Supports Coordinator, RN

• Conduct comprehensive in-home participant assessments.
• Utilize nursing skills to gather and analyze medical data from initial assessments, including medication and disease management.
• Work with family members and other volunteer caregivers to maximize available services to the participant.
• Develop a plan of care identifying needed services, supports, and interventions.
• Arrange and coordinate delivery of needed services.
• Monitor participant plans of care to assure delivery of needed services.
• Evaluate and modify plans of care as required.
• Establish and maintain liaison with nursing home administrators, hospital discharge planners, human services providers, home care agency staff, and other community resources.
• Assist other care managers with questions resulting from reassessments and other situations in medically complex cases.
• Work with special medically complex cases requiring a special memorandum of understanding with the Michigan Department of Community Health.
• Participate in regular staff meeting and training events.
• Participate in community events to teach, assist and advocate.
• Perform other duties as assigned.

• Must be a Registered Nurse licensed in the state of Michigan with at least one year of community nursing experience.
• At least one year experience in the field of aging.
• Able to analyze varied environmental factors in relation to participants’ well being.
• Working knowledge of health related service delivery systems.
• Good interview and telephone skills, as well as the ability to deal with older adults in a caring and helpful (assertive and tactful) manner.
• Good communication and relationship skills.
• Strong computer fundamentals and proficiency with Microsoft Office products.
• Ability to travel within Lenawee, Hillsdale and Jackson Counties.
• Ability to work in the office located in Brooklyn, MI.

$33.32 per Hour

Must be a Licensed RN in the State of Michigan