RN Case Manager

Job Description

Job Description

RN LEAD WORKER - MIA CASE MANAGEMENT - CADILLAC

This is both a RN case management position and a team leader position in collaboration with the MI Adult Operations Manager. This position will spend about a half of their time as the team leader for the case management team and the remaining time providing case management and nursing/health programming that is appropriate and suitable with generally accepted standards of consumer care. This position provides leadership in the operation of the case management services delivery while seeking “best practice” models in order to improve quality of services. The employee in this clinical and team leadership position is responsible for ensuring continuity of services for recipients enrolled in case management, with a primary responsibility for assuring that the five case management functions are carried out: assessment, planning, linking, monitoring and advocacy. The RN Lead Worker is an advocate and service broker for the consumer and is a resource to the treatment team. The RN Lead Worker reports to the Operations Manager as assigned. This position has no direct supervisory responsibilities.

ESSENTIAL FUNCTIONS:

• Provide guidance and training to other staff as needed in case management procedures and reporting responsibilities.
• Lend support to the MI Adult Operations Manager in quality assurance activities, team planning; service development, implementation and evaluation.
• Design, administer, evaluate and update nursing/health care programs and risk assessments as appropriate in licensed residential facilities.
• Review consumer care for quality and appropriateness of health interventions. Report deficiencies in consumer care to supervisors and work collaboratively to find solutions to improve care within the scope of the Nurse-RN’s responsibilities.
• Coordinate person-centered planning, with an emphasis on whole health and wellness recovery plans for those with chronic health and/or substance abuse issues. In doing so, attends to the total spectrum of the individual's needs, including but not necessarily limited to: housing, family relationships, social activities, education, finance, employment, health, recreation, mobility, protective services and records.
• Collaborate with consumers and other providers: continually assessing the consumer’s needs and developing treatment goals, objectives, methodologies and timelines; and evaluating progress toward those goals.
• Locate, obtain, and coordinate services outside and inside the CMH system as indicated by the individual plan of service (IPOS).
• Provide supportive services (including health education specific to his/her illness or needs) to the consumer and his/her family or other natural supports as part of the health and wellness recovery team.
• Intervenes when necessary to assure implementation of the plan (IPOS).
• Request and facilitate, when necessary, review of the IPOS by the individual's interdisciplinary team.
• Participate in interdisciplinary staffing meetings and other pertinent consumer and staff meetings.
• Ensure the flow and exchange of information (within HIPAA law) among the consumer, family members or other natural supports, and linked providers.
• Conduct orientation and annual integrated psychosocial assessment of individual consumer needs.
• Documents activity in accordance with state and agency guidelines in an electronic medical record.
• Establish and maintain an effective liaison between CMH and outside providers.
• Participates in Quality Assurance case review procedures, including consumer satisfaction.
• Maintain current knowledge of mental health, chronic disease, and substance abuse symptomatology, including intervention and treatment strategies for selected health conditions.
• Facilitate consumer’s benefits (e.g. SSI, Medicaid, SSB, Medicare).
• Review and coordinate with team and provider on decision involving hospitalization, respite and/or transfers/level of care changes. Implements plan of action on transitional care across settings.
• Provide crisis intervention services when appropriate.
• Administer medications and perform other medical procedures such as injections, as consumer needs dictate, in accordance with applicable policies/procedures and nursing practice standards as appropriate.
• May deliver medications to consumers as requested and observe setup of consumer's medications.
• May provide telephonic reminders of appointments and/or assistance with making appointments.

QUALIFICATIONS:

• Nursing degree (required)
• RN licensure, State of Michigan (required)
• Two (2) years of experience in providing services to consumers who have mental health and geriatric needs (preferred)
• Additional certification may be required

PAY: $66,649 - $76,149

BENEFITS:

• Medical Insurance (4 options)
• Dental Insurance (2 options)
• Vision Insurance (2 options)
• Health Savings Account
• Healthcare and dependent care flex spending account
• MERS Retirement Plan (with Employer matching up to 5%)
• Paid Time Off (18 days in 1st year)
• Holidays (13 days)
• Employee Assistance Program
• Short Term Disability
• Long Term Disability
• Accidental Death & Dismemberment Insurance

WORKING CONDITIONS/ PHYSICAL REQUIREMENTS:

• This position may require irregular hours.
• This position may require travel by personal vehicle if an agency vehicle is not available.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Occasionally: lifting up to 25lbs, with or without assistance, stretching/reaching, exposure to blood borne pathogens and infectious disease, exposure to hazardous material, stooping (bend at waist)
• Frequently: hand/finger dexterity, talking in person, talking on the telephone, hearing in person, hearing on the telephone, vision for close work.

NLCMHA EEO Statement

Northern Lakes CMH Authority is an equal opportunity employer and is committed to fostering a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law . Northern Lakes CMH Authority will provide reasonable accommodations to individuals with disabilities or based on sincerely held religious beliefs, in accordance with applicable laws. H iring decisions are based exclusively on merit, qualifications and business needs.

Improving the overall health, wellness, and quality of life of our individuals, families and communities we serve.

Company Description

Improving the overall health, wellness, and quality of life of our individuals, families and communities we serve.