On-Site Care Coordinator (RN) - Anderson, SC - Anderson

Overview:

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!

• 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:

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

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