Overview

DUTIES AND RESPONSIBILITIES CLINICAL DIRECTOR

• Provide clinical oversight and nursing supervision for individuals with Intellectual and Developmental Disabilities (IDD) receiving services under Georgia Medicaid Waiver programs (NOW, COMP and other Waivers)
• Conduct face-to-face initial nursing assessments upon authorization of services to establish baseline health status.
• Reviews monthly nursing assessments or documented monthly nursing notes to monitor health status and identify deviations from baseline.
• Perform timely incident follow-up assessments for emergency room visits, hospitalizations, or changes in condition.
• Review medical history, physician orders, diagnoses, medications, laboratory results, treatment protocols, and health data tracking logs for CLS and Skilled Nursing individuals.
• Communicate assessment findings and coordinate care adjustments with physicians, physician assistants, or nurse practitioners.
• Develop, implement, and revise individualized Healthcare Plans (HCP) and/or Risk Mitigation plans based on nursing assessments and physician orders.
• Review and update Care Plans every 62, 92, or 122 days as required.
• Develop and revise the client Service Plan of Care in coordination with the Individualized Service Plan (ISP).
• Review Service Plans during each site of the RN or LPN to ensure compliance with DBHDD policies, Georgia Medicaid regulations, CARF and internal quality standards.
• Review and update Health Risk Screening Tool (HRST) assessments for individuals scoring Level 3 and above and complete required clinical reviews.
• Facilitate referrals to appropriate clinical professionals based on HRST findings and service considerations.
• Conduct unannounced supervisory home visits to evaluate implementation of care plans and monitor overall health and safety for the individual.
• Review clinical record reviews, nursing documentation reviews, and supervisory visit documentation.
• Assist at least annually with supervisory visits to observe and evaluate PCA performance.
• Verify accuracy of physician orders, pharmacy transcriptions, and Medication Administration Records (MAR).
• Observe and monitor medication administration at least monthly to ensure compliance and accuracy.
• Identify and address medication discrepancies, omissions, and adverse reactions and train staff promptly on corrective actions.
• Monitor PRN medication usage, side effects, and treatment effectiveness, and report concerns to prescribing providers.
• Provide training and oversight to Direct Support Professionals (DSPs) regarding implementation of health-related interventions.
• Train and monitor proxy caregivers in accordance with Georgia Nurse Practice Act Rule 111-8-100 for health maintenance activities.
• Review health data tracking logs including vital signs, bowel movements, seizure logs, intake/output, skin integrity, repositioning, and sleep monitoring at least monthly.
• Report incidents in accordance with DBHDD Policy 04-106 (Reporting Deaths and Other Incidents in Community Services).
• Ensure individualized supports such as special diets, medical equipment, and specialized supplies are implemented per ISP, HCP, and Plan of Care.
• Participate in development and implementation of infection control procedures and communicable disease prevention measures.
• Serve as liaison between individuals, families, guardians, caregivers, and healthcare providers to promote optimal health outcomes.
• Ensure all RN documentation complies with DBHDD requirements, Comprehensive Supports and NOW Waiver Program standards, GAMMIS guidelines, CARF and generally accepted nursing standards.
• Review RN, LPN and DSP notes for specific tasks performed, date of service, start and end time, service location, progress toward goals, and proper signature with credentials.
• Perform additional duties within the scope of nursing practice as assigned by the

CEO. MININUM QUALIFICATIONS

• Graduation from an accredited Bachelor of Nursing Program (BSN).
• Active Registered Nurse License in the State of Georgia.
• Minimum of 3-5 years of nursing experience in HRST and IDD waiver programs, preferably

NOW/COMP.

• Strong interpersonal skills with individuals, families, caregivers, and healthcare providers.
• Demonstrated ability to supervise and train RNs, LPNs, and DSPs.
• Proficient in EVV systems, Microsoft Office Suites, IMAGE, IDD Connect and HRST.
• BLS/CPR Certification
• Additional continuing education in IDD, behavioral health, and skilled nursing.
• Must meet all pre-employment requirements, including a TB screening and criminal background check.

Pay:

$80,000.00 - $110,000.00 per year

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Education:

Bachelor's (Required)

Experience:

IDD:

1 year (Required)

HRST:

1 year (Required) Willingness to travel: 25% (Required)

Work Location:

In person