Careers
Registered Nurse (RN) – Medicaid & Waiver Programs Support
Oklahoma City Metro Area
Registered Nurse (RN) – Medicaid & Waiver Programs Support
Oklahoma City, OK
Reports To:
Administrator / RN Supervisor
Position Summary
The Registered Nurse (RN) – Medicaid & Waiver Programs Support plays a key role in coordinating and supporting home care services funded through Medicaid Advantage and other waiver programs in Oklahoma. This position works closely with the Administrator/RN Supervisor to ensure compliance, high-quality care delivery, and successful coordination of services for clients receiving personal care assistance.
The RN is responsible for completing clinical assessments, supporting care plan development, monitoring ongoing services, and ensuring all regulatory and payer requirements are met.
Key Responsibilities
Clinical & Client Care
Conduct initial and ongoing nursing assessments for clients receiving personal care services
Develop, implement, and update individualized care plans in collaboration with clients, families, and interdisciplinary teams
Monitor client condition and ensure services meet medical necessity and payer requirements
Provide clinical oversight to caregivers to ensure safe, effective care delivery
Address changes in client condition and coordinate appropriate interventions
Medicaid Advantage & Waiver Program Support
Assist with coordination of services under Medicaid Advantage and applicable Oklahoma waiver programs (e.g., ADvantage Waiver, personal care services, VA)
Ensure compliance with Oklahoma Health Care Authority guidelines and regulations
Support eligibility processes, service authorizations, and documentation requirements
Maintain accurate, audit-ready records for all Medicaid-funded services
Communicate with case managers, MCOs, and state agencies as needed
Care Coordination & Collaboration
Serve as a liaison between clients, families, caregivers, and referral sources
Collaborate with the Administrator/RN Supervisor to ensure continuity of care and service excellence
Assist in onboarding new clients, including assessments and service initiation
Participate in case conferences and interdisciplinary team meetings
Quality Assurance & Compliance
Ensure all services meet state, federal, and company standards
Participate in quality assurance activities, including chart audits and compliance reviews
Identify areas for improvement and assist in implementing corrective actions
Maintain knowledge of current Medicaid policies and waiver program updates
Training & Support
Provide guidance and education to caregivers on client-specific care needs
Assist in skills validation and competency checks as needed
Support staff in understanding documentation and compliance expectations
Qualifications
Education & Licensure
Active Registered Nurse (RN) license in the State of Oklahoma
Graduate of an accredited nursing program
Experience
Minimum of 1–2 years of nursing experience (home care or community-based care preferred)
Experience with Medicaid programs, waiver services, or long-term care preferred
Familiarity with personal care services and non-medical home care strongly preferred
Skills & Competencies
Strong knowledge of Medicaid Advantage and waiver program requirements
Excellent assessment and care planning skills
Strong organizational and documentation abilities
Effective communication and interpersonal skills
Ability to work independently and collaboratively
Detail-oriented with a focus on compliance and quality
Work Environment & Expectations
Combination of office and field work (client home visits required)
Reliable transportation and valid driver’s license required
Ability to manage a flexible schedule based on client and program needs
Key Performance Indicators (KPIs)
Timely completion of assessments and care plans
Compliance with Medicaid and waiver documentation standards
Client satisfaction and quality outcomes
Successful coordination of service authorizations and renewals
Participation in quality assurance initiatives