Job Information
Valley Area Agency on Aging Registered Nurse Supports Coordinator in Flint, Michigan
The role of the Supports Coordinator is to inform, assist, and coordinate a variety of home and other community-based services needed by elderly and other adults to live independently in the community as they choose.
Performance Responsibilities -- Essential Functions (other duties may be assigned)
- Performs comprehensive evaluation including assessment of the individual's unique preferences, physical, social, and emotional functioning, medication, physical environment, natural supports, and financial status. Assessments are conducted in-person at the individual's residents or other locations determined by the agency or grantor.
- Verifies client's initial eligibility and continuous eligibility for VAAA programs.
- Develops comprehensive client care plans, utilizing both formal and informal support services to meet the individual's identified needs emphasizing the person centered approach to establishing a care plan that documents the issues, concerns, conditions and specific supports and interventions needed.
- Provides support to program participants and their allies to facilitate life adjustments and reinforce the participant's circle of support.
- Provides coordination of services by various internal and external disciplines and providers to address participants' needs. This includes physicians, home care agencies, hospice, hospitals, community mental health services, etc.
- Provides assistance with accessing Medicare, Medicaid and other third party benefits and services.
- Arranges needed services, monitors provider delivery of services, documents care plan outcomes via telephone or via home visits and follows-up on client health status and service delivery based on Agency policy/protocol, client choice, physical, social, and mental health needs of the client in a cost efficient and effective manner.
- Conducts client reassessments including Medicaid re-determinations and other required paperwork based on agency and grantor's protocol and policy.
- Ensures that all necessary paperwork, including reports and other required documentation according to agency and regulatory policies and procedures, are completed and submitted in a timely manner.
- Promotes and builds good working relationships with staff of VAAA. Embraces mission. Works with team; assists whenever and wherever needed/required.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be a Registered Nurse (RN) with a current license in the State of Michigan.
- Minimum of two (2) years' experience in client assessment and/or case management, long-term care, home care, or hospice home care experience
Competencies
To perform the job successfully, an individual should demonstrate and/or possess the following competencies:
Stellar customer service skills
Compassionate and empathetic
Personal effectiveness, credibility, and ethical conduct
Excellent decision making skills
Strong performance management skills Confidential
Excellent attention to detail
Interpersonal skills
Ability to speak and write clearly and concisely
Strong organizational skills Ability to work as a team
Excellent project management skills
Ability to analyze, research, and interpret data
Ability to multitask
Ability to work with a diverse group of people
Flexibility Knowledge of Medicare and Medicaid High energy
Ability to adapt to change
Ability to work independen