RN Case Manager

Tri County Aging Consortium; Lansing (MI); On-site; USD 63,794 - 64,000; Full time

Job summary

Tri-County Office on Aging is seeking a Registered Nurse to join the Supports Coordinator team. You will assess participants, help develop care plans, and coordinate services under MDHHS standards, with emphasis on person-centered planning.

Responsibilities include Medicaid eligibility monitoring, care coordination with an RN and Social Worker, and providing advocacy to secure needed services. The role requires travel across Clinton, Eaton and Ingham counties and on-call coverage as scheduled.

Qualifications

• RN license in good standing in Michigan.
• One year of nursing experience.
• Valid Michigan driver's license with acceptable driving record.
• Ability to travel throughout Clinton, Eaton, and Ingham Counties.

Responsibilities

• Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility.
• Develops care plans with each participant using Person-Centered Planning and coordinates services.
• Conducts assessments of physical/mental health, functional abilities, and resources; performs periodic reassessments.
• Arranges, coordinates, and monitors services per person-centered plan and Medicaid Waiver.
• Monitors costs of Waiver services to maximize resources within program parameters.
• Maintains mandatory documentation and uses computer systems for data entry.
• Participates in quality assurance activities and adheres to program standards.
• Follows up on services and adjusts plans as needed.
• Advocates for participants to access services and benefits; supports participant choice.
• Maintains caseload with RN or Social Worker and provides back-up coverage as needed.
• Keeps knowledge up-to-date through meetings and continuing education.
• Coordinates with physicians, discharge staff, nursing homes, home health, and providers.
• Covers 24-hour on-call services as scheduled.

Skills

Nursing experience

Driver's license

Travel ability

Communication skills

Teamwork

Computer skills

Confidentiality

Education

Michigan Registered Nurse (RN) license

Job description

Location

Lansing, MI

Work Schedule

Monday - Friday, 8:00am to 5:00pm, 40 hours per week.

Compensation

$30.67/hour plus comprehensive benefits package including 100% employer paid pension, generous time off and 14 paid holidays.

General Responsibilities

Works with the elderly and the disabled who are at-risk of entering a nursing home by exploring their options and alternatives to institutional care. The Supports Coordinator Team, consisting of a Social Worker and RN, complete comprehensive assessments of participants, with a strong emphasis on Person Centered Planning and participant direction. Many of the specific duties listed below are mandated by the Michigan Department of Health & Human Services (MDHHS), Bureau of Aging, Community Living, and Supports (ACLS Bureau) Care Management Performance Standards.

Essential Job Functions

• Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility.
• Using the principles of Person-Centered Planning, the Care Management Team develops care plans with each participant, addressing and honoring the individual's specific needs and desires.
• Conducts assessments as a member of a professional team. Assessments include an evaluation of the consumer's physical and mental health, functional capabilities and limitations, informal and formal support systems, physical environment, and financial resources. Completes periodic reassessments as a team or individual Supports Coordinator.
• Arranges, coordinates, and monitors the services according to the person-centered plan, including those covered through the Medicaid Waiver and Bureau of Aging, Community Living, and Supports (ACLS Bureau).
• Monitors the cost of Medicaid Waiver services and other formal services to maximize resources and stay within program parameters and goals.
• Maintains accurate files with all the mandatory documents including ACLS Bureau and Medicaid Waiver documentation. Includes the use of a computer to enter information into program software and established database system.
• Adheres to agency and program standards, and ACLS Bureau and MDHHS Supports Coordinator Performance Criteria. Participates in Quality Assurance activities.
• Completes follow-up of all services arranged as determined in the person-centered care plan and adjusts as needed.
• Provides advocacy on behalf of participants to secure services and benefits to which they are entitled and promotes participant freedom of choice.
• Maintains shared caseload in conjunction with the RN or Social Work Supports Coordinator. As part of the teamwork practice, back-up is provided to the other Supports Coordinator.
• Updates knowledge pertinent to the provision of services to the elderly and persons with disabilities through attendance at agency and community meetings and continuing education opportunities.
• Establishes and maintains working relationships with physicians, hospital discharge staff, nursing home staff, home health and other service providers.
• Covers 24-hour on-call services as scheduled.

Knowledge, Skills & Abilities

• Commitment to the organization's missions and goals.
• Computer skills sufficient to learn specific departmental software programs.
• Ability to maintain confidential information regarding all aspects of participant, volunteer, employee, and agency information.
• Ability to work independently or as part of a team.
• Ability to communicate effectively and establish good relationships with staff, participants, volunteers, and vendors.
• Ability to represent the Agency in a professional manner.
• Must be able to adjust priorities to meet deadlines in a timely manner.
• Ability to meet department standards regarding job knowledge, participant focus, initiative, productivity, communication, teamwork, and attendance.
• Knowledge of community services and resources.
• Must possess strong assessment skills.

Required

• Current Michigan Registered Nurse (RN) license in good standing
• One year of nursing experience
• Valid Michigan driver's license with acceptable driving record
• Ability to travel throughout Clinton, Eaton, and Ingham Counties

Candidates with experience in hospital nursing, home health, hospice, discharge planning, case management, care coordination, public health, or related healthcare settings are encouraged to apply. Experience with aging services, long-term services and supports, or Medicaid Waiver programs is preferred but not required.

Working Conditions

• The work environment varies. When in the office, safe work practices in regard to office equipment, avoiding trips/falls and fire regulations are required. When traveling to or spending time at residential or medical facilities, exposure to unusual elements such as smoke, unpleasant odors, loud noises, and extreme temperatures increases.
• Physical mobility is required for sitting, walking, standing, bending, and lifting/holding/carrying objects of up to 20 pounds. Must be able to move around in multiple locations with varying barriers and physical environments. Must be able to drive. Ability to enter and access information using a computer. Must be able to communicate effectively with participants, co-workers, and vendors in person and over the telephone.
• Sensory requirements include exposure to varying temperatures, noise levels, environments, and activities.
• Mental requirements include the ability to handle varying and intense levels of stress.

Tri-County Office on Aging is an Equal Opportunity Employer.