Care Manager - OSHKOSH (WI Based Work from Home)

Description

Join our award winning culture as we support members in your area!

Position Summary:

The Care Manager (CM), as part of an interdisciplinary team (IDT) with a RN Care Manager (RN CM), serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities.

The Care Manager provides care management and service coordination to LCI members. The Care Manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements.

Position requires traveling in the field/community visiting members.

Responsibilities & Competencies:

• Coordinate and participate in home visits and care conferences involving the member, their supports, and providers.
• Collaborate with RNCM to coordinate acute and primary care services, care transitions, and related follow-up care.
• Conduct in-person comprehensive, strengths-based assessment of the member's outcomes, needs and risks; perform reassessment as condition changes.
• Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
• Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights to appeal and grieve.
• Maintain member records as required by DHS contract and LCI policy.
• Build and maintain an effective and collaborative working relationship with RNCM partner and various departments/stakeholders.
• Participate in team meetings and on-going trainings to stay abreast of policies, procedures, and state/federal regulations.
• Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations.

Requirements

• Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations, OR
• A four-year bachelor’s degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations, OR
• A four-year bachelor’s degree or more advanced degree in any other area than Human Services with a minimum of three (3) years’ experience working with at least one of the family care target populations.
• Working knowledge of computers, computer programs, typing, and data entry.
• Ability to access members’ homes which are not required to comply with the ADA regulations.
• Ability to multi-task and work in a fast-paced environment.
• Ability to lift up to 25lbs.
• Current driver’s license, acceptable driving record and proof of adequate insurance.

Acknowledgement:

This job posting describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive and is subject to change by the employer as the needs of the employer and requirements of the position change.

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Lakeland Care is a Top Workplace award winning Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin.

We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.