CMS Care Coordinator- Registered Nurse (Macon, GA)
Description
Pay Grade: K
Who we are. We protect lives.The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters.
What we offer. As a member of the Georgia Department of Public Health team, you will join a passionate group of individuals who are dedicated to making an impact. No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can:
- Make a Professional Impact – Build your career where it matters and protect lives in the community where you live, work, and play
- Enjoy Workplace Flexibility – Experience flexibility in how you work so you can be your best self for you and Georgia Residents
- Work with a Dynamic and Diverse Team– Collaborative and inclusive way of working where employees share ideas and leverage collective strengths
- Achieve Career Longevity – Countless opportunities for continuous learning/development that support a long-term career
- Take Part in a Hands-on Working Culture – Unique culture of active engagement and problem-solving, no matter your role
- Feel Pride in Where you Work – Be part of making an impact in public health alongside dedicated people just like you
Job Responsibilities
Under general supervision, assess client health problems and needs, develop and implement nursing care plans and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled clients. May advise clients on health maintenance and disease prevention or provide case management.
-Schedule enrollment visits, annual visits, and 6-month updates as required by programmatic policies & requested by families & clients.
- Travel to complete CMS home visits within the North Central Health District’s 13 counties.
- Document ALL encounters with families and clients in M&M. This includes ALL communications with internal and external vendors, providers, community partners, etc.
- Provide care coordination as stated by programmatic policies including however, but not limited to being a liaison between families and providers/vendors and transitioning families from pediatric to adult care according to CMS policy
- Comply with all HIPAA policies provided by the Department of Public Health via the NCHD intranet.
- Complete and document prior authorizations as requested by families and approved by CMS policy.
- Scan, review, and enter patient information provided by medical providers;
update client file in M&M.
- Contact providers to assist with understanding of medical diagnoses, obtaining Rx instructions, prior authorizations, and any other pertinent information necessary to maintain the patient’s continuity of care.
- Research & provide resources as needed and/or requested by families.
- Update and maintain clinic equipment & supplies for clinic use.
- Attend meetings, health fairs, conferences, workshops, and other outreach events as needed and/or requested.
- Maintain nursing licensure requirements including acquiring CEUs.
- Provide admin and/or clinical services in authorized shelters as requested by Emergency Preparedness during a public health state of emergency.
Minimum Qualifications
Bachelor's degree in Nursing from an accredited college or university OR Associate's degree in Nursing from an accredited college AND Current Georgia License as a Registered Professional Nurse AND Any related professional work experience.
Additional Information
Georgia Department of Public Health Commissioner and leaders encourages all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being.
The use of wellness breaks during the workday is authorized to support this philosophy and assist employees in meeting their wellness goals. A maximum of 30 minutes in a given workday may be used to engage in wellness activities, generally in the form of two 15-minute breaks or one 30-minute break.
Employment Information
Current State employees are subject to State Personnel Board rules regarding salary.
DPH accepts educational credential recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) will be considered. DPH will contact educational institutions to verify degree, diploma, licensure, etc.
The candidate selected for this position may be subject to pre-employment drug screening and a criminal background check.
As an employee of DPH, in the event of an identified emergency you may be required, as a term and condition of employment, to assist in meeting the emergency responsibilities of the department.
If you require accommodations under the American Disability Act (ADA), email request by the closing date of this announcement to: DPH-HR@dph.ga.gov.
DPH is an Equal Opportunity Employer
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.
This position is subject to close at any time once a satisfactory applicant pool has been identified.