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Supports Coordinator/Registered Nurse

Full Time
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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


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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