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

CHS•Lancaster, SC

2d•Remote

About The Position

This is a work-from-home position with travel required within Lancaster, SC county. Mileage is reimbursed for travel. Position Summary: 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 as a Registered Nurse in the State of SC.

Requirements

A Minimum of three (3) years of recent clinical pediatric experience is required
Licensure as a Registered Nurse in the State of SC
Strong organizational, interpersonal and motivational skills
Excellent written and verbal communication skills
Detail oriented
High level of reasoning and analytical skills
Ability to multi-task and work independently
Ability to travel locally with a valid drivers’ license and automobile insurance insurance
Initial TB negative test and completion of a TB questionnaire, yearly
Proficiency using software programs such as MS Word, PowerPoint, Excel, Outlook and Adobe

Nice To Haves

A bachelor’s degree in a health-related field is strongly preferred
Previous work experience with a Medicaid program is preferred
Bilingual (Spanish) is preferred
Certified Case Management (CCM) Certification is preferred
Current BLS certification

Responsibilities

Upon referral, perform an initial medical eligibility assessment to determine eligibility for the program.
If qualified, perform an initial, in-home, level of care assessment to include the completion of all required documentation.
Fulfills requirements established by SCDHHS to complete an annual home visit, three in person quarterly visits, and monthly contact calls during months a visit is not required.
Ensuring the information contained in the system of record is accurate and complete.
Provides members and their authorized representatives with education required to care for members and arranges appropriate education services, if necessary.
Develops case specific care plans/service plans and presents to the primary care provider for approval and/or revision; submits care plan to DHHS for approval.
Collaborate with the Care Advocate Team to ensure all required services, communications, documentation, and ancillary needs are addressed.
Maintains availability to members, their authorized representatives, and providers to coordinate any required services.
Serve as a member advocate, attending educational advocacy meetings, team conferences, etc. as requested and available.
Addresses and identifies complaints, grievances, or concerns and escalates to the appropriate stakeholder, when
Develops disaster plan, identifies availability of advanced directives, needs for ancillary services, specialty services and community services.
Upon member ineligibility, age out, or other circumstance in which disenrollment from the program becomes necessary, complete all needed activities to ensure continuation of care and communicate with all stakeholders to ensure an uninterrupted transition of
Serve as a mandated
Will have access and manage PHI in accordance with federal and state requirements (HIPAA, HITECH).
Will demonstrate successful completion and compliance with all policies and procedures, to be assessed during quarterly performance reviews
Criminal background, OIG, and South Carolina Exclusion list checks must remain in good standing.
South Carolina Law Enforcement Division Check must be completed upon hire and every 5 years thereafter.
Will abide by the Ethical Code of Conduct set forth by the company, to be reviewed and signed yearly.