Job Description

Job Title:  Certification Reviewer- Registered Nurse or Licensed Practical Nurse Preferred- Atlanta

Pay Grade: M

Job Summary:

Conducts compliance reviews of providers for adherence with rules, regulations, standards, and policies, primarily focusing on intellectual and developmental (I/DD) providers supporting individuals through NOW and COMP Waivers. Acts as subject matter expert in required area (nursing). Supports compliance reviews of crisis services, as needed. Functions as a resource within the Division of Strategy, Technology, and Performance based upon the critical needs at any given time. 

Primary Responsibilities:

·       Maintains working knowledge of all rules, requirements, policies, provider manuals etc. that are used to evaluate provider performance.

·       Evaluates provider performance and draws conclusions based on evidence provided to develop findings of deficiency and/or to certify a provider.

·       Prepares detailed, thorough, and accurate review findings by incorporating data analysis, data interpretation, policies and rules which describe complex and/or technical information that can sustain legal challenge.

·       Works closely with other staff to ensure review survey instrument adequately reflects provider requirements, policy, rules, regulations, laws, etc.

·       Acts as subject matter expert in field of expertise (nursing).

·       Serves as team lead during reviews.

·       Requests and evaluates corrective action plans.  Provides timely feedback to providers throughout the corrective action plan process.  Evaluates evidence of implementation of corrective actions, via documentation or onsite review.

·       Completes accurate, thorough, and timely entry of data into multiple databases.

·       Communicates effectively and professionally, verbally and in writing, with providers and other stakeholders, including other DBHDD offices and divisions.

·       Provides technical assistance to providers regarding policy, rules, and regulation requirements.  

·       Completes health and safety risk reviews to determine risks within provider services and certification eligibility.

·       Uses critical thinking to determine risks to individuals being served.

·       Represents DBHDD professionally during all interactions with providers and stakeholders.

·       Travels statewide, approximately 50%, as needed.

Preferred Qualifications:

·       Licensed Practical Nurse or Registered Nurse.

·       Knowledge of DBHDD services, especially I/DD specific service settings.

·       Experience conducting healthcare and medication records audits in I/DD service settings.

·       Exceptional computer skills.

·       Excellent written and verbal communication skills.

For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/  

Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.

The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:

• Drug Screening
• TB Evaluation
• Annual Influenza*

*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

DBHDD is an Equal Opportunity Employer
It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

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.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.