SCS Covenant Thrive Nurse And Consulting
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Covenant Thrive

Specialized Care & Therapy Services

A comprehensive service providing behavioral coaching and consultative services to individuals needing specialized care.

How It Works

Step

Needs Assessment

Our therapists evaluate the individual’s strengths and challenges.

Step

Customized Care Plan

A tailored plan is created, covering therapy, behavior support, or medical needs.

Step

Virtual Consultation & Support*

We have a variety of virtual therapy consultations available including: Behavioral, Occupational, Physical, Dietary, Speech, Recreational, and Nursing.

Who It's For

  • Individuals needing home modifications, equipment, dietary supports, recreational and behavioral supports.
  • Families looking for customized plans to enhance daily living.

Initial Nursing Assessment

Initial Nursing Assessment

On demand nursing. Within 30 days of referral, the SCS nurse must complete a comprehensive assessment including:

  • Full medication review
  • Baseline vitals
  • Current medical diagnoses
  • Nursing needs and caregiver education

This assessment is then done monthly with check-ins.

Individualized Care Plan

Individualized Care Plan

Developed and maintained to include:

  • Diagnosis-specific instructions (e.g., seizure protocol, diabetes care)
  • Clear DSP task delegation and training notes
  • Monitoring plans for high-risk conditions

Weekly MAR Review

Weekly MAR Review

SCS nurse must:

  • Audit all MARs for accuracy, completeness, and medication compliance.
  • Follow up on any discrepancies with corrective action and documentation.

DSP/Caregiver Training

DSP/Caregiver Training

Provide regular training and competency checks for:

  • Medication assistance
  • Emergency response protocols
  • Condition-specific support

Ongoing Oversight

Ongoing Oversight

  • Attend care team meetings as needed
  • Communicate changes in condition to physician/care manager
  • Provide recommendations to enhance the client’s quality of care

Documentation

Documentation

All SCS activities, including training and MAR audits, must be clearly documented for billing and compliance purposes.

Who Qualifies

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    NC Innovations Waiver – Specialized Consultative Services

  • SCS Nursing Oversight

    • Service Code: NC Innovations Waiver – Specialized Consultative Services (Nursing)
    • Requires referral and enrollment in SCS per state criteria
    • Must be medically necessary and documented in the individual’s Person-Centered Plan (PCP).

SCS Nursing Oversight Frequently Asked Questions

What is included in the initial nursing assessment?

Within the first 30 days of referral, a licensed nurse performs a comprehensive evaluation. This includes:

  • A full medication review
  • Baseline vital signs
  • A review of current medical diagnoses
  • An assessment of ongoing nursing needs and caregiver support requirements

*These offerings are virtual consultations. They do not include therapy or medical procedures.

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Direct Support
Professionals

Group (1)
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Individuals Served
Since 2010

Vector
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Counties
Across NC