About The Position

This is a work-from-home position with travel required within Spartanburg, SC territory/community. 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.

Requirements

  • Current RN licensure in states where business is conducted.
  • Current BLS certification
  • A minimum of three (3) years of recent clinical pediatric experience is required.
  • A minimum of three (3) years of Pediatric Nursing, Pediatric Home Care experience is required.
  • 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
  • Proficiency using software programs such as MS Word, ACCESS, PowerPoint, Excel and Outlook
  • Strong organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Detail oriented
  • Ability to multi-task and work independently

Nice To Haves

  • Previous work experience with a Medicaid program is preferred.
  • Bilingual (Spanish) is preferred.
  • A Bachelor’s degree in a health related field is strongly preferred.

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.
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