CAP Nurse / PT / Flexible Hours / New Hanover & Brunswick Area

RHA Health Services • Wilmington, NC

2d

About The Position

The CAP Nurse Manager works collaboratively with the CAP Social Worker, families, healthcare providers, and service providers to promote the health, safety, and well-being of program participants. The role conducts assessments, completes annual multidisciplinary and Change of Status assessments, coordinates care, monitors service delivery, and supports person-centered care planning. The RN ensures individualized, high-quality care in compliance with Medicaid guidelines and works with a multidisciplinary team to support participants.

Requirements

• Current North Carolina Registered Nurse (RN) license with a two-year or four-year degree.
• One year of case management experience in home care, long-term care, personal care, or related work.
• Completion of an NC Medicaid-certified training program within 90 calendar days of employment.
• Strong understanding of Medicaid programs and compliance requirements.
• Excellent communication and interpersonal skills for working with families and multidisciplinary teams.
• Ability to manage multiple priorities and maintain detailed records.
• Experience working with medically fragile children or in pediatric healthcare settings and physically disabled adults with complex care needs.
• Able to lift a minimum of 10 pounds and pull a minimum of 20 pounds.
• Able to squat, kneel, crawl, crouch, climb, and stoop; regularly stand and walk.

Responsibilities

• Conduct initial pre-screening and assessments of beneficiaries and families across medical, psychological, behavioral, financial, social, cultural, environmental, legal, vocational, educational, and other areas.
• Educate beneficiaries and primary caregivers about waiver services, Medicaid, and community resources.
• Identify needs and risks to help maintain community placement and protect health and safety.
• Develop and maintain individualized, person-centered care plans, including emergency and disaster planning, and update them at least every 12 months or when a beneficiary’s status changes.
• Ensure beneficiaries and families understand care plans and can make informed decisions.
• Coordinate personal care, waiver supplies, home modifications, educational support, and other services in accordance with care plans.
• Collaborate with the team to monitor service quality and compliance with Medicaid and program standards.
• Arrange additional services as needed to prevent institutionalization and support participants at home.
• Monitor services through monthly phone calls and home visits, documenting observations and participant progress.
• Evaluate care plans and services and recommend or implement changes to achieve desired outcomes.
• Provide emotional support and counseling to beneficiaries and families, including assistance with palliative care, behavioral issues, and medical needs.
• Obtain documentation from medical staff to confirm the need for specific CAP services.
• Maintain accurate participant records and ensure compliance with Medicaid requirements, 10A NCAC 27G.0202, and other regulations.
• Review billing codes and documentation for case management, in-home aide services, paid live-in caregivers, recertifications, and supplies.
• Participate in NC Medicaid-certified training and meet program compliance requirements within 90 days of employment.
• Update the CAP Business system and other required documentation systems on time.
• Collaborate with social workers and interdisciplinary team members, service providers, community agencies, and healthcare professionals.
• Advocate for participants and families to obtain necessary resources and services.
• Train and support families in managing their child’s care.
• Complete state-mandated training and agency-required continuing education annually and stay current on CAP guidelines and best practices.
• Perform other duties as assigned.

Benefits

• Payactiv early access to earned wages before payday.
• Employee perks and discount program.
• Paid time off for full-time employees only.
• Health insurance and other insurance benefits for full-time employees only.
• 401(k) retirement savings program.
• Wellbeing programs covering physical, emotional, and financial well-being.
• Chronic disease management programs for hypertension and diabetes for qualifying employees.
• Free CPR, first aid, and job-specific training opportunities.

What This Job Offers

• Job Type: Part-time
• Education Level: Associate degree