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Registered Nurse Care Coordinator
2 months ago
Salary: Competitive
GENERAL SUMMARY
Under the guidance of the CMD Manager, the RN Supports Coordinator employs person-centered methodologies to evaluate the medical, functional, psychological, financial, and environmental requirements of MI Choice Medicaid Waiver participants. This role initially requires in-person attendance at our office for training, transitioning to a hybrid model upon successful completion of training and performance benchmarks.
KEY RESPONSIBILITIES
- Conduct comprehensive in-home evaluations to pinpoint areas of need and service preferences, including the assessment of service frequency and duration as outlined in the care plan.
- Review and assess participant medications to identify potential contradictions.
- Analyze disease progressions to collaborate effectively with external entities (e.g., hospice, skilled care, community mental health services) to enhance participant independence.
- Identify potential health care issues related to nutrition, hydration, continence, and physical conditions.
- Work in conjunction with physicians, LPNs, and other medical professionals to establish effective treatment plans for participants.
- Provide educational resources and information to participants and their families regarding home treatment protocols.
- Collect and synthesize information from diverse sources, including participant self-reports, family feedback, documented medical histories, and assessments from other disciplines.
- Utilize motivational interviewing techniques to evaluate and articulate the motivations of program participants regarding their identified needs.
- Manage a caseload to ensure timely completion of assessments, documentation, and reporting.
- Collaborate with the Community Resources Department to furnish participants and their families with accurate information about available services and supports.
- Assist in the creation of comprehensive Individualized Person-Centered Service Plans in partnership with participants and their support systems, adhering to Person-Centered Planning principles and Medicaid Guidelines.
- Conduct in-home reassessments collaboratively as part of an RN/SW Team, ensuring thorough documentation of all service activities.
- Facilitate connections to community services and supports based on the needs outlined in the Individualized Person-Centered Service Plan.
- Engage in regular clinical supervision, case consultations, and staff development sessions to optimize professional growth.
- Adhere to established productivity standards and ensure compliance with program guidelines.
- Participate in outreach and enrollment initiatives for the Waiver program.
- Maintain valid state licensure or certification and fulfill all licensure requirements.
- Uphold professional ethics and boundaries in all interactions.
- Follow organizational policies and procedures diligently.
- Perform additional duties as assigned.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
The ideal candidate must possess the ability to:
- Engage with all community members, respecting diverse backgrounds.
- Collaborate effectively with supervisors, colleagues, and agency staff.
- Embrace supervision and demonstrate a commitment to ongoing personal and professional development.
- Exhibit dedication to the welfare of vulnerable populations and the delivery of high-quality services.
- Work independently in a community-based environment with minimal supervision.
- Demonstrate proficiency in computer applications, including Word, Excel, and Outlook.
- Contribute positively as a team member.
- Represent the organization professionally.
- Manage crisis situations effectively.
- Possess a valid Michigan Driver's License and reliable transportation for regional travel.
EDUCATION AND EXPERIENCE
- A current Registered Nurse license in the State of Michigan is required.
- Two years of experience in a hospital, home care, or community-based setting is preferred.
