Medicaid Waiver Case Manager- Registered Nurse (RN)

• Southern Mississippi Planning and Development District

Job Description

Medicaid Waiver Case Manager

General Statement of Duties:

This position is involved in the coordination of the Case Management Program, which consists of pre-admission screening, planning and arranging for coordination of appropriate home and community-based services in a timely and cost-effective manner. This position will provide consultation and non- skilled services and will not engage in the provision of medical procedures or skilled nursing care. Incumbents assigned to this position maintain considerable contact with service providers, consumers of services, civic groups, and the public.

Responsibilities:

The case management team, composed of a licensed social worker and registered nurse, will work together as a team and will jointly be responsible for the following activities:

• Responsible for assessment of the assigned client, developing and initiating an appropriate plan of care, arranging for the provision of services regardless of payer source, and for monitoring each plan of care;
• Coordinates the efforts of family, friends, or volunteers to provide services to clients;
• Contacts potential service providers to negotiate delivery of services, prepares written referrals to community service agencies, explores the availability and quality of services and eligibility criteria, and the accessibility of services to the client;
• Arranges for, and attends case conferences as needed;
• When appropriate, assists clients and support systems on a short-term basis;
• Maximizes and coordinates appropriate informal and community resources;
• Monitors and reviews continued appropriateness of care plan, making revisions where necessary; visits via telephonic to the client monthly may be conducted by one team member; recertification may be conducted by one team member but it must be face to face; both members must conduct initials and quarterly face to face in the home;
• Maintains complete documentation of clients’ progress and his/her interaction with service providers, according to the case management documentation standards; completes all applications, forms, and additional documentation as required;
• Provides follow-along to ensure quality of care with case reviews that will focus on the individual’ progress in meeting goals and objectives established through the plan of care.

Qualifications:

a. (1) Registered Nurse:

Must be licensed in the state of Mississippi with 2 years of nursing experience with aged and disabled individuals. It is beneficial to have knowledge of geriatrics, clinical assessment techniques, disease processes, rehabilitation principles, psycho-social needs evaluation, and familiarity with public and private funding sources.

Job Type: Full-time

Benefits:

Retirement Plan 401(a) 10% on top of and in addition to base salary, vested on Day 1

Retirement Plan 403(b) up to 2% on top of and in addition to base salary match, vested at 3 years

Health insurance (Medical, Vision and Dental) with No Premium Option for Employee

Life insurance

Long Term Disability Insurance

13 Paid Holidays

PTO starting at 12 Personal and 12 Sick Days per year

Compact Work Day 8 to 4:30 or 8:30 to 5:00; one hour lunch break.

Fleet Car provided for field work

Benefits:

• 401(k) matching
• 403(b)
• 403(b) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person & One Remote Work Day per week.

Job Type: Full-time

Pay: From $50,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person

Salary : $50,000