RN Care Coordinator

Job title: RN Care Coordinator

Location: North Charleston, SC
Duration: 2+ Months (possibility of extension)

Job ROLES:

·The Care Coordinator (RN/SW) assists members appropriate for care coordination and case management services in achieving their optimal level of health.

·The Care Coordinator (RN/SW) must have relevant experience and education to work with Enrollees with complex health, behavioural health, long-term services and supports and/or psychosocial needs and perform the following functions:

1.Provides access to a single point of contact for all questions or inquiries;

2.Conducts assessments with Enrollees and/ or their care giver

3.Develops an Individualized Care Plan that is periodically reviewed and updated;

4.Provides disease self-management and coaching;

5.Conducts medication review, including reconciliation during transitions of care setting;

6.Provides periodic monitoring of health, functional and mental status along with pain and fall screening;

7.Ensures the provision of services in the least restrictive setting and transition support across and between specialties and care settings;

8.Connects Enrollees to services that promote community living and help to delay or avoid nursing facility placement;

9.Coordinates with social service agencies (e.g., local departments of health, social services and community based organizations) and the referral of Enrollees to state, local and/or other community resources; and

10.Collaborates with nursing facilities to promote adoption of evidence-based interventions to reduce avoidable hospitalization, management of chronic conditions, medication optimization, fall and pressure ulcer prevention, and the coordination of services beyond the scope of the nursing facility benefit.

·One to three year Social services and/or clinical experience working with complex populations, including those with physical health, behavioural health, long-term services and supports and/or psychosocial needs.

PREFFERED

·Three to five years of Case Management preferred

·Active RN license in the Plan's state and any other state in which he/she works

EDUCATION:

·A bachelors (or higher) degree in a health related field and licensure as a health professional (where such licensure is available); or

·Certification as a case manager (as documented and accepted on URAC’s website@ www.urac.org); or

·MSW licensure and three (3) years professional practice experience; and

·Valid driver’s license with car insurance

·Current unrestricted Social Worker License