About Job

Overview:

This is a work-from-home position with travel required within Greenville, SC county, including these cities:

Pelham, SC; Mauldin, SC; Simpsonville, SC; and Greenville, SC
Mileage is reimbursed for travel.

Position Summary:

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.

Responsibilities:

Essential Duties and 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.

Supervisory Responsibilities: None

Competencies:

Strong organizational, interpersonal and motivational skills
Excellent written and verbal communication skills
Detail oriented
High level of reasoning and analytical skills
Ability to multi-task and work independently

Qualifications:

Education and/or Experience:

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

Certificates, Licenses, Registrations:

Certified Case Management (CCM) Certification is required within four (4) years of employment. Other certifications recognized by URAC are also acceptable.
Current RN licensure in states where business is conducted.
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 such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.

Other Duties:

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.

Adheres to the policies and procedures of Company
Maintains strict confidentiality of client, company and personnel information
Demonstrates a strong commitment to the mission and values of the organization
Adheres to company attendance standards
Performs other duties as assigned

Community Health Solutions is a drug-free, smoke-free workplace, and participation in random/post-incident drug testing is required.

At-Will Employment (South Carolina):
Employment in South Carolina is “at-will.” This means that employment is for an indefinite period of time and may be terminated by either the employee or the employer at any time, with or

without cause or notice, and for any reason or no reason at all, in accordance with South Carolina law. Nothing in this job description or any other document should be interpreted as a contract of employment.

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