The purpose of this classification is to provide care coordination to families and patients interested in obtaining education and resources designed to improve family resiliency, self- sufficiency and improved long-term health outcomes. The CHANT Nurse Care Coordinator serves in a backup role to the Public Health Nurse/CHANT Medical Services Lead and the Children’s Special Services (CSS) program as needed. In case of emergent need, the Nurse Care Coordinator could be called upon to temporarily fill the Medical Team Lead role.

Essential Functions

The CHANT Nurse Care Coordinator is responsible for the following essential functions:

Provide care coordination to parents according to CHANT program model and KCHD guidelines assuring confidentiality of all client information

Conduct family assessments and screenings, develop family service plans, develop and review family goal plans, and connect to community resources within the context of family home visits.

Prepare and implement care pathways based on CHANT program requirements

Coordinate with Public Health Nurse/CHANT Medical Services Lead to assess medical and financial eligibility for Children’s Special Services program.

Provide comprehensive developmental assessments for children who lack health coverage or access to a Primary Care Provider

Serves as a clinical resource to medical professionals and patients

Ensure necessary supplies and equipment are provided to clients as designated by need and program coverage

Evaluate family progress in plan; engage family members to facilitate outcomes on a regular basis

Approach families from a strengths-based perspective and maintain professional boundaries

Maintain an overall caseload as assigned and determined by program guidelines

Keep all documentation up-to-date and accurate, including electronic web-based records, paper records and daily calendar

Participate in regular reflective supervision, staff meetings, trainings, CQI activities, and professional development as required to fulfil contractual guidelines and accreditation requirements

Plan, conduct and participate in targeted community-based events, occasionally after hours or on weekends

Responds to medical emergencies per KCHD protocol

Respond to and report immediately if called upon by local, regional or central office supervisors, as part of a coordinated emergency response by the Knox County Mayor’s Office

Ensure regular, punctual attendance during scheduled work hours

Perform other duties as required

Must be a Registered Nurse with a minimum of an Associate degree and two years related experience

Must maintain state of Tennessee licensure / certification requirements in nursing and advanced pharmacology

Preferred, but not required, experience in electronic health records (EHR)

Ability to communicate bilingually (English and Spanish) preferred.

Non-smoking preferred

Must hold and maintain a current valid Tennessee driver’s license.

Must have reliable transportation and carry insurance on personal vehicle equal to Knox County requirements on personal automobile.

Any equivalent combination of education, training and experience which provides the requisite knowledge, skills, and abilities may be considered for employment into the position

Specialized Knowledge

N/A

Competencies

Basic understanding of computers, printers and other office equipment

Must be proficient in Windows OS and Microsoft Office

Ability to focus and demonstrate great attention to detail

Ability to work cooperatively as a member of a team

Ability to perform in a position of moderate complexity

Ability to solve somewhat difficult problems

Ability to communicate moderately complex information verbally and in writing in an effective manner

Ability to direct the work of others and/or persuade or instruct others, if necessary

Ability to maintain confidentiality of client information

Ability to work independently with limited direct supervision

Ability to use the RedCap, Intergy, and PTBMIS programs

Physical Requirements

This position requires the ability to engage in occasional light physical activity.

Occasional moderate effort or frequent periods of light physical activity and be required to lift and carry items weighing up to thirty (30) pounds

Occupational Hazards

The following occupational hazards exist:

Regularly perform duties in client homes that may be unhygienic or dilapidated and located in high crime areas; the CHANT Medical Team Member must be responsible for personal safety and security to minimize risks associated with his or her duties