DSCC Core/Connect Care Nursing Consultant
The DSCC Core/Connect Care Nursing Consultant provides care coordination services to families eligible for these two programs. Under the direction of the regional manager and assistant directors, the position is responsible for knowing and abiding by specific program contractual requirements. The Nursing Consultant is expected to engage and develop strong partnerships with families through completing comprehensive assessments and person-centered care plans, monthly interactions, and coordination of resources. It also offers consultation to other members of the multi-disciplinary team utilizing skills and knowledge acquired from academic training and professional experience as a Registered Nurse.
Duties & Responsibilities
- Under the direction of the regional manager, performs active care coordination services by completing comprehensive health assessments, identifying families' strengths, and developing a person-centered service and care plan.
- Facilitates 30-day (or as needed) monitoring of the person-centered care plan, assesses/determines status change, prioritizing unmet needs and location of resources.
- Utilize a culturally competent approach as guided by the university to support families' cultural values and traditions. Utilize as necessary interpreter language line and accommodation resources based on the university's Americans with Disability Act (ADA) guidelines, such as American Sign Language (ASL).
- Join and participate in Medicaid managed care clinical rounds occasionally. Join and participate in DSCC multidisciplinary meetings as needed. Engage as necessary with the transition of care team to promote effective discharge planning. Educate, support, and connect families with resources for a seamless age transition. Provide close collaboration with MCO teams for those participants that are co-managed (e.g., waiver recipients).
- Conduct and document in-person visits at home (every 6 months or as needed) or in other appropriate settings like schools or hospitals. Completes consistent and timely documentation (within 48 hours) to ensure case record compliance as established by procedures. Identifies critical incidents and collaborates with all involved providers for resolution. Manages clinically complex caseload participants resulting from neglect or abuse allegations, illness progression, or caregivers' hardship. Apply effective communication skills to improve families' health literacy.
- Arrange, lead, and contribute with areas of expertise to multi or interdisciplinary care team meetings with participants' providers, family members, nursing agencies, or school teams. Identify/escalate and facilitate internal team meetings on participants with complex behavioral/social determinants or clinical factors impacting their well-being. Active participation in post-records reviews and completion of recommended remediation within the expected timeline. Contribute to quality improvement initiatives, including but not limited to attendance at quality huddles and provision of recommendations as needed. Assist families and caregivers with the coordination of medical services, required treatments, supplies/equipment, and environmental modifications.
- May mentor/coach care coordination team members and participants/caregivers on self-management of chronic diseases, medication adherence, and prevention.
- May contribute as a subject matter expert on health education initiatives such as immunizations, weight management, the importance of physical activities, etc. May support other licensed and unlicensed care coordinators in verifying and interpreting clinical conditions, treatments, mental/behavioral health diagnoses or concerns, guiding priorities on the person-centered care plan, and recommending resources. Assists families with private/public health insurance through effective benefits management practices.
- Perform other related duties
Minimum Qualifications
- Licensed as a registered professional nurse in the State of Illinois
- Bachelor's degree
- Two years of public health or specialized nursing experience
Preferred Qualifications
To apply, for fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.
Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.
The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. The university provides accommodations to applicants and employees.