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Maternal Child Health Nurse

Butte, MT

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Silver Bow County is seeking a Maternal Child Health Nurse in Butte, MT!!

Schedule: Full Time

Pay: $27.71/hr

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General Statement of Duties The Nurse-Family Partnership (NFP) Nurse Home Visitor is responsible for providing comprehensive nursing services to women and their families eligible for the NFP Program in person or via telehealth. Nurse Home Visitors (NHV) are pivotal in transforming the lives of vulnerable babies, mothers, and families by implementing and maintaining the fidelity of the NFP model. Our goal is that all children are healthy, families thrive, communities prosper, and the cycle of poverty is broken.   This position is covered under a Collective Bargaining Agreement between the City-County of Butte-Silver Bow and the Montana Nurses Association, Local No. 37.


Distinguishing Features of the Class

  • Provide in person or telehealth visits to women and their families eligible for the NFP program.
  • Adhere to nursing process and the NFP model of home visitation.
  • Carry a case load of up to 25 clients.
  • Promote public awareness of NFP and develop and maintain community relationships to support client referrals.
  • Develop therapeutic relationships, use concepts of reflection and motivational interviewing with women and their families.
  • Ability to complete duties under stress, deadlines, and while attending to multiple tasks simultaneously.
  • Ability to work independently with support from NFP Nurse Supervisor and NFP team.


Skills and Values and Beliefs Skills

  • Written and Verbal Communication – NHVs need to communicate effectively, openly, and consistently with their families, colleagues, and stakeholders.
  • Time Management – NHVs must be able to flexibly schedule and reschedule a day’s activities based on multiple factors.
  • Listening – Interactions between NHVs and clients depends on the NHVs ability to listen attentively and accurately to the client’s current experience.
  • Ability to impose structure – In between and during home visits, NHVs must be able to create structure in moments of confusion, disorganization, or crisis.

  Values and Beliefs  

  • Self-reflection – Successful NHVs actively work to understand and address their personal reactions to client, welcome feedback non-defensively, and make good use of the reflective supervision provided.
  • Teaching – Fundamentally enjoy teaching or contributing to the betterment of another person’s wellbeing.
  • Optimism and Hopefulness – We want a NHV who believes people can change and improve their lives. We refer to this as a “growth mindset” about people vs. a “fixed mindset” about people. NHVs with a growth mindset believe people can learn, change, grow, and improve.
  • Relationship – NHVs who love to stay with their work often feel passionately about building and maintaining relationships with a diverse range of clients over a period of time.
  • Contribution to Public Health – Successful NHVs often describe their commitment to serving the greater good of their communities and appreciate the public health implications of this work.

Working Conditions While Performing Essential Functions

  • General office setting in the Butte-Silver Bow Health Department facility, as well as community sites, including clients’ homes and workplaces. 
  • Work performed in the community is sometimes subject to conditions that range from inclement weather to dangerous conditions, such as snow/ice, cold, heat, noise, wetness/humidity, vibration, sudden temperature changes, and poor illumination at the job site or due to travel on the job. Travel to and from field locations may subject worker to increased risk of driving hazards. Community locations may subject worker to communicable diseases, insects and other disease vectors, toxins, hazardous materials, chemicals, and animals.
  • In all settings, employees in this classification may occasionally need to relate to members of the public who exhibit challenging, atypical, or hostile behaviors and/or communication.

Equipment used to perform essential functions

  • Computer, fax, copier, personal or county vehicle, public health and medical equipment and supplies related to duties.

Due to the need for all Health Department personnel to respond to public health emergencies, the employee must be assessed for his/her ability to meet the physical demands of performing the following activities:

  • Must be able to be fitted and wear NIOSH 95 mask.
  • Engage in the following movements: Climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting, grasping, feeling and writing and repetitive motions.
  • Exert up to 30 pounds of force occasionally, and/or a negligible amount of force constantly to move objects.
  • Hearing ability sufficient enough to communicate with others effectively in person and over the phone.
  • Visual ability must be sufficient enough to read typewritten documents and computer screens and drive a vehicle.

If unable to demonstrate these abilities based upon a standardized, objective assessment, all reasonable accommodations will be made, in compliance with the Americans with Disabilities Act and any other applicable federal and Montana law.  

Reports to:   Community Health Division Director  

Directs work of:   None  

Blood borne Pathogen Risk Code:  __None __ Low _x_Medium __ High

Acceptable Experience and Training

  1. Bachelor’s degree in nursing required. Associates degree in nursing may be considered.
  2. Montana registered nurse licensure.
  3. Current CPR certification.
  4. Two years recent experience in maternal child health, public health, home visiting, or mental/behavioral health nursing preferred.
  5. National Incident Management System (NIMS)/Incident Command System (ICS) 100, 200 and 700 certifications within four (4) months of employment.
  6. Valid Montana driver’s license, current certificate of vehicle insurance, and access to reliable transportation to all assigned work locations.

Required Special Qualifications

  • Must possess a current Montana Driver’s license; or have the ability to obtain one within a reasonable period of time after employment.
  • Must be a resident of Butte-Silver Bow during employment according to Butte-Silver Bow Ordinance.  See below.

2.08.010 Residence during employment. From and after October 1, 1979, all employees of the local government of Butte-Silver Bow shall be bona fide residents within the boundaries of Butte-Silver Bow during the period of their employment by the government of Butte-Silver Bow. (Ord. 85 § 1, 1979)     The City-County is an Equal Employment Opportunity Employer. It does not discriminate on the basis of race, color, religion, sex, age, national origin, physical disability, or veteran status.                                                                        

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