Nurse Case Manager
About The Position
This role involves working with the elderly and disabled individuals who are at risk of needing nursing home care. The primary goal is to explore their options and alternatives to institutional living. As part of a Supports Coordinator Team, which includes a Social Worker and an RN, you will complete comprehensive assessments with a focus on Person-Centered Planning and participant direction. Many of the duties are mandated by the Michigan Department of Health & Human Services (MDHHS), Bureau of Aging, Community Living, and Supports (ACLS Bureau) Care Management Performance Standards. Reasonable accommodation will be provided for individuals with disabilities who can perform the essential job functions.
Requirements
- Must be a Registered Nurse.
- Must be a Registered Nurse (RN) with a current Michigan Nursing License, in good standing.
- One year of experience working with the elderly and/or disabled is required.
- Must possess a current Michigan driver's license in good standing (less than 4 points preferred).
Nice To Haves
- Knowledge of community services and resources.
- Strong assessment skills.
Responsibilities
- Assists participants with securing Medicaid eligibility for Waiver services and monitoring for ongoing program eligibility.
- Develops care plans with each participant using the principles of Person-Centered Planning, addressing and honoring the individual's specific needs and desires.
- Conducts assessments as a member of a professional team, evaluating 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 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 mandatory documents, including ACLS Bureau and Medicaid Waiver documentation, using a computer to enter information into program software and established database systems.
- 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 a shared caseload in conjunction with the RN or Social Work Supports Coordinator, providing backup to other Supports Coordinators as part of the teamwork practice.
- 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.
Benefits
- 100% employer paid pension
- Generous time off
- 14 paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
