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

Community Health Solutions Of America • Charleston, SC

116d • Remote

About The Position

This is a work-from-home position with travel required within Charleston, SC county. 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 as a Registered Nurse in the State of SC.

Requirements

• A Minimum of three (3) years of recent clinical pediatric experience is required.
• 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.
• Ability to travel locally with a valid drivers' license and automobile insurance.
• Criminal background check as required by the state where business is conducted.
• Initial TB negative test.
• Current RN licensure in states where business is conducted.
• Current BLS certification.

Nice To Haves

• Certified Case Management (CCM) Certification is required within four (4) years of employment.
• Other certifications recognized by URAC are also acceptable.

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.

What This Job Offers

• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree