Registered Nurse III - Care Management & Reimbursement

DelDOT; Smyrna (DE); On-site; USD 65,000 - 90,000; Full time

Job summary

Department of Health and Social Services (DHSS) in Delaware seeks an experienced Registered Nurse III to assess levels of care and reimbursement for Medicaid services. The role requires nursing licensure and entails coordinating care, educating facilities, and ensuring compliance with regulations.

The incumbent will work within a multidisciplinary team, maintain thorough documentation, and participate in quality assurance activities to improve patient outcomes.

Qualifications

• At least two years as a Registered Nurse OR a Bachelor’s or higher in Nursing with at least one year RN experience OR a Master’s in Nursing.
• Possession of a Delaware RN license OR multi-state compact license.

Responsibilities

• Provides or evaluates direct nursing care.
• Develops, implements and/or reviews nursing care plans.
• Provides health care instruction to individuals, families, and facilities.
• Maintains effective working relationships within the treatment team.
• Prepares and submits records, reports, and evaluations.
• Participates in quality assurance activities.

Skills

Nursing care

Care planning

Documentation

Team collaboration

Education

Delaware RN license

Job description

Department of Health and Social Services (DHSS) in Delaware seeks an experienced Registered Nurse III to assess levels of care and reimbursement for Medicaid services. The role requires nursing licensure and entails coordinating care, educating facilities, and ensuring compliance with regulations.

The incumbent will work within a multidisciplinary team, maintain thorough documentation, and participate in quality assurance activities to improve patient outcomes.