Supports Coordinator/Registered Nurse

Job Description

Under the general supervision of the Clinical Supervisor, CMD uses person-centered principles to assess the medical, functional, psychological, financial, and environmental needs of MI Choice Medicaid Waiver participants.

JOB DESCRIPTION: Supports Coordinator/Registered Nurse

DEPARTMENT: Care Management

FLSA STATUS: Exempt

REVISED: October 2022

REPORTS TO: CMD Clinical Supervisor

Job Responsibilities

• Understand and assess disease progressions in order to collaborate with outside entities (e.g. hospice, skilled care, community mental health services).
• Assist with the development of 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 SW team member accordingly; Reassess the service needs and preferences of participants as needed.
• Document all face-to-face service activity and phone contact 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 acceptable standards of productivity ensuring compliance with all program standards and guidelines. Complete all documentation with expected timeframes;
• Maintain appropriate state licensure or certification and complete all requirements for licensure;
• Maintain appropriate professional ethics and boundaries;
• Abide by all TIC policies and procedures;
• This job description is not intended to be all-inclusive, and employee will perform other reasonable related duties as assigned by immediate supervisor and other management as required.

Required Knowledge & Skills

Must be able to:

• 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 his/her 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;
• Possess a valid Michigan Driver’s License and reliable transportation; have ability to travel within a geographic region (Out-Wayne County) utilizing own reliable transportation.

Education & 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.

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