RN Field Care Manager - Medicaid HCBS/LTSS

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About the role

Become a part of our caring community   The Field Care Manager Nurse 2 assesses members’ needs and helps members and their families access appropriate resources to achieve or maintain optimal health and well-being. The Field Care Manager Nurse 2 uses a range of strategies to address members’ physical, environmental, and psychosocial health needs. • Must reside in Michigan and be able to drive to Wayne and/or Macomb Counties. • This is a Field-based position requires 75%–90% travel within an assigned area of Wayne and/or Macomb Counties to conduct in-home visits with Medicare and Medicaid members within a 30- to 40-mile radius. Position Responsibilities: • The RN Field Care Manager manages a caseload and completes member assessments in home, community-based, and telephonic settings. • Provides clinical support and guidance, particularly for members with complex medical needs. Develops and coordinates care plans to ensure members receive appropriate services to manage their health effectively. • Addresses barriers to healthcare and advocates for optimal member outcomes. • Reviews, evaluates, and completes medical complexity attestations and clinical oversight activities. • Assesses care needs to ensure members receive services in the least restrictive setting and achieve or maintain optimal well-being. • Develops and updates the Individual Care Plan with applicable care team members, including informal caregivers, coaches, and primary care providers. • Uses an interdisciplinary approach to help members and caregivers access social, housing, educational, and other services needed, regardless of funding source. • Serves as the primary contact for the Interdisciplinary Care Team (ICT), coordinating with the member, ICT participants, and external resources to ensure the members’ needs are met. • Conducts comprehensive InterRAI Integrated Health Care (IHC) assessments and Nursing Facility Level of Care Determinations (NFLOCDs) to evaluate members’ clinical, functional, cognitive, behavioral, and psychosocial needs; support accurate eligibility decisions and person-centered care planning; and ensure compliance with state Medicaid, LTSS, HCBS waiver, and regulatory requirements. Use your skills to make an impact   Required Qualifications • Must reside in the state of Michigan (Wayne or Macomb Counties). • Active Michigan license as a Registered Nurse ( RN ) or Advanced Practice Registered Nurse ( APRN ), including Nurse Practitioner ( NP ) or Clinical Nurse Specialist ( CNS ), with no disciplinary actions. • Experience with Home and Community-Based Services (HCBS) and waiver programs . • 2+ years of experience in healthcare and/or case management. • Experience conducting Long-Term Services and Supports (LTSS) assessments, working with Medicaid regulations , and applying person-centered planning principles. • Experience collaborating with interdisciplinary teams, providers, members, and caregivers to complete comprehensive assessments and recommend appropriate services. • Demonstrated ability to maintain timely, accurate, and compliant documentation in accordance with organizational, state, and federal requirements. • Knowledge of community health, social service agencies, and community resources. • Ability to use electronic information systems and software programs, including electronic medical records (EMRs) . • Excellent keyboarding and web navigation skills. • Intermediate to advanced computer skills, including experience with Microsoft Word, Outlook, and Excel . Preferred Qualifications • Bachelor of Science in Nursing ( BSN ) • Experience completing InterRAI Integrated Health Care (IHC) Assessments , including assessment methodology, care planning, and identification of clinical, functional, cognitive, and

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