Support Coordinator, RN

Detroit Area Agency on Aging; Detroit (MI); On-site; USD 65,000 - 82,000; Full time

Benefits offered by this job

Health coverage

Paid time off

Collaborative environment

Job summary

Detroit Area Agency on Aging is seeking a Support Coordinator (RN) to design and implement person-centered care plans and link clients to community resources. The role requires clinical assessment, care planning, and collaboration with families and physicians, with emphasis on precise documentation.

Qualifications include Michigan RN licensure and 2–3 years of intake/assessment experience; bilingual candidates are preferred.

Qualifications

• Must possess a Registered Nurse license in Michigan.
• 2-3 years of intake/assessments experience in healthcare or human services.
• Knowledge of Medicaid and Medicare regulations.
• Bilingual strongly preferred.

Responsibilities

• Conducts face-to-face assessments/reassessments from a clinical perspective.
• Obtain medical history and document pertinent clinical information.
• Develops a plan of care directed by the client (Person Centered Care Planning).
• Monitors participants for changes in health and well-being.
• Performs monthly medication reconciliations.
• Maintains care plans and documents; obtains client approval signatures.
• Travels for home visits to coordinate services with families and providers.

Skills

Communication skills

Problem solving

Customer service

Education

Registered Nurse (RN) license

Job description

• Location 1333 Brewery Park Blvd,Suite 200,Detroit, MI, 48207,United States
• Base Pay $65,200.00 - $81,500.00 / Year
• Employee Type Direct Fulltime
• Required Degree 2 Year Degree

JOIN OUR TEAM!

WORK LOCATION: IN -PERSON

We’re looking for a talented and motivated Support Coordinator (RN) to join our innovative team. We need an expert problem-solver to design and execute person-centered care plans, establish strategic health goals, and link clients to community resources. Exceptional communication skills for collaborating with families and physicians, alongside a commitment to precise, timely documentation, are essential for success in this role.

The Benefits of Joining Our Team - We Offer:

• Comprehensive Health Coverage - including medical, dental, and vision
• Generous Paid Time Off
• Support Culture - A collaborative and inclusive environment where your ideas are valued!

Requirements

Other Essential Duties and Expectations:

• Conducts face-face assessments/reassessments from a clinical perspective on designated assigned cases.
• Obtain medical history and document pertinent clinical information from participants related to their medical diagnoses and assessment findings.
• Utilizing assessment, develops a plan of care directed by the client (Person Centered Care Planning).
• Monitor participants for conditional changes associated with their physical and mental health well-being.
• Preforms monthly medication reconciliations.
• Develops and completes care plans and other required documents. Reviews and modifies care plans as directed by the client / caregiver during the reassessment and obtains the clients signature of approval.
• Maintains regular, ongoing contact with clients, caregivers, physicians and service providers listed on service plan through home visits and phone calls.
• Educates clients, caregiver and service providers regarding the roles and responsibilities of each party, assuring that services are provided as documented in the care plan.
• Conducts Nursing Facility Level of Care assessment as required .
• Continues to evaluate the appropriateness of the service plan, adjusting it as needed.
• Monitors client progress in relation to goals and objectives listed in the care plan.
• Interfaces with community resources needed to support client .
• Collaborates with peers (RN or SW) in coordinating services.
• Produces timely and accurate commuter entry reports.
• Participates in training, supervisory meetings, in-services and continuing education opportunities.
• Abides by DAAA’s and Waiver Codes of Ethics.
• Participates in other duties as assigned.
• Excellent communication skills, written and verbal .
• Current Michigan driver’s license and access to a car.
• Ability to analyze and problem solve .

Education and Licensure:

Must possess a Registered Nurse license in the State of Michigan.

Experience:

• Two-three years of experience completing intakes, pre-screening, and/or assessments, preferably in a health care or human service setting serving the elderly and/or disabled population.
• Knowledge of Medicaid and Medicare regulations.
• Ability to complete assessments using computerized screening tools.
• Excellent Customer Service skills and ability to de-escalate callers.
• Bilingual strongly preferred.

Available Shifts:

• Monday - Friday, 8:30 AM- 5:00 PM
• Monday - Friday, 12:00 PM - 8:00 PM

Regular overtime is required based on operational needs.

Summary

• Develops and completes participant’s care plan; establishes realistic goals and objectives which directs the plan of care, and services to be utilized. Ultimately, advocating, educating, and collaborating with community stakeholders to address coordinating services for participants to sustain independency.
• Expected to meet all identified timelines by submitting completed paperwork and reports as
  indicated.
• The successful candidate will be a servant leader, demonstrating excellent interpersonal skills with
  experience motivating, coaching, and developing high-performing teams.
• Must be able to demonstrate strong analytical and problem-solving skills, exercise sound judgment and ability to read / analyze complex documents.
• The ideal candidate must be forward-thinking, with high ethical standards and an
  appropriate professional image.
• The successful candidate must have outstanding communication skills,
  commitment to excellence and innovation, a passion for DAAA’s mission & vision.