On-Site Care Coordinator - Greenville, SC, US, United States - Community Health Solutions of America, Inc.

Community Health Solutions of America, Inc. Greenville, SC, US, United States

4 weeks ago

Administrative

Description

Overview:
This is a work-from-home position with travel required within the
Greenville, SC County territory/community.
Mileage is reimbursed for travel.

The On-site Care Coordinator is a Registered Nurse who provides care coordination, education and outreach services on-site (various locations including home) to Medicaid members in the Medically Complex Children's Waiver program.

This position requires licensure in a health discipline that allows the professional to conduct an assessment independently within the scope of practice of their discipline.

Responsibilities:

Schedules appointments and visits the home to complete a comprehensive assessment determining Nursing Facility or Institutional level of care requirements.

Receives and reviews the LOC (level of care) forms and medical records supplied by DHHS that qualifies participation in the MCCW program.

Provides parents/guardians with education required to care for child or arranges appropriate education services.

Develops case specific care plans and presents to provider for approval and/or revision; submits care plan to DHHS for approval.

Coordinates with Care Advocate to assist in securing the services approved on the care plan.
Maintains availability to family/guardian and providers to coordinate any required services.
Develops disaster plan, identifies availability of advanced directives, needs for ancillary services, specialty services and community services.
Identifies any complaints and/or grievances.

Supervisory

Responsibilities:
None

Qualifications:
A Minimum of three (3) years of recent clinical pediatric experience is required.
Previous work experience with a Medicaid program is preferred.
Bilingual (Spanish) is preferred.
Ability to travel locally with a valid drivers' license and automobile insurance.
Criminal background check as required by the state where business is conducted
Negative TB test annually

Education and/or Experience:
A Bachelor's degree in a health related field is strongly preferred.
A minimum of three (3) years of Pediatric Nursing, Pediatric Home Care experience is required.

Competencies:
Strong organizational and interpersonal skills
Excellent written and verbal communication skills
Detail oriented
Ability to multi-task and work independently

Certificates, Licenses, Registrations:
Certified Case Management (CCM) Certification is required within four (4) years of employment. Other certifications recognized by URAC are also acceptable.
Current unrestricted RN licensure in states where business is conducted.
Current BLS certification

Computer Skills:
Proficiency using software programs such as MS Word, ACCESS, PowerPoint, Excel, and Outlook

Environmental Factors/Physical Demands:
Work is performed in an office environment.

While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the be subject to repetitive motion such as typing, data entry and vision to monitor.

May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.

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