CMS Care Coordinator (RN)

Cms Care Coordinator (Rn)

Pay Grade: L

Who We Are. We protect lives. The Georgia Department of Public Health (DPH) is the lead agency entrusted by the people of Georgia to protect lives and promote healthy lifestyles in communities throughout the state. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing for and responding to disasters.

What We Offer. As a member of the DPH team, you will join a group of passionate individuals dedicated to serving Georgians. Regardless of your role, you will contribute to protecting lives while enjoying a wide range of benefits.

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 the people of Georgia.

Work with a Dynamic and Diverse Team Collaborate with employees who share ideas and leverage collective strengths.

Achieve Career Longevity Take advantage of opportunities for learning and development that support a long-term career.

Take Part in a Hands-on Working Culture Work in a 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 yourself.

As a CMS Care Coordinator (RN) within the 5-2 NCHD Children's Medical Services Program at the Georgia Department of Public Health, you will join a dedicated group of public health professionals that help support the overall mission and vision of protecting the lives of Georgia residents in a variety of ways.

Job Responsibilities

Under general supervision, assess client health problems and needs, develop and implement nursing care plans, maintain medical records, administer nursing care to ill, injured, convalescent, and/or disabled clients. The Care Coordinator may also advise clients on health maintenance, disease prevention, and provide case management.

• Schedule enrollment visits, annual visits, and 6-month updates as required by programmatic policies & requested by families & clients.
• Mandatory travel to complete home visits within the North Central Health District's 13 counties. Home visits are completed at least twice annually per client (the frequency of visits is subject to change dependent upon the needs of the client and/or family).
• Document all encounters with families and clients in designated client database, including all communications with internal and external vendors, providers, and community partners.
• Provide care coordination as stated by programmatic policies including however, 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.
• 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 telemedicine clinic equipment & supplies for clinic use.
• Attend meetings, health fairs, conferences, workshops, and other outreach events as needed and/or requested.
• Maintain nursing license 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.
• Assist in telemedicine clinics monthly including handling telemedicine cart & equipment, clinical documentation, phlebotomy, and other lab collection processes.

Minimum Qualifications

Associate degree in nursing from an accredited college or university and one (1) year of nursing experience and completion of a PHN course within one year of hire and current Georgia Registered Professional Nurse license and CPR certification; or one (1) year of experience at the lower-level PH Registered Nurse 1 (HCP190) or position equivalent.

Preferred Qualifications

A nurse licensed in Georgia with a minimum of one year of experience working in the delivery of services to children with special health care needs and/or women's health; and a professional (Bachelor or Master Level) with one year of human service delivery experience in health and human services. A licensed nurse who also has home visiting experience.

Additional Information

The DPH Commissioner and agency leaders encourage all employees to engage in regular wellness activities and to make lifestyle choices that promote health and well-being.

The use of physical activity breaks during the workday is authorized to support this philosophy and help employees meet their wellness goals. A maximum of 30 minutes of physical activity may be allocated per workday, typically in the form of two 15-minute breaks or one 30-minute break.

State of Georgia employees are subject to the rules of the State Personnel Board regarding salary.

DPH accepts educational credentials recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) as valid. DPH will contact educational institutions to verify degrees, diplomas, licensures, and other relevant credentials.

The candidate selected for this position may be subject to pre-employment drug screening and a criminal background check.

Relocation assistance is not provided.

In the event of an identified emergency, you may be required, as a term and condition of DPH employment, to assist in meeting the emergency responsibilities of the department.

DPH is committed to providing access and reasonable accommodation in its services, programs, activities, and employment for individuals with disabilities. To request a reasonable accommodation for the application or interview process, email DPH-HR@dph.ga.gov.

DPH is an Equal Opportunity Employer.