TA Waiver RN Case Manager

The Region HR; Montgomery (AL); On-site; USD 65,000 - 90,000; Full time

Job summary

The Region HR in Montgomery, AL seeks an experienced Registered Nurse (RN) Case Manager to lead clinical oversight for the Technology Assisted (TA) Waiver program. This full-time position partners with Medicaid to enroll clients, conducts LTSS assessments, and develops person-centered care plans to support smooth enrollments and transitions.

You will train staff, ensure regulatory compliance, and maintain comprehensive documentation while coordinating with LTSS providers.

Qualifications

• RN licensed in Alabama with active, unencumbered license.
• Experience in nursing, home health, long-term care, social services, or case management.
• Understanding of state and federal regulations governing social services.

Responsibilities

• Lead clinical oversight for the TA Waiver program and ensure quality care.
• Enroll eligible clients into the TA Waiver in coordination with Medicaid.
• Perform LTSS assessments and develop person-centered care plans.
• Train and develop case management staff and ensure regulatory compliance.
• Maintain thorough documentation and report on program activities.

Skills

RN Case Management

Clinical Leadership

Regulatory Knowledge

Communication Skills

Analytical Skills

Team Collaboration

Education

RN License Alabama

Job description

Position Overview: TA Waiver RN Case Manager

Schedule: Full-Time (Monday through Friday, 8:00 AM – 4:30 PM; occasional evening/weekend community events as needed)

Location: Montgomery, AL area (Local travel approx. 25% required during normal business hours)

Classification: Professional Nursing / Case Management

About the Role

We are seeking an experienced, compassionate Registered Nurse (RN) Case Manager to lead clinical oversight and direct case management for our Technology Assisted (TA) Waiver program. In this vital role, you will champion person-centered care, partner with Medicaid to facilitate smooth client enrollments and transitions, conduct rigorous clinical case reviews, and support staff development to ensure the highest standards of quality and regulatory compliance.

Key Responsibilities

A. Administration & Clinical Leadership

• Staff Training & Development: Identify clinical training needs to improve client health outcomes and professional competencies; train and re-educate case management staff as needed.

• Team Communication: Assess team performance and support effective communication strategies to ensure program goals and health outcomes are successfully met.

• Process Improvement: Provide clinical insights to management regarding quality assurance, compliance with policies, and adherence to state and federal regulations.

B. Case Management & Client Advocacy

• Medicaid Enrollment: Collaborate directly with Medicaid to coordinate and enroll eligible clients into the TA Waiver program.

• Comprehensive Assessments: Deliver one-on-one Long-Term Services and Supports (LTSS) case management by interviewing, assessing, and counseling clients and their families.

• Person-Centered Planning: Develop individualized care plans and proactively monitor ongoing client progress.

• Transitions & Coordination: Partner proactively with clients, families, and LTSS providers to ensure seamless, safe client transitions.

• Documentation & Safety: Maintain thorough, up-to-date case records and promptly report any critical health-related incidents.

• Community Resource Network: Build and maintain deep organizational knowledge of aging, adult resources, and healthcare providers to strengthen local referral pathways.

C. Clinical Review & Quality Assurance

• Record Audits: Apply expert clinical judgment to review client medical records and case documentation.

• Discrepancy Resolution: Identify clinical inconsistencies or documentation discrepancies, forwarding them to case managers for prompt physician follow-up, clarification, or correction.

• Findings Reporting: Collect, organize, and document review findings to support internal quality controls.

• Quality Collaboration: Partner with the In-Home Director and QA Manager (MW) to develop staff training modules, monitor the Transition Tracker, and conduct Person-Centered Care Plan (PCCP) reviews.

D. Administration & Compliance

• Reporting: Prepare accurate program activity reports and administrative documentation in compliance with agency standards.

• Professional Growth: Attend mandatory agency trainings, seminars, and organizational functions to maintain clinical excellence.

Qualifications & Requirements

• Licensure: Must be a Registered Nurse (RN) with a current, active, unencumbered license in the State of Alabama.

• Experience: Professional background in nursing, home health, long-term care, social services, or case management (familiarity with Medicaid Waiver programs and LTSS is strongly preferred).

• Regulatory Knowledge: Working knowledge of state and federal regulations governing social services, healthcare, and benefit programs.

• Core Competencies:

  • Exceptional clinical judgment and analytical skills to evaluate complex health situations.

  • Strong interpersonal skills with the ability to build effective working relationships with clients, families, public agencies, and multidisciplinary teams.

  • Excellent verbal and written communication skills.

  • High level of organization and adaptability to thrive in a fast-paced environment.

Physical Requirements & Working Conditions

• Environment: Primarily sedentary office environment utilizing a computer and telephone.

• Travel: Local travel of approximately 25% required during normal business hours for client visits and agency needs; valid driver's license and reliable transportation required.