Nurse Coordinator Jobs

About The Position

Requirements

• Graduated from an accredited nursing program (Diploma, Associate, or BSN Required).
• Hold current licensure by the Georgia State Board of Nursing and valid CPR certification.
• Possess a valid driver’s license, reliable transportation, and current auto insurance.
• 1-2 years of recent nursing experience.
• Exhibit advanced clinical nursing skills and comfort collaborating with interdisciplinary teams.
• Have proven decision-making, time management, and interpersonal skills, functioning independently in a home environment.
• Are proficient with computers and basic technology for documentation, email, HR systems, and online training.

Nice To Haves

• Home Health, Long Term Care and/or MDS experience.

Responsibilities

• Coordinates care for a caseload of patients, ensuring care meets quality standards and utilization guidelines.
• Provides upfront review of admission documentation for submission of client assessment data and supplemental medical records into the Georgia Medical Care Foundation (GMCF) online portal.
• Keys and inputs client data into the GMCF online portal daily.
• Acts as a resource to clinical staff regarding assessment documentation.
• Provides education and training to CCSP Leadership and clinical teams regarding quality issues, denial reasons, and documentation standards based on trends resulting in technical denials from GMCF.
• Communicates with other waiver programs as necessary to update on client status regarding current waiver services.
• Tracks denials and appeals internally using an Excel spreadsheet, communicating updates to appropriate staff.
• Works in collaboration with the Level of Care Coordinator to obtain signed Levels of Care from the client’s primary care physician contact in a timely manner before they expire.
• Identifies any corrections to the client’s record that are needed/required and works with the individual clinician to ensure corrections are done completely and timely (Within 24 hours of request for correction).
• Provides education and training as required regarding clinical documentation requirements to clinicians.
• Assists clinician supervisors in validating staff performance and compliance with clinical policy and procedure related to the care and services to the client.
• Reviews admission, comprehensive assessment, and visit notes.
• Provides feedback to Supervisor and/or members of the CCSP Leadership team regarding clinicians who are non-compliant with correction procedures.
• Tracks and makes recommendations for clinician performance improvement to the clinician’s Manager based on results of clinical reviews.
• Develops staff to an independent level of functioning.
• Progressively counsels staff who do not comply with VNHS policy and practices.
• Actively participates in performance improvement processes with Management.
• Demonstrates effective time management skills.
• Maintains knowledge of GMCF requirements and promotes compliance.
• Demonstrates knowledge and understanding of Medicare and Medicaid regulations and standards of care.
• Makes suggestions for improvement in processes/systems to supervisor; implements changes in processes as directed.
• Has established a track record of producing work that is highly accurate, demonstrates attention to detail and reflects well on the organization.
• Is personally committed to high quality of work and encourages others to have similar standards.
• Makes field visits to clients to determine if they meet the level of care required for the Community Care Services Program (CCSP) when required and necessary.

Benefits

• Medical, Dental, and Vision insurance
• PTO and Paid Holidays
• 403b Retirement Plan with Company Match
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Life Insurance
• Employee Assistance Program
• Employee Discounts
• Flexible Schedule
• Pet Insurance