Regional CAP RN / FT / Wake-Johnston-Cumberland-Harnett Counties

00 RHA Health Services, LLC; Raleigh (NC); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Payactiv

Employee discount program

Paid Time Off (full-time)

Health/Insurance (full-time)

401(k) retirement savings program

Wellbeing Programs

Training opportunities

Job summary

RHA Health Services, LLC is hiring a Regional CAP RN to manage clinical assessments, care planning, and service coordination for beneficiaries across Wake, Johnston, Cumberland and Harnett counties. The role emphasizes Medicaid compliance, family education, and collaboration with an interdisciplinary team.

The RN will conduct initial assessments, update care plans annually, monitor services, and ensure high-quality, person-centered care in community settings.

Qualifications

• Current North Carolina RN license and nursing degree.
• Two-year or four-year nursing degree required.
• Solid knowledge of Medicaid guidelines and compliance.
• Experience in case management or home-based pediatric/complex care is preferred.
• Strong communication and teamwork with families and multidisciplinary teams.

Responsibilities

• Perform initial assessments and develop person-centered care plans.
• Coordinate services such as waiver services and home modifications per care plan.
• Monitor service delivery and adjust plans to meet outcomes.
• Provide counseling and support to beneficiaries and families.
• Ensure documentation meets Medicaid requirements and billing standards.
• Collaborate with SWs and providers to optimize care outcomes.
• Participate in state-mandated trainings and maintain program compliance.

Skills

RN License

Medicaid Knowledge

Care Coordination

Assessment Skills

Communication

Education

Nursing Degree

Tools

Job description

We are hiring for: Regional CAP RN / FT / Wake-Johnston-Cumberland-Harnett Counties 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.

DUTIES AND RESPONSIBILITIES:

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 agency-required continuing education annually.
• Stay current on CAP guidelines, best practices, and new developments to enhance service delivery.
• All other duties as assigned.

SUPERVISORY RESPONSIBILITIES:

This position has no supervisory responsibilities.

MINIMUM QUALIFICATIONS:

• Strong understanding of Medicaid programs and compliance requirements.
• Excellent communication and interpersonal skills to work effectively with families and multidisciplinary teams.
• Ability to manage multiple priorities and maintain detailed records.
• Experience working with medically fragile children or in pediatric healthcare settings and physically disabled adults with complex care needs.

Candidates must meet one of the following criteria:

• Nursing Background: Current North Carolina Registered Nurse (RN) license with a two-year or four-year degree. One year of case management experience in home care, long-term care, personal care, or related work. Completion of an NC Medicaid-certified training program within 90 calendar days of employment. Note: An individual with a bachelor’s degree or who holds a nursing license as described above, without the number of years of experience, may be designated as an apprentice and shall be hired to act in the role of case manager. The supervisor of the case management shall provide direct supervision and approve all CAP/C workflow documentation and tasks.

Education and Experience:

See above for education and experience requirements.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

• Must be able to lift a minimum of 10 lbs.
• Must be able to pull a minimum of 20 lbs.
• Must be able to squat, kneel, crawl, crouch, climb, and stoop.
• Required to regularly stand and walk.

Equal Employment Opportunity Statement:

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.

Pre-employment screening:

Complete criminal background Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities) Drug testing Education verification and other credentialing based on position requirements. Proof of employment history or references (if required) Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program: to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities
• *contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement:

RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes. For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey. Throughout Georgia, New Jersey, North Carolina, Pennsylvania, and Tennessee, we provide high-quality care to individuals with intellectual/ developmental disabilities. In North Carolina and Pennsylvania, we also provide behavioral health services to support people with mental health and substance use needs and provide services for those who are Deaf and Hard of Hearing. Since 1989, we have partnered with and celebrated people achieving their personal goals, building meaningful connections, experiencing positive outcomes in health and wellness, and more. If you share our passion, there is a place for you at RHA Health Services. From inpatient care to community-based services, from in-home support to facilities of all sizes, RHA offers a range of settings where you can apply your unique skillset. Many of our employees also experience opportunities for career growth and continued education. RHA is accredited by the Commission on Accreditation of Rehabilitation Facilities and the Council on Quality and Leadership, and we are committed to providing the highest quality of care. At RHA, we believe we all deserve the chance to live our best possible lives. We want you to join our team of compassionate professionals.

To learn more, visit rhahealth.org or email us at [e-mail].

RHA Health Services – Where Compassion Meets Career.