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Pediatric Care Coordinator
2 months ago
** Remote Position Available **
Contract Role
Preferred Service Areas:
Hutchinson, Potter, Carson, Deaf Smith, and Randall Counties
** Experience in Pediatric Nursing Preferred **
The RN Care Manager is responsible for executing care management functions to evaluate and synchronize all facets of medical and ancillary services for individuals with complex and high-acuity health requirements. This role is essential in fostering quality and cost-effective healthcare delivery. The RN will create tailored care plans for long-term care members, address their needs, and provide education to members and their families regarding available services and benefits to ensure they receive optimal care.
Key Responsibilities:
- Conduct comprehensive in-home evaluations, which include:
- o SAI Core A to Core Q
- o ISP
- o EDP
- o Additional necessary forms: 1500 forms, SBP, EVV
- o Evaluate the member's current health condition, resource usage, previous and ongoing treatment plans, and both short- and long-term objectives.
- o Follow up on requests for necessary items/services.
- o Communicate with healthcare providers.
Performance Metrics:
- Achieve a minimum of 6 successful visits weekly.
- o Submit assessments within 24 hours post-visit.
- o Complete all other documentation within 5 business days.
- Visits are generally scheduled Monday through Friday, 8 AM to 5 PM; however, due to contractual obligations, timely submission of assessments and documentation is required.
- Due to the pediatric demographic, some visits may occur after 3 PM, and there may be requests for Saturday visits.
- Home visits are essential, necessitating travel to members' residences.
- Travel may extend beyond a 100-mile radius.
- o Preferred counties include:
- Hockley, Lubbock, Crosby, Terry, Lynn, Garza, Lamb, Hale, and Floyd.
- o Visits will occur within the designated service area, encompassing counties from Hutchinson to Terry, Lynn, and Garza.
- o Visits may extend to surrounding counties.
- Travel time will be factored into productivity assessments for the week.
Preferred Background:
- Private Duty Nursing
- Home Health Services
- School Nursing
- Case Management
- Pediatric Experience
- Bilingual Skills
Team Culture:
- Positive and collaborative environment.
- Supportive and friendly atmosphere.
- Flexible work culture.
Required Qualifications:
- Registered Nurse License
- Pediatric Experience
Preferred Qualifications:
- Bilingual Proficiency
- Experience in Case Management
Educational Requirements:
- Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)
Certifications Required:
- Registered Nurse Certification
