Partners Behavioral Health Management

Compensation

Full Description

Competitive Compensation & Benefits Package!   Position eligible for –  * Annual incentive bonus plan * Medical, dental, and vision insurance with low deductible/low cost health plan * Generous vacation and sick time accrual * 12 paid holidays * State Retirement (pension plan) * 401(k) Plan with employer match * Company paid life and disability insurance * Wellness Programs * Public Service Loan Forgiveness Qualifying Employer See attachment for additional details.    Location:  Remote option in NC; Available for any of Partners' NC locations Projected Hiring Range:  Depending on Experience Closing Date:  Open Until Filled Primary Purpose of Position: This position is responsible for the comprehensive evaluation of a member’s healthcare needs, goals, and preferences to promote high quality, whole person care for individuals with behavioral health (BH), intellectual/developmental disabilities (IDD), and/or traumatic brain injury (TBI) with physical health complexities who are or may receive skilled nursing services or assistance with activities of daily living. The focus of this position is to ensure that individuals receive appropriate collaborative care assessment and services. This is a mobile position with work done in a variety of locations. Travel is an essential function of this position.   Role and Responsibilities:   The Nurse Assessment Specialist is responsible for (though not limited to):  * Provides physical health expertise, assessment analysis, and consultation.  * Serves as the point of contact regarding nursing data collection and analysis for service determinations. * Gathers available data and medical information to provide accurate and thorough representation of the interventions provided by skilled nursing or supportive services for activities of daily living. * Ensures accurate completion of required documentation and forms. * Provides direct care management support as needed (informing, educating, linking, phone communication with member or collaterals) * Assesses members for skilled nursing needs and personal care assistance needs including levels of assistance member has for activities of daily living through personal care services. * Participates in multidisciplinary team meetings with care managers, clinical and medical leadership. * Utilizes Healthwise topics for health education and promotion with members. * Measures results of intervention and treatment, including reduction in high-risk events and inappropriate service utilization. * Analyzes medical, psychiatric, behavioral health diagnosis, intellectual/developmental, and medication data reports to identify potential alternate services available to member. * Participates actively in learning collaborative with other Care Management nurses. * Will participate and complete other duties as assigned.   Knowledge, Skills and Abilities:  * Ability to provide consultative supports for physical health diagnosis and treatment to include education, assessment, and care planning for whole person care.  * Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version) * Considerable knowledge of the IDD/TBI/MH/SUD/Physical Health service array provided through the network of the LME/MCO’s Providers * Knowledge of NC Medicaid, Managed Care, NC Innovations Waiver, 1915i option, LTSS, Tailored Plan and Standard Plans * Ability to analyze data and use data to drive decision-making. * Ability to provide effective and clinically sound consultation/education/training to others  * Ability to establish and maintain positive and effective working relationships with others both within the agency and community * Exceptional interpersonal and communication skills * Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and * PowerPoint) * Excellent problem solving, negotiation, arbitration, and conflict resolution skills * Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish * Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships * Ability to change the focus of his/her activities to meet changing priorities Education/Experience Required:   Licensed to practice as a Registered Nurse in North Carolina, and two years of experience in intellectual and developmental disabilities, traumatic brain injury, and/or behavioral health.   AND  * Must reside in North Carolina * Must have ability to travel regularly as needed to perform job duties Education/Experience Preferred:   Licensed to practice as a Registered Nurse in North Carolina and two years of experience in behavioral health nursing with dually diagnosed MH/IDD; care management/care coordination experience. Experience in collaborative care. Fluency in written and verbal bi-lingual Spanish/English language expertise.  Licensure/Certification Requirements:   Must be licensed as a Registered Nurse in North Carolina. Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.