Champaign, IL - Nursing Consultant - RN (Care Coordinator)

UIC Division of Specialized Care for Children is a statewide social services organization that provides care coordination services to children with special healthcare needs. Currently, most of our Care Coordinators work from home and report into the office or meet with families as needed. We have a comprehensive benefits package including 5 weeks of vacation per year, 12 sick days a year, and over a dozen paid holidays a year. This position is considered a State of Illinois employee and qualifies for the State of IL employee health, vision, and dental plans. Our retirement plan is through the State Universities Retirement System: https://surs.org/

Our most satisfying benefit is that everything we do involves helping kids with special healthcare needs and their families. Please note, Illinois residency is required.

The DSCC Core/Connect Care Nursing Consultant provides care coordination services to families eligible for DSCC 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.

HC nurses will educate, support, and connect non-waiver families with resources for a seamless age transition. Similarly, provide age-transition support to waiver families exiting the program due to health improvement.

HC nurses will complete consistent and timely documentation (within 48 hours) to ensure compliance with waiver and non-waiver renewal requirements and timelines without direct manager support.

HC nurses will conduct and document in-person visits at home or other appropriate settings like schools or hospitals every 6 months or as needed according to federal waiver requirements.

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 for recipients.
Identify financial needs and assist with the completion of DSCC financial application, and annual redetermination.

Competent collection of documentation to support administrative/prior approvals for Core eligible services, and utilization of other resources like gift funds.

Complies with the University, Division, and Regional Office policies, and procedures.

Performs other duties and special projects as assigned.

Qualifications:

Minimum Qualifications

• Licensed as a registered professional nurse in the State of Illinois (If an Illinois Resident is licensed as a professional nurse in a state other than Illinois, the applicant must meet the criteria established by the Illinois Department of Financial and Professional Regulation to obtain the proper licensure within five (5) months of the date of appointment.)
• Bachelor's degree
• Two years of public health or specialized nursing experience

Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan, paid leaves such as vacation, holiday, and sick, tuition waivers for employees and dependents.

To view a complete list of employee benefits please visit:

Benefits Overview for Applicants - System Human Resource Services

https://www.hr.uillinois.edu/benefits

The budgeted salary range for this position is $53,000 to $62,000

We strive to provide competitive salary, considering factors such as available market data, internal equity, candidate experience and qualifications, and budget constraints. The final salary offer will be determined through a thorough assessment of these elements.

It is not typical for an individual to be offered a salary at or near the top of the full range for a position.

The University of Illinois at Chicago is an affirmative action, equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or status as an individual with a disability.

Offers of employment by the University of Illinois may be subject to approval by the University’s Board of Trustees and are made contingent upon the candidate’s successful completion of any criminal background checks and other pre-employment assessments that may be required for the position being offered. Additional information regarding such pre-employment checks and assessments may be provided as applicable during the hiring process.

As a qualifying federal contractor, the University of Illinois System uses E-Verify to verify employment eligibility.

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Job Type: Full-time

Pay: From $52,000.00 per year

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: Hybrid remote in Champaign, IL 61820

Benefits:

Salary : $52,000