The Region HR
TA Waiver RN Case Manager
- Compensation
- Not disclosed
- Location
- Montgomery, AL
- Work setup
- Not specified
- Seniority
- Not specified
- Employment
- Full time
- Experience
- Not specified
- Category
- Healthcare
- Posted
Skills
Must have
- Licensure: Must be a Registered Nurse (RN) with a current, active, unencumbered license in the State of Alabama.
- Experience: Professional background in nursing, home health, long-term care, social services, or case management (familiarity with Medicaid Waiver programs and LTSS is strongly preferred).
- Regulatory Knowledge: Working knowledge of state and federal regulations governing social services, healthcare, and benefit programs.
- Core Competencies: Exceptional clinical judgment and analytical skills to evaluate complex health situations. Strong interpersonal skills with the ability to build effective working relationships with
Full description
Position Overview: TA Waiver RN Case Manager
Schedule: Full-Time (Monday through Friday, 8:00 AM – 4:30 PM; occasional evening/weekend community events as needed)
Location: Montgomery, AL area (Local travel approx. 25% required during normal business hours)
Classification: Professional Nursing / Case Management
About the Role
We are seeking an experienced, compassionate Registered Nurse (RN) Case Manager to lead clinical oversight and direct case management for our Technology Assisted (TA) Waiver program. In this vital role, you will champion person-centered care, partner with Medicaid to facilitate smooth client enrollments and transitions, conduct rigorous clinical case reviews, and support staff development to ensure the highest standards of quality and regulatory compliance.
Key Responsibilities
A. Administration & Clinical Leadership
- Staff Training & Development: Identify clinical training needs to improve client health outcomes and professional competencies; train and re-educate case management staff as needed.
- Team Communication: Assess team performance and support effective communication strategies to ensure program goals and health outcomes are successfully met.
- Process Improvement: Provide clinical insights to management regarding quality assurance, compliance with policies, and adherence to state and federal regulations.
B. Case Management & Client Advocacy
- Medicaid Enrollment: Collaborate directly with Medicaid to coordinate and enroll eligible clients into the TA Waiver program.
- Comprehensive Assessments: Deliver one-on-one Long-Term Services and Supports (LTSS) case management by interviewing, assessing, and counseling clients and their families.
- Person-Centered Planning: Develop individualized care plans and proactively monitor ongoing client progress.
- Transitions & Coordination: Partner proactively with clients, families, and LTSS providers to ensure seamless, safe client transitions.
- Documentation & Safety: Maintain thorough, up-to-date case records and promptly report any critical health-related incidents.
- Community Resource Network: Build and maintain deep organizational knowledge of aging, adult resources, and healthcare providers to strengthen local referral pathways.
C. Clinical Review & Quality Assurance
- Record Audits: Apply expert clinical judgment to review client medical records and case documentation.