IDT Care Manager Float Appleton (WI Based Work from Home)

Description

Join our award winning team as we support members in Wisconsin! 

Position Summary:

The Care Manager (CM) Float, as a temporary member of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care (LCI). The team’s goal is to promote the overall well-being of the members LCI serves by providing high quality, person-centered, outcome-based care.

Under general direction of the Care Management Supervisor, this Float position provides care management and service coordination to LCI members. As a temporary member of the IDT, 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. 

The CM Float position will provide coverage for CMs who are on an extended leave of absence, filling a time between the departure and hiring/training of a new employee or any other reason deemed appropriate by the CM Supervisor/Regional Manager. 

 The CM Float position may be required to cover multiple service regions and be flexible with travel time. 

 Responsibilities & Competencies: 

• Collaborate with the RNCM to coordinate acute and primary care services, care transitions, and related follow-up care.
• Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
• Coordinate care and benefits to ensure a comprehensive support approach, as well as on-going access to federal and state programs.
• Conduct a comprehensive assessment of the member's outcomes, needs and risks; and conduct a reassessment as the member’s outcomes and/or condition changes.
• Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights.
• Educate members of their rights to appeal and grieve decisions and processes, and facilitate the member's participation in the appeal/grievance process.
• Participate in on-going training; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards.
• Create and maintain member records as required by the Department of Health Services (DHS) contract and LCI policy.
• Coordinate and participate in home visits and care conferences involving the member, their supports and providers to assess and reassess long-term care needs and coordinate appropriate interventions.
• Participate in team meetings and internal workgroups as required/requested. 
• Maintain the confidentiality of member information and protected health information (PHI) as required by State and Federal regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  

Requirements

• Certified Social Worker in the State of Wisconsin with a minimum of one (1) years’ experience working with at least one of the family care target populations, or
• Bachelor’s degree in human services, psychology, or related field with two (2) years’ experience working with at least one of the family care populations; or
• Bachelor’s 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.

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), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities to achieve their daily and lifelong goals through Wisconsin’s Family Care program. Currently we serve in 31 counties.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our Core Values

Kindness – We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion – We believe that open hearts and open minds are the only path to a brighter future.

Trust – We believe that honesty is still in style and that promises still have power.

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.