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Integrated Health Consultant II Registered Nurse, Physical Health (Hybrid, Primarily Remote, North Carolina based) at Alliance Health in Morrisville, North Carolina

Posted in Nurse 30+ days ago.

Type: Full-Time





Job Description:

We are currently seeking Integrated Health Consultants (Registered Nurse) to serve members in Mecklenburg, Wake, Durham, Cumberland, Johnston and Orange counties. 


This position will allow the successful candidate to work a primarily remote schedule which includes coming into the Alliance office one day per week.


The Integrated Health Consultant II (IHCII) provides an episodic and/or consultative role as part of the member’s multidisciplinary care team (MCT) when member physical and/or behavioral health needs are identified and warrant subject matter expertise or the member is transitioning from facility-based care. These consultants offer on-demand recommendations, complete assessments, provide education within their scope of licensure, and escalate review of complex cases to the Chief Medical Officer, Deputy Chief Medical Officer, Associate Medical Directors, and/or Pharmacists as necessary, in order to optimize health outcomes for the member.


For those IHC II’s which are assigned to Acute Care Facilities, Emergency Departments and State Psychiatric Hospitals there will be active participation in discharge planning beginning with admission.  


Responsibilities & Duties


Provide Care Team Support



  • Support members transitioning from institutional care settings to community-based care. 

  • Provide subject matter expertise, within scope, regarding member’s physical and/or behavioral health to support the development and delivery of a whole person approach to Care Management 


Complete Assessments and Planning



  • Utilize person-centered planning, motivational interviewing and assessments to gather information 

  • Provide education and supports to members and/or legal guardians regarding their rights and responsibilities, available treatment options, provider network availability and payor requirements that may impact service access or maintenance 

  • Educate team members about impact of member’s health conditions on service engagement, clinical outcomes, and prognosis for change

  • Actively collaborate with member and care team members to ensure care plan accurately reflects the individual’s clinical needs and desired life goals 

  • Update Assessments and plans of care as needed

  • Provide education about advanced directives, preferred natural support and physical health contacts whom the member identifies, preferred crisis facilities, and medication allergies and preferences 

  • Develop and update plans of care based off the needs identified in the assessments and complete the interventions identified as needed


Monitoring/Coordination



  • Escalate high risk/high visibility and/or complex barriers/needs members who may have difficulty transitioning out of the facility in a timely manner to supervisors 

  • Review cases with clinical complexity with direct supervisor, peer clinical review cohort, and utilization management care managers and medical management leadership as needed.

  • Obtain information releases that will improve care management activities on behalf of the member and reports care quality concerns to Quality Management as needed 


Documentation



  • Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency, and Medicaid requirements 

  • Follow administrative procedures and effectively manages caseload


Data



  • Review, validate and interpret risk stratification data and population health groups and recommends changes or adjustments to care management approach as needed

  • Utilize data to analyze needs of the members we serve, guide staff training development, identify resource needs and consistency of workflow implementation across disciplines




Required Education & Experience


Graduation from a school of nursing and two (2) years of full-time experience with the population served including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care.


This role requires a strong physical health background. Chronic disease management is a plus.


Active, valid Registered Nursing license required. 


Special Requirement


Valid NC Driver License



Knowledge, Skills, & Abilities



  • A demonstrated Knowledge of the assessment and treatment of mental health, substance abuse, intellectual and developmental disabilities

  • Knowledge of legal, waiver, accreditation standards and program practices/requirements 

  • Knowledge of the Alliance Health service benefit plans and network providers 

  • Person Centered Thinking/planning

  • The employee must be detail oriented 

  • Ability to independently organize multiple tasks, priorities, and to effectively manage an assigned caseload under pressure of deadlines

  • Exceptional interpersonal skills, highly effective communication ability

  • Ability to make prompt independent decisions based upon relevant facts and established processes

  • Problem solving, negotiation and conflict resolution skills 

  • Proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) is required




Salary


$56,132.63 to $96,630.87

Education

Required
  • Nursing or better in Nursing

Licenses & Certifications

Required
  • Registered Nurse

Skills

Required

  • Person Centered Thinking/Planning

  • Communication

  • Conflict Resolution

  • Interpersonal Skills

  • Motivational Interviewing

  • Problem Solving

See job description





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