RN Case Manager

Overview
The Registered Nurse Case Manager (RN CM) provides clinical oversight and case management for individuals living in residential programs serving adults with developmental and intellectual disabilities, many of whom have complex medical and behavioral needs. The RN CM ensures that nursing services are delivered in accordance with regulatory standards, agency policies, and individualized care plans. This position collaborates closely with clinicians, residential management, direct care staff, families, physicians, and external agencies to promote optimal health outcomes and quality of life for the individuals supported.

Responsibilities

Clinical Oversight & Care Coordination: Provide ongoing clinical assessment of individuals in assigned homes, ensuring nursing interventions align with current care needs.

Review and update physician orders, MARs, and treatment sheets monthly and as changes occur.

Monitor acute changes in condition, coordinate provider communication, and ensure timely follow-up.

Oversee implementation of care plans, including G-tube management, seizure protocols, and medication administration.

Collaborate with guardians, residential managers, and healthcare providers to ensure all medical needs are identified and met.

Staff Support & Training: Train and mentor direct support staff on clinical procedures, symptom recognition, documentation standards, and emergency response.

Cover nursing call-outs when necessary to maintain safe and continuous clinical coverage.

Participate in on-call nursing rotation and provide coverage during nursing call-outs as needed.

Conduct medication administration competency checks and ensure staff maintain MAP certification compliance.

Provide ongoing education in infection control, aspiration prevention, bowel protocols, diabetes management, and other individualized plans.

Documentation & Compliance: Maintain timely and accurate nursing documentation within agency and DDS guidelines.

Participate in internal audits, QA reviews, and investigations as directed by the Nursing Director.

Ensure compliance with DDS, DPH, and other regulatory requirements.

Review incident reports for clinical follow-up and ensure corrective actions are implemented.

Participate in interdisciplinary team meetings, contributing clinical input for ISP development and review.

Work collaboratively with residential managers to promote a culture of communication, accountability, and proactive care.

Communicate effectively with physicians, hospitals, and external providers regarding treatment plans and transitions of care.

Qualifications

Current MA Registered Nurse (RN) license in good standing.

Minimum of two years of experience in developmental disabilities, long-term care, or community nursing.

Strong clinical assessment, organization, and communication skills.

Ability to manage multiple priorities across several homes and respond flexibly to emergent needs.

MAP Trainer Certified/ Willing to obtain MAP Trainer certification

Valid driver’s license and reliable transportation required.

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