This is both a RN case management position and a team leader position in collaboration with the Mental Illness (MI) Adult Operations Manager. This position will spend about .25 of their time as the team leader for the case management team and .75 time providing case management and nursing/health programming that is appropriate and suitable with generally accepted standards of consumer care. This position provides leadership in the operation of the case management services delivery while seeking “best practice” models in order to improve quality of services. The employee in this clinical and team leadership position is responsible for ensuring continuity of services for recipients enrolled in case management, with a primary responsibility for assuring that the five case management functions are carried out: assessment, planning, linking, monitoring and advocacy.  The RN Lead Worker is an advocate and service broker for the consumer and is a resource to the treatment team. The RN Lead Worker reports to the Operations Manager as assigned. This position has no direct supervisory responsibilities.


ESSENTIAL POSITION FUNCTIONS (listing Position Specific functions first):

  • Provide guidance and training to other staff as needed in case management procedures and reporting responsibilities.
  • Lend support to the MI Adult Operations Manager in quality assurance activities, team planning; service development, implementation and evaluation.
  • Design, administer, evaluate and update nursing/health care programs and risk assessments as appropriate in licensed residential facilities.
  • Review consumer care for quality and appropriateness of health interventions. Report deficiencies in consumer care to supervisors and work collaboratively to find solutions to improve care within the scope of the Nurse-RN’s responsibilities.
  • Coordinate person-centered planning, with an emphasis on whole health and wellness recovery plans for those with chronic health and/or substance abuse issues. In doing so, attends to the total spectrum of the individual’s needs, including but not necessarily limited to: housing, family relationships, social activities, education, finance, employment, health, recreation, mobility, protective services and records.
  • Collaborate with consumers and other providers: continually assessing the consumer’s needs and developing treatment goals, objectives, methodologies and timelines; and evaluating progress toward those goals.
  • Locate, obtain, and coordinate services outside and inside the CMH system as indicated by the individual plan of service (IPOS).
  • Provide supportive services (including health education specific to his/her illness or needs) to the consumer and his/her family or other natural supports as part of the health and wellness recovery team.
  • Intervenes when necessary to assure implementation of the plan (IPOS).
  • Request and facilitate, when necessary, review of the IPOS by the individual’s interdisciplinary team.
  • Participate in interdisciplinary staffing meetings and other pertinent consumer and staff meetings.
  • Ensure the flow and exchange of information (within HIPAA law) among the consumer, family members or other natural supports, and linked providers.
  • Conduct orientation and annual integrated psychosocial assessment of individual consumer needs.
  • Document activity in accordance with state and agency guidelines in an electronic medical record.
  • Establish and maintain an effective liaison between CMH and outside providers.
  • Participate in Quality Assurance case review procedures, including consumer satisfaction.
  • Maintain current knowledge of mental health, chronic disease, and substance abuse symptomatology, including intervention and treatment strategies for selected health conditions.
  • Facilitate consumer’s benefits (e.g. SSI, Medicaid, SSB, Medicare).
  • Review and coordinate with team and provider on decision involving hospitalization, respite and/or transfers/level of care changes. Implements plan of action on transitional care across settings.
  • Provide crisis intervention services when appropriate.
  • Administer medications and perform other medical procedures such as injections, as consumer needs dictate, in accordance with applicable policies/procedures and nursing practice standards as appropriate.
  • May deliver medications to consumers as requested and observe setup of consumer’s medications.
  • May provide telephonic reminders of appointments and/or assistance with making appointments.



  • May represent Northern Lakes on internal/external committees or work groups to enhance organizational performance and development and quality of care, including Quality Improvement activities.
  • May participate in community education/community caregiver activities.
  • May receive and assist in resolving complaints or inquiries related to services provided by Northern Lakes Community Mental Health.



  • Shall strongly believe in Recovery and a Culture of Gentleness. To this end, show a commitment to creating and maintaining a culture that “Expects Recovery” and “Encourages Gentleness”.
  • Set priorities and make decisions, which reflect consistency with Northern Lakes CMH vision and mission statements, goals, values, policies and procedures.
  • Provide services and conduct tasks in accordance with terms/conditions required by the funding source, i.e., (Michigan Department of Health and Human Services) and with applicable laws and regulations.
  • Participate in approved staff development activities, in-services and supervisory sessions.
  • Maintain confidentiality and develop a trusting rapport with consumers, families/guardians, staff and the general public.
  • Behave and communicate in a manner that promotes a positive work atmosphere.
  • Perform duties in an accurate and timely manner.
  • Maintain up-to-date documentation/records/reports as applicable for position performance accountability.
  • Adjust work schedule, with supervisory approval, to meet consumer and/or Authority needs.
  • Maintain an awareness to provide a safe and healthy environment and will report all hazards and/or concerns.
  • Accept other responsibilities and duties required by the supervisor, consistent with the accomplishment of Authority goals and objectives and the functions of this position. Such responsibilities shall be incorporated into the job description if they involve a lengthy commitment of time or are ongoing. 
  • Advise supervisor if actual practice (activity) begins to deviate significantly from specified essential functions.



Registered Nursing degree with appropriate licensure for the State of Michigan.  Additional certification may be required.  Must maintain licensure.



Nursing degree.  Two (2) years of experience in providing services to consumers who have mental health and geriatric needs is preferred.



  • Basic knowledge of the Mental Health Code, and the structure, guidelines and services of the Authority.
  • Uphold Authority Code of Conduct and professional Code of Ethics, in addition to maintaining current appropriate State licensure/registration and standards where applicable.
  • Must possess professional knowledge, consistent with license or registration and demonstrate throughout employment practice equal to acceptable professional standards.
  • Knowledge of and ability to use screening tools for chronic illness, substance use disorder, mental illness and prevalent risk factors.
  • Ability to communicate, understand and carry out oral and written directions effectively in English and clearly present information both orally and in writing on a level suitable for public groups.
  • Demonstrate a capacity to use health information technology to link services and facilitate communication and data collection in an electronic system.
  • Learn community resources and identify procedures required to use a wide range of services.
  • Ability to maintain effective working relationships and productively serve as a member of a team with employees and the public plus deal with problems courteously and tactfully.
  • Ability to work effectively with employees of other agencies, Board members, advisory groups, committees, professional organizations and the public.
  • Skill in advocating on behalf of consumers, families/guardians and the Authority with the community at large.
  • Must have a working telephone, possess and maintain a valid Michigan Driver’s License, have a good driving record, automobile insurance coverage and have access to an automobile.
  • Must be willing to transport agency consumers, including in own personal vehicle when necessary.