CAP RN​/PT​/Salisbury Area​/

Position: CAP RN / PT / Salisbury Area / Flexible Schedule
** We are hiring for:
** CAP RN / PT / Salisbury Area / 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!  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.
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* DUTIES AND RESPONSIBILITIES:

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* ** 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 calls and home visits, document observations and beneficiary progress.  + Evaluate the effectiveness of care plans and services, recommending or implementing changes as needed to achieve desired outcomes.
* ** Counseling and Support:**  + Provide emotional support and counseling to beneficiaries and their families to strengthen their support systems.  + Assist families in navigating challenges, including long-term palliative care, behavioral issues, and medical needs.
* ** Documentation and Compliance**:****  + Assist with obtaining documentation from medical staff to confirm the need for specific CAP services.  + Maintain accurate and up-to-date records for all participants in accordance with Medicaid and program requirements.  + Ensure compliance with 10A NCAC 27G.0202 and other regulatory guidelines.  + Review and ensure proper billing codes and compliance for case management, in-home aide documentation, paid live-in caregiver, re-certifications, and supply billing.  

+ Participate in NC Medicaid-certified training programs and ensure program compliance within 90 days of employment.  + Ensure timely updates to the CAP Business system and other documentation systems as required.
* ** Collaboration and Advocacy:**  + Work closely with SWs and interdisciplinary team members to ensure a comprehensive approach to beneficiary care.  + Act as an advocate for program participants and their families to secure necessary resources and services.  + Work closely with service providers, community agencies, and healthcare professionals to optimize care outcomes.  + Provide training and support to families to empower them in managing their child’s care.
* ** Continuing Education and Professional Development:**  + Complete all state-mandated training and…