Travel/Work Environment
Summary of position
Essential Functions
Position Requirements
Skills, Knowledge & Abilities
The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.
AAP/EEO Statement
- This is a field-based position requiring frequent travel throughout Wilcox and Turner Counties, Georgia, including visits to clients' homes and community locations.
- Candidates living within or near the assigned service area are preferred.
- Administrative work is completed remotely when not conducting field visits.
- Occasional in-office meetings and evening or weekend work may be required.
- Must maintain a valid driver's license, automobile insurance, and reliable access to an automobile.
Summary of position
Essential Functions
- Conduct initial face-to-face visits with referred individuals to gather relevant health and personal information.
- Performs complex needs assessments to evaluate the medical, behavioral, nutritional and social needs of clients.
- Conduct quarterly, annual, and significant change in condition visits to reassess and update clients' needs and care plans.
- Provide options counseling to clients and their families, offering information and guidance on available services and supports.
- Develop and set up individualized person-centered Plans of Care and Service Plans based on the assessments and counseling sessions.
- Advice and counsel participants on cost-effective service planning.
- Maintain accurate and timely documentation of all assessments, visits, counseling sessions, and person-centered plans of care and services plans in accordance with regulatory and organizational standards.
- Collaborate with other healthcare professionals, community resources, and service providers to ensure comprehensive and coordinated care for clients.
- Ensure compliance with all applicable laws, regulations, and organizational policies and procedures.
- Participate in Interdisciplinary (IDT) meetings as necessary.
- Report on any potential Critical Incidents and safety concerns that may put the individual participant in danger.
- Triage and refer participants to the appropriate level of care based on their needs and per program and regulatory guidelines.
Position Requirements
- Requires an associate degree in nursing from an accredited institution or certificate or diploma from a state-approved practical nursing program.
- Requires current and valid License Practical Nurse (LPN) license.
- Minimum of three (3) years of nursing experience, preferably in an intake, triage unit or assessment role.
- Experience in a similar role or in community health, home health, or case management is preferred.
- Knowledge of Medicaid, Medicare and/or waiver programs preferred.
Skills, Knowledge & Abilities
- Strong assessment and clinical skills.
- Excellent interpersonal and communication skills.
- Ability to develop and implement individualized care plans.
- Strong organizational and time management skills.
- Proficiency in using electronic health records (EHR) and other relevant software.
The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.
AAP/EEO Statement