PH RN Case Manager – CMS

Southeast Health District - District 9-2; Waycross (GA); On-site; USD 55,000 - 85,000; Full time

Job summary

Southeast Health District - District 9-2 is seeking a nurse to support families with special healthcare needs. You will develop individualized care plans, coordinate ongoing care, and guide transition planning from age 12, while engaging families and CMS services across the district.

The role emphasizes strong organization, clear communication, and collaboration with community partners to improve outcomes for children and families served by the program.

Qualifications

• Associate degree in nursing, completion of a PHN course within 1 year of hire, and Georgia RN license with CPR certification.
• BSN preferred for advancement and broader clinical scope.
• One year RN experience and Spanish bilingual ability preferred.

Responsibilities

• Develop and manage individualized care plans for children with special healthcare needs.
• Coordinate ongoing care and transition planning beginning at age 12.
• Engage families, promote CMS services, and maintain program relationships.
• Manage enrollments, conduct six-month and annual reviews, and ensure continuity of care.
• Review medical records, approve nursing billing and documentation, and answer phone inquiries.

Skills

Care coordination

Communication

Organization

Bilingual Spanish

Education

Associate degree in nursing

PHN course

BSN

Job description

Job Responsibilities

Under general supervision, following established policies, procedures, and protocols to provide comprehensive support to families of children with special healthcare needs. This role involves developing and managing individualized care plans, coordinating ongoing care, and facilitating transition planning starting at age 12. Will actively engage and retain families in the program while promoting CMS services throughout the district. Key responsibilities include building and maintaining relationships with community partners and participating in outreach activities. Additionally, the role also involves managing enrollments, conducting six-month and annual reviews, and ensuring continuity of care, reviewing medical records, approving billing and documentation for other nurses, and assisting with phone inquiries as needed. Success in this role requires strong organizational skills, effective communication, and a commitment to improving outcomes for families with special healthcare needs.

Minimum Qualifications

• Associate degree in nursing from an accredited college or university and completion of a PHN course within one (1) year of hire and current Georgia Registered Professional Nurse license and CPR certification.

Preferred Qualifications

• Experience working with infants or young children.
• A bachelor’s degree in nursing (BSN).
• One year minimum experience as a registered professional nurse, and bilingual proficiency in Spanish.