needs of staff. Communicate with other team members who will assist in the orientation and training plans.

• Assign clients to nurses and monitor their ability to build and manage caseload

• Build confidence and skill of nurse home visitors

• Assist with onboarding and mentoring new team leads.

Team leadership and support: The team lead will:

• Ensure that support of nurse home visitors utilizes principles and concepts of motivational interviewing, Facilitating Attuned Interactions (FAN), and reflective practice (modeling therapeutic relationships, change theory, self-efficacy, client-centered, strength based, and solution focused approaches)

• Support nurse home visitors in using nursing practice, motivational interviewing and reflective practice during client interactions

• Ensure that her/his own reflective practice and ongoing professional and personal development needs are addressed

• Lead regular case conferences and team meetings

• Assist nurse home visitors in analyzing complex problems

• Develop local policies and procedures, in coordination with the Bright Start team

• Conduct joint home visits with nurse home visitors with new nurse home visitors within 6 months of enrolling clients, but preferably within the first 1-2 months. Ongoing joint home visits will be completed every four months with each nurse.

• Provide input for annual performance review, or complete annual evaluations depending on agency protocol

• Provide information to the nurse managers/program administrator for staffing and personnel needs as requested

• Provide temporary coverage of team lead duties for other teams during vacancies/leave

Community awareness, support, and referral systems: The team lead will:

• Participate in approved program promotion activities

• Develop and maintain community referral sources for the program

• Provide marketing presentations and outreach visits to promote Bright Start home visiting to community and other public and private agencies and providers

• Lead and/or represent Bright Start on the Community Advisory Board and other local interagency meetings

Program Infrastructure: (Delegate to support staff if appropriate) The team lead will:

• Communicate with nurse managers, and local agency program administrator to assure that adequate space, computers, phone, etc. are available for staff

• Assure that all forms and materials are ordered and available for use

Continuous Quality Improvement and Program Evaluation: The team lead will:

• Audit team members’ timely and accurate data input into data collection systems

• Interpret staff- and team-level data reports and share with the team and other partners

• Ensure implementation of local Continuous Quality Improvement (CQI) strategies

• With the CQI nurse consultant, lead local CQI team meetings and participate in State CQI meetings

• Evaluate program outcomes and interventions by reviewing data

• Assess staff development needs using available data to structure appropriate continuing education and guidance of staff

• Conduct chart audits per Policy BS E.7

Role of Bright Start Nurse Home Visitor

The nurse home visitor will provide NFP services to eligible mothers and their child/children. The nurse home visitor will maintain the highest standards in clinical nursing practice and adhere to Bright Start policies. The nurse home visitor reports to the nurse team lead for programmatic issues and the nurse manager (DOH staff) or agency manager (partner agencies) for personnel issues. The candidate must hold a current registered nursing license and possess an accredited nursing degree (associates or higher).

Essential Job Functions:

• Provide home visits to enrolled Bright Start clients

• Adhere to the nursing process, the NFP model, and Bright Start program curriculum and policies

• Support the client caseload as required by NFP Model Element 10

• Travel to visit families in homes or other locations in local communities

• Work with culturally and socioeconomically diverse populations

Administrative:

• Support policies, procedures, visit guidelines, and standards of Bright Start and the OHV/local implementing partner agencies

• Participate in the local Community Advisory Board as requested

• Promote public awareness of Bright Start

• Develop and maintain community relationships to support client referrals

Clinical:

• Complete all required NFP initial education and the Bright Start orientation plan

• Develop therapeutic relationships, use concepts of reflection and motivational interviewing with women and their families

• Carry out activities per the NFP model and Bright Start curriculum guidelines

• Follow nursing process

• Assess the physical health, mental health, and social determinants of health of women and their families

• Assist women and their families in setting goals

• Provide education, support, and referral resources in assisting women and their families to attain their goals

• Consult and collaborate with other professionals involved in providing services to women and families

• Formulate care plan based on nursing assessment and client goals

• Evaluate client progress toward goals and desired program outcomes. Plan home visits in accordance with client goals and desired outcomes

• Actively engage in professional development to meet program competency requirements

• Meet with nurse team lead weekly for reflective supervision

• Use reflective practice in supervisory sessions to deepen NFP practice

• Schedule joint home visits with nurse team lead per required schedule

• Assist with the onboarding and mentoring of new and prospective nurse home visitors, including bringing team members on shadow visits

• Attend and participate in team meetings and case conferences

• Enter data collection forms in a timely and accurate manner into DMCN

• Review of data reports for successes and areas for improvement

• Participate in continuous quality improvement (CQI) efforts

• Document per agency standards. Refer to Bright Start policy section E: Data Collection and

Documentation for more information.

• Perform related duties as assigned or required by agency

Team Support:

• Understand, support, and coach co-workers and community partners in Bright Start vision and the NFP model

• Positively represent the Bright Start program to clients, co-workers, and public/private community agencies and providers.

• Assist in creating a positive work environment that promotes productivity, mentoring, teamwork, and cooperation

• Elicit and consider differing viewpoints when working through issues

• Recognize the accomplishments of team members

• Adhere to local team norms

Communication:

• Maintain clear, effective, and honest communication with clients, co-workers, and community agencies

• Create, maintain, and support a safe environment for open discussion

• Maintain confidentiality of clients, families, and co-workers

• Be open and responsive to feedback

• Provide a monthly report of activities to the team lead, nurse manager, and contract agency lead by the 5th of each month

Professional Development:

• Complete trainings as required by the employing agency, Nurse Family Partnership, and

Bright Start program management

• Accurately assesses own learning needs and develops strategies to meet them.

• Access distance learning opportunities as encouraged and required by program leadership

• Stay informed of current health care developments to provide safe, high quality nurse home visiting services

• Set goals and record progress during the annual performance review or other applicable agency personnel tool

Role of Bright Start Program Assistant/Referral Specialist

Sample Job Description: This is a new role, and the final job description will be developed collaboratively with the awarded agency for Component Three.

The program assistant/referral specialist is responsible for assisting OHV leadership, team leads and nurse home visitors with administrative, operational and logistical support for the Office of Home Visiting. Support staff will report to the OHV leadership team, team leads, nurse home visitors, and agency administrator.

Referral & Intake Coordination

• Review and process incoming referrals, enter data into DMCN, and notify nursing staff.

• Support outreach calls and assist with managing caseload waitlists.

Outreach & Community Engagement

• Represent the program at meetings, events, trainings, and assist with partner relationship-building.

• Coordinate Community Advisory Board (CAB) meetings as requested by preparing agendas, minutes, and member listings.

• Assemble and distribute marketing materials to key stakeholders

• Support community awareness efforts by assisting with presentations, distribution of materials, and representing the program in a professional and culturally responsive manner

Administrative Support

• Assist with the development, formatting and distribution of OHV policies and program memos

• Maintain and update organizational charts

• Prepare agenda notes, materials and documents for internal meetings as needed

• Support onboarding of new staff as requested by nurse managers and team leads

• Provide general administrative support for OHV program operations.

Correspondence & Documentation

• Prepare and send required letters and communications.

• Ensure all correspondence is timely, accurate, and professionally formatted.

Enrollment & Graduation Packet Preparation

• Prepare and distribute client enrollment and graduation packets.

Ordering & Inventory Management

• Order and maintain marketing materials, office supplies, and educational resources.

• Track program material and supply inventory and coordinate redistribution or disposal as appropriate

Community Health Worker (CHW) certificate-level training strongly desired or required to start training within one year of hire.

Role of Home Visiting Continuous Quality Improvement (CQI) Specialist

The home visiting continuous quality improvement (CQI) specialist is responsible for leading continuous quality improvement and technical assistance efforts for the home visiting program, including MIECHV and non-MIECHV funded home visiting services.

Program Oversight Responsibilities:

• Develops the continuous quality improvement plan for the home visiting program, ensuring it meets federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) requirements

• Oversees CQI implementation plans with home visiting programs and teams

• Coordinates with home visiting staff and partners to assess program quality and to conduct improvement efforts via performance measurement, continuous quality improvement, technical assistance, professional development, and program enhancements

• Interface between the data and programmatic efforts occurring as part of CQI efforts of the home visiting program

• Engages in the planning and implementation of MIECHV strategic planning, needs assessments, and program improvement efforts as it relates to CQI efforts

• Represents the home visiting program at local, state, and national meetings and calls as it relates to CQI efforts

Qualifications and Competencies:

• Strong professional knowledge of continuous quality improvement experience, preferably using the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles

• Bachelor’s degree in public health, human services, or a related field,

• Work history and experience with maternal and child health, early childhood development, home visiting, or a related field

• Knowledge, skills, and abilities to work autonomously and as a contributing and supportive team member

• Use sound judgment, analysis, and discretion within the framework of defined policies, procedures, and scope of practice

• Ability to organize, plan and set goals and priorities

• Ability to develop and maintain effective working relationship with healthcare partners, researchers, and community organizations

• Knowledge, skills, and abilities:

o Gather, analyze, and interpret data;

o Develop and sustain effective working relationships with internal and external partners;

o Commitment to maintaining professional knowledge of evidence-based practices related to maternal and child health and applying new knowledge;

o Demonstrate excellent communication skills

Role of Bright Start Community Health Worker / Outreach Specialist

Sample Job Description: This is a new role, and the final job description will be developed collaboratively with the awarded agency for Component One.

The Community Health Worker (CHW) / Outreach Specialist supports the Bright Start home visiting team by conducting outreach, strengthening community partnerships, promoting program visibility, and providing administrative assistance to nurse home visitors and the team lead. The CHW / Outreach Specialist builds trusted relationships with families and community partners and supports the effective operation of the Bright Start program. This role works collaboratively with Nurse Home Visitors, the Team Lead, Referral Specialists, and other agency staff to enhance engagement, retention, and service coordination.

Community Health Worker (CHW) certificate-level training strongly desired or required to start training within one year of hire

Essential Job Functions

Outreach and Community Engagement

• Conduct outreach activities within the service area to promote Bright Start and Nurse- Family Partnership (NFP) services

• Represent Bright Start at community events, health fairs, partner meetings, and outreach activities

• Build and maintain relationships with healthcare providers, community organizations, social service agencies, and other local partners

• Support community awareness efforts by assisting with presentations, distribution of materials, and representing the program in a professional and culturally responsive manner

Client Engagement and Support

• Build rapport with families through culturally sensitive, strengths-based communication

• Provide general resource information (e.g., local support services, educational opportunities, transportation resources) without performing formal referral or intake duties

• Engage and follow up with families to encourage participation and retention in home visiting services

• Help reduce participation barriers (e.g., by offering guidance, problem-solving support, or connecting families to non-clinical resources)

Administrative Support for Nursing Staff

• Assist Nurse Home Visitors and the Team Lead with administrative tasks that support efficient service delivery

• Prepare materials for home visits, including educational handouts, program packets, and supplies

• Assist with organizing resource materials

• Help schedule meetings, community presentations, and team activities as needed

• Maintain organized inventory of program materials, marketing items, incentives, and educational supplies

• Support onboarding activities for new nursing staff by preparing materials and assisting with orientation logistics

Program Support and Collaboration

• Participate in team meetings and training as requested

• Collaborate with staff to identify outreach or engagement opportunities within the community

• Assist with Community Advisory Board activities as requested

• Contribute to a positive team environment by modeling professionalism, teamwork, and respect