On-Site Care Coordinator

3 weeks ago

Anderson, United States Community Health Solutions of America Full time
Overview

This is a work-from-home position with travel required within the
Anderson, 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.

Join us and enjoy a robust benefits package designed to support your well-being
(Some plans vary by state.)
Full Time employees can enjoy:
• Health Coverage: Two flexible medical plans.
• Dental & Vision: Comprehensive coverage by Sun Life. Vision is company paid.
• Health Savings Account (HSA): Pre-tax contributions.
• Flexible Spending Accounts (FSA): Medical and Dependent Care options.
• Life & Disability Insurance: Company-paid, with optional additional coverage.
• Generous Paid Time Off (PTO), plus additional paid holidays.
• Supplemental Insurance: AFLAC's cancer, accident, and personal injury plans.
• Employee Assistance Program (EAP): Wellness support
• 401k Retirement Plan: Participate and receive a company match after meeting eligibility requirements.
• Frequent and ongoing employee appreciation and celebration throughout the company

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 telephone.May 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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