Regional CAP Nurse / FT / Eastern Region / Flexible Schedule

About the role

We are hiring for: Regional CAP Nurse / FT / Eastern Region / Flexible Schedule Type: Regular. If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!

Responsibilities

The CAP Nurse Manager works collaboratively with the CAP Social Worker, families, healthcare providers, and service providers ensuring the health, safety, and well-being of program participants. This position is responsible for conducting assessments, completing the annual multidisciplinary and Change of Status assessments, coordinating care, monitoring service delivery, and supporting the development of person-centered care plans. The RN ensures delivery of high-quality, individualized care in compliance with Medicaid guidelines and works closely with a multidisciplinary team to ensure high-quality care for participants.

• Assessment and Care Planning: Conduct initial pre-screening and assessments of beneficiaries and their families to evaluate medical, psychological, behavioral, financial, social, cultural, environmental, legal, vocational, educational, and other areas. Consult with the CAP beneficiary and primary caregiver to educate about waiver services, Medicaid, and community resources to meet the beneficiaries' needs. Identify needs to prevent health and safety factors to assist in maintaining community placement. Develop and maintain individualized, person-centered care plans (emergency and disaster planning) to ensure the health, safety, and well-being of beneficiaries. Update care plans at least every 12 months or when the status of the beneficiary changes. Ensure beneficiaries and families understand the plan of care to make informed decisions.
• Service Coordination: Coordinate services such as personal care, waiver supplies, home modifications, and educational support in alignment with the care plan. Collaborate with the team to monitor service quality and ensure compliance with Medicaid and program standards. Arrange for additional services as needed to prevent institutionalization and support participants in their homes.
• Monitoring and Follow-Up: Monitor services through monthly phone