Employment

RN Case Manager – MI Choice Medicaid Waiver Program

General Information

Location

2100 Raybrook St., SE, Suite 203

Grand Rapids, MI 49546

Description:

Reliance Community Care Partners has a unique opportunity for an RN to take their career to the next level. This position offers flexibility, work from home as well as out in the local community and the opportunity to work as an essential part of an interdisciplinary health care team. This role will cover 2-3 counties within West Michigan.

Why Join Reliance Community Care Partners?

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care services for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful, and productive lives.

What Will You Do?

In this community-based program, the RN Case Manager provides case management services from his/her home office and surrounding community for the MI Choice Waiver Program.

Responsibilities

  • Both In-home and phone assessments to formulate plan of care
  • Coordination of care with other team members to develop, initiate, facilitate, and monitor the plan of care
  • Mobilize and coordinate family and/or friends to assist with services needs
  • Arrange and participate in person-centered conferences as needed
  • Evaluate and coordinate safety risk assessments in the participant’s intended residence
  • Advocates on behalf of participant in care related matters for procurement of services and entitled benefits
  • Identifies individuals who could benefit from disease management, screens and offers MI Choice Waiver program
  • Provides education and empowers the participant in implementation of the person-centered care plan

Skills to be Successful

  • Flexibility, resiliency, and adaptability
  • Self-directed and autonomous
  • Ability to prioritize
  • Organized
  • Comfortable with navigating various technologies and computer applications
  • Team player mentality

Education and Experience

  • RN licensure in the State of Michigan
  • At least 2 years of RN experience in direct clinical care
  • Older adult care or experience working with disabled population preferred
  • Knowledge of community-based resources and strong networking skills
  • Certified Case Manager (CCM) is preferred
  • Hospice and/or certified home care experience is highly valued

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “RN Case Manager” in the search box.

https://hollandhome.org

_______________________________________________________

Quality Coordinator – Claims, full-time

General Information

Location

2100 Raybrook St., SE, Suite 203

Grand Rapids, MI 49546

Description:

Reliance Community Care Partners is seeking a full-time Quality Coordinator – Claims Representative to join our team of professionals

What will you do:

  • Perform claim audit functions and data management to ensure date integrity, record completeness, compliance with contractual and accreditation requirements
  • Work with program staff to facilitate data integrity and accuracy along with data management and analysis that includes submission and correction of data.
  • This key team member has the option to work in the Corporate Office or in their own home office setting (once oriented).
  • The schedule is Monday-Friday, 8:00am – 4:30pm.

Qualified candidates:

  • High school diploma or equivalent
  • Minimum of 1 year of experience in medical claim processing
  • Top candidates will be skilled in efficient and accurate, detailed data entry
  • Experience with claims processing software, and knowledge of medical terminology and ICD10, CPT, and HCPCS coding is preferred

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “Quality Coordinator – Claims” in the search box.

https://hollandhome.org/

__________________________________________________

Social Work Transition Navigator

General Information

Location

2100 Raybrook St., SE, Suite 203

Grand Rapids, MI 49546

Contact Information

Name: Laurie Vanderlaan

Email: Laurie.Vanderlaan@hollandhome.org

Description:

Reliance Community Care Partners (RelianceCCP) has a unique opportunity for a Social Worker to take their career to the next level. The Transition Navigator offers flexibility, work from your home office, traveling to participant locations in central and southwest Michigan and access to a team of other experienced navigators.

Why Join Reliance Community Care Partners?

RelianceCCP is a Grand Rapids based, non-profit health care and case management organization, that specializes in coordinating community health care services for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to help those we serve transition from an institutional setting to the community. RelianceCCP has a turnover rate around 10% for over 15 years.

What Will You Do?

In this community-based program, the Social Work Transition Navigator assesses individuals in an institutional setting and assists with overcoming barriers to allow for a safe transition into the community setting of the individual’s choice.

Responsibilities

  • Perform in-person assessments to identify the individual’s desires, resources, strengths and barriers to transitioning into the community
  • Formulate an individualized plan of care to facilitate the transition
  • Coordinate with other natural supports and professionals to develop, initiate, facilitate and monitor the plan of care
  • Find housing options and coordinate with apartments, assisted living facilities, etc.
  • Conduct or coordinate home safety evaluations
  • Advocate and refer individuals for procurement of services and entitled benefits
  • Follow the individual in the community for as long as the individual is eligible
  • Participate in shopping for various needs
  • Documentation in different software systems
  • Reliable transportation to travel throughout various counties

Skills to be Successful

  • Flexibility, resiliency, and adaptability
  • Self-directed and autonomous
  • Ability to organize and prioritize
  • Comfortable with navigating various technologies and computer applications
  • Team player mentality

Education and Experience Requirements

  • BSW or MSW licensure (limited or full) in the State of Michigan (Master’s preferred); or
  • Have a bachelor’s degree in a health or human services field and at least 3 years of experience in the provision of health or social services; or
  • A Community Health Worker certification with at least 3 years of experience in the provision of health or social services

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “Social Work Transition Navigator” in the search box.

https://hollandhome.org/

Reliance Community Care Partners has been awarded a NCQA accreditation.

The National Committee on Quality Assurance (NCQA) Case Management for Long Term Services and Supports (CM-LTSS) awarded Reliance Community Care Partners a full accreditation.

The CM-LTSS accreditation is bestowed on organizations that implement best practices for person-centered care planning and effective care transitions. The honor awarded to Reliance Community Care Partners is for a three-year accreditation, the maximum achievable time frame.