Supports Coordinator - Registered Nurse

TheInfoCenter.info; Taylor (MI); On-site; USD 60,000 - 80,000; Full time

Job summary

TheInfoCenter.info in Taylor, Michigan is seeking a Registered Nurse to perform in-home assessments for MI Choice Medicaid Waiver participants. This role requires collaboration with healthcare professionals and maintaining a comprehensive service plan.

The successful candidate will have a valid RN license, strong computer skills, and a commitment to quality services for the frail elderly and adults with disabilities. The position starts in-person for six months and transitions to hybrid.

Qualifications

• Current license as a Registered Nurse in Michigan is required.
• Preferably two years of experience in a hospital, home care, or community-based setting.

Responsibilities

• Perform in-home assessments to identify needs.
• Collaborate with physicians and other staff on treatment.
• Document all service activities and maintain caseload.

Skills

Strong computer skills

Ability to work independently

Collaboration with healthcare professionals

Crisis handling

Education

Current RN license in Michigan

Two years of experience in healthcare

Job description

GENERAL SUMMARY

Under the general supervision of the CMD Manager, the candidate uses person-centered principles to assess the medical, functional, psychological, financial, and environmental needs of MI Choice Medicaid Waiver participants. This position is in person in our office in Taylor for the first six months for training. The position will transition to hybrid after all training, policy, procedure and performance requirements are met.

RESPONSIBILITIES AND DUTIES

• Perform in-home assessments to identify areas of need and service preferences, including determination of frequency and duration of services required under the care plan.
• Review participants' medications and assess or identify potential contradictions.
• Understand and assess disease progressions in order to collaborate with outside entities (e.g., hospice, skilled care, community mental health services) to provide services that support participants’ independence.
• Identify potential participant issues in health care including nutrition/hydration, continence, physical conditions, etc.
• Collaborate with physicians, LPNs and other outside medical staff to determine effective treatment for the participant.
• Provide education and information to participants and their family members about the course of treatment in the home.
• Gather and integrate information from all available sources, including participant self-reports, reports from family members, guardians and Adult Foster Care providers, documented medical and treatment history, needs surveys, assessments from other disciplines, etc.
• Utilize motivational interviewing techniques to assess and articulate the motivation of program participants to address specific needs identified during the assessment process.
• Maintain a caseload to complete assessments, documentation, and reporting by due dates.
• Work with Community Resources Department to provide participants, family members, and guardians complete and accurate information regarding services, supports and other resources available to meet needs identified during the assessment process.
• Assist with the development of a comprehensive and integrated Individualized Person-Centered Service Plan with participants and other supports (consistent with principles of Person-Centered Planning, Self-Determination and current Medicaid Guidelines).
• Conduct in-home reassessment visits collaboratively as an RN/SW Team, completing the RN portions of the reassessment in consultation with the SW team member accordingly; reassess the service needs and preferences of participants as needed.
• Document all service activities and contacts pertaining to program participants, per contract requirements.
• Link participants to community services and supports based on the needs and preferences identified in their Individualized Person-Centered Service Plan.
• Work with family members and other volunteer caregivers to maximize available informal support systems.
• Participate in regularly scheduled clinical supervision, case consultations, department meetings, and staff development sessions to make optimal use of resources for professional growth.
• Perform within established standards of productivity ensuring compliance with all program standards and guidelines. Complete all documentation within expected timeframes.
• Participate in Waiver outreach and enrollment activities.
• Maintain appropriate state licensure or certification and complete all requirements for licensure.
• Maintain appropriate professional ethics and boundaries.
• Follow agency and department policies and procedures.
• Other duties as assigned.

REQUIRED KNOWLEDGE, SKILLS, ABILITIES

• Work with all members of the community regardless of race, gender, age and cultural or ethnic background.
• Work cooperatively with supervisors, colleagues and all agency staff.
• Accept supervision and demonstrate an interest and willingness to continue personal and professional growth and skill development.
• Demonstrate a commitment to the welfare of the frail elderly and adults with disabilities the program serves and to the delivery of quality services.
• Work in a community-based setting independently with little direct supervision of daily duties.
• Demonstrate strong computer skills – Word, Excel, Outlook.
• Work as a positive and productive member of a team.
• Represent the agency in a professional manner.
• Appropriately handle crisis situations.
• Possess a valid Michigan Driver’s License and reliable transportation; have the ability to travel within a geographic region (Out-Wayne County) utilizing own reliable transportation.

EDUCATION AND EXPERIENCE

• Requires a current license as a Registered Nurse in the State of Michigan.
• Prefer two years of experience in a hospital, home care, or community-based setting.