Care Coordinator Nurse Jobs

About The Position

Requirements

• Bachelor’s degree in Social Work, Sociology, Psychology, or a related field.
• Two years of experience in case management in a health care field.
• Two years of experience with Medicare, Medicaid, and other funding sources.
• Reliable transportation, a valid driver’s license, and proof of vehicle insurance.

Responsibilities

• Arrange CCSP and non-CCSP community-based services in collaboration with the RN care coordinator, clients, and family members.
• Coordinate with the Medicaid application team to help ensure CCSP access for functionally impaired Medicaid-eligible persons.
• Arrange emergency services when applicable.
• Coordinate with the lead agency or DHR as needed to ensure CCSP components respond to client needs.
• Serve as the link between assessment and delivery of direct services.
• Develop appropriate care plans in consultation with clients, families, and service providers.
• Implement care plans and broker CCSP services.
• Complete assessments within five days of referral, follow up on ordered direct services within ten days, and review care plans within the first 60 days of the level-of-care date, consistent with stated standards of promptness.
• Review care plans at least every four months or more often as needed; provide monthly updated data for reporting; and complete or refer for annual reassessment to avoid a lapse in physicians’ orders.
• Document care management activities and service-related information in the required format, maintain confidential CCSP case records, and document follow-up on client and community-resource needs.
• Follow through thoroughly and promptly on management assignments and requests from patients, families, referral sources, and the community.
• Limit service amounts and frequency so costs remain within Division of Aging Services and Department of Community Health limits.
• Authorize payment to service providers within DHR standards of promptness following the service date.
• Request redetermination of a client’s level of care before it expires.
• Maintain current knowledge of community resources and CCSP service standards.
• Monitor service delivery and follow up to determine whether services are appropriate and meet clients’ needs.
• Participate in interdisciplinary conferences to coordinate care, resolve problems, and exchange information; document conference activities and follow-up.
• Adhere to Visiting Nurse Health System policies and procedures and applicable DCH and VNHS standards of promptness.

Benefits

• Medical, dental, and vision insurance
• Employee Assistance Program
• Employee discount
• Flexible schedule
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Life insurance
• PTO and nine holidays
• 403(b) with company match