Nurse Care Coordinator

Community Based Care of Brevard • Rockledge, FL

2d • $67,055 • Hybrid

About The Position

Coordinate, support, and assist children and families in accessing necessary services through the Sunshine Health Plan. Manage an active caseload of children and youth in out-of-home care, ensuring timely completion and updates of assessments. Monitor and enforce compliance with designated treatment timeframes outlined by the Sunshine Child Welfare Specialty Plan. Provide a case management overlay to support medical treatment planning and coordination. Review medical records to ensure appropriate levels of care and effective discharge planning. Advocate for clients and deliver training and guidance to clinical staff, subcontracted case management organizations, and child-placing agencies on medical necessity requirements, ensuring adherence to the highest standards and all mandated guidelines. This is a hybrid position.

Requirements

• Registered Nurse (RN): Minimum of 3 years of nursing experience, preferably in the child welfare or behavioral/medical health care setting.
• Strong time-management and organizational skills: Ability to manage multiple tasks and timeliness while ensuring completion of duties
• Data analysis: Ability to analyze, integrate, sort and report data
• Computer program application: Proficiency in Microsoft Office Suite including Word, Outlook and Excel
• RN required.
• 3+ years’ experience required.

Nice To Haves

• Experience working with DCF and/or ACHA preferred.

Responsibilities

• Caseload Management-Essential Function: Manage active caseload of children and youth in out of home care to ensure timely updated assessments.
• Care Coordination: Ensure designated timeframes for treatment of children covered by the Sunshine plan. Provide case management overlay of medical treatment.
• Records Verification-Essential Function: Assess records for appropriate level of care and treatment including discharge planning to verify status.
• Assessments and Supports: Assess, identify and refer to Sunshine Health Plan those covered individuals who may need physical or behavioral healthcare management, health coaching or care coordination.
• Advocacy and Training: Provide client advocacy, training and information about medical necessity requirements to clinical staff and subcontracted Case Management and Child Placing Agencies to ensure the highest standards and mandated requirements are met.
• Effective Verbal Communication: Exhibit excellent verbal communication skills to children, caregivers, stakeholders and staff.
• Multidisciplinary Team Meetings -Participate in Family Team Conferencing as appropriate in order to serve client needs.
• Other duties as required: Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed