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Medicaid IDD Waiver Nursing Oversight & Case Management

Use Your RN Expertise Where It Truly Matters

At Crossroads Counseling & Training Services, we support adults with intellectual and developmental disabilities to live full, self-directed lives in their communities. Our work is rooted in kindness, connectedness, teamwork, and empowermentand were seeking a part-time Registered Nurse who wants to make a meaningful impact through Medicaid IDD Waiver Nursing Oversight and Case Management Services.

This role is ideal for an RN who enjoys clinical oversight, documentation, coordination, and quality assurancewithout bedside care or shift work.

About the Role

The Part-Time Registered Nurse provides required Medicaid IDD Waiver Nursing Oversight and Case Management services, ensuring service recipients receive safe, compliant, and person-centered medication and health supports. This role focuses on clinical review, staff guidance, systems oversight, and regulatory compliance, working closely with direct support staff, leadership, care coordinators, and pharmacies.

This position supports waiver billing requirements while strengthening quality, safety, and continuity of care across residential and community-based settings.

Key Responsibilities

In this role, you will:

• Provide Medicaid IDD Waiverbilled Nursing Oversight and Case Management services
• Review and oversee medication administration systems for waiver participants
• Transcribe and manage medication orders within the Therap electronic record system
• Monitor, track, and trend medication errors, identifying patterns and recommending corrective actions
• Produce required quarterly medication and quality reports in accordance with State of Alaska (SDS) timelines
• Support compliance with waiver requirements, Plans of Care, and nursing oversight standards
• Provide clinical consultation to direct support professionals and house managers
• Communicate with pharmacies to resolve medication discrepancies and improve delivery accuracy
• Oversee proper tracking and disposal of discontinued or expired medications
• Develop and update nursing-related policies, procedures, and medication manuals as needed
• Participate in or chair medication and quality management meetings related to waiver services
• Collaborate with administrative and compliance staff to ensure accurate documentation for billing and audits

Schedule & Position Details

• Part-time position
• Flexible scheduling coordinated with program and waiver needs
• No bedside care
• No on-call or overnight shifts

What We Offer

• A flexible, part-time RN role aligned with Medicaid waiver services
• Meaningful systems-level impact without bedside demands
• Supportive, mission-driven leadership team
• Collaborative, values-based workplace
• Vacation, vision, and dental benefits (per eligibility requirements)

Qualifications & Requirements

Licensure & Certifications

• Current Alaska Registered Nurse (RN) license
• Valid Alaska drivers license with a clean driving record
• CPR / First Aid certification
• Current auto insurance (minimum suggested liability: $300,000)

Education & Experience

• Registered Nurse with at least 2 years of nursing experience
• Minimum 1 year working with adults with intellectual/developmental disabilities and/or mental illness
• Experience with Medicaid waiver services, case management, or regulatory oversight preferred

Skills & Strengths

• Strong clinical judgment and independent decision-making skills
• Excellent written and verbal communication abilities
• Strong organizational and time-management skills
• Proficiency in Microsoft Word and Excel (Excel used for reporting and tracking)
• Ability to develop clinical documentation, training materials, and policies
• Comfort working in electronic health record systems (Therap experience preferred; training provided)

Additional Requirements

• Annual TB test
• Hepatitis B immunization (or waiver)
• Ability to pass an approved background check

Why Crossroads?

At Crossroads, nurses are valued as clinical leaders, systems thinkers, and partners in quality care. This role allows you to use your nursing expertise to support compliance, empower staff, and protect the health and dignity of people receiving Medicaid IDD Waiver services.

If youre looking for part-time RN work with purpose, flexibility, and impact, we would love to connect.

Help ensure safe, compliant, and person-centered careone system at a time.