What are the responsibilities and job description for the Part-Time Overflow Nurse (RN) position at Community Health Solutions of America, Inc.?
Overview
Remote - Part-Time Registered Nurse Care CoordinatorThis is a work-from-home position but the Nurse MUST RESIDE IN SOUTH CAROLINA
Summary:The Registered Nurse Care Coordinator provides care coordination and education to Medicaid members in the Medically Complex Children’s Waiver program.
Responsibilities
Responsibilities:
- Primary responsibility is to complete comprehensive monthly review with responsible parties of the clients on the MCCW program. Monthly reviews can and will be from all territories throughout the state and will change monthly.
Other duties can include, but not limited to:
- 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.
Supervisory Responsibilities: None
Qualifications
Qualifications:
- A minimum of three (3) years of recent clinical pediatric experience is required.
- 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
- Negative TB test
- Must live in the State of South Carolina
Education and/or Experience:
- A Bachelor’s degree in a health-related field is strongly preferred.
- A minimum of three (3) years of Pediatric Nursing, Pediatric Home Care experienceis required.
Competencies:
- Strong organizational and interpersonal skills
- Excellent written and verbal communication skills
- Detail oriented
- Ability to multi-task and work independently
Certificates, Licenses, Registrations:
- Certified Case Management (CCM) Certification may be required within four (4) years of employment. Other certifications recognized by URAC are also acceptable.
- Current unrestricted RN licensure in South Carolina
- Current BLS certification
Computer Skills:
- Proficiency using software programs such as MS Word, ACCESS, PowerPoint, Excel and Outlook
Environmental Factors/Physical Demands: Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication;access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion suchas typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds
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