TA Waiver RN Case Manager

The Region HR•Montgomery, AL

About The Position

The TA Waiver RN Case Manager leads clinical oversight and direct case management for the Technology Assisted (TA) Waiver program. The role supports person-centered care, works with Medicaid on client enrollment and transitions, conducts clinical case reviews, and contributes to staff development, quality, and regulatory compliance. The position is based in the Montgomery, Alabama area and requires approximately 25% local travel during normal business hours. The work is primarily sedentary in an office setting using a computer and telephone.

Requirements

Current, active, unencumbered Registered Nurse (RN) license in the State of Alabama.
Professional background in nursing, home health, long-term care, social services, or case management.
Working knowledge of state and federal regulations governing social services, healthcare, and benefit programs.
Exceptional clinical judgment and analytical skills for evaluating complex health situations.
Strong interpersonal skills and ability to build effective relationships with clients, families, public agencies, and multidisciplinary teams.
Excellent verbal and written communication skills.
Strong organization and adaptability in a fast-paced environment.
Valid driver's license and reliable transportation.

Nice To Haves

Familiarity with Medicaid Waiver programs and LTSS.

Responsibilities

Identify clinical training needs and train or re-educate case management staff to improve client health outcomes and professional competencies.
Assess team performance and support effective communication to help meet program goals and health outcomes.
Provide clinical insights to management on quality assurance, policy compliance, and adherence to state and federal regulations.
Collaborate directly with Medicaid to coordinate and enroll eligible clients in the TA Waiver program.
Conduct one-on-one LTSS case management by interviewing, assessing, and counseling clients and their families.
Develop individualized care plans and monitor client progress.
Coordinate with clients, families, and LTSS providers to support safe and seamless client transitions.
Maintain current case records and promptly report critical health-related incidents.
Build and maintain knowledge of aging and adult resources and healthcare providers to strengthen local referral pathways.
Review client medical records and case documentation using clinical judgment.
Identify clinical inconsistencies and documentation discrepancies and forward them to case managers for physician follow-up, clarification, or correction.
Collect, organize, and document clinical review findings for internal quality controls.
Work with the In-Home Director and QA Manager (MW) to develop staff training modules, monitor the Transition Tracker, and conduct PCCP reviews.
Prepare program activity reports and administrative documentation in accordance with agency standards.
Attend mandatory agency trainings, seminars, and organizational functions.