Care Manager (Portage and Wood) (Home-Based With Field Travel)

Lakeland Care•Wausau, WI

11d•Remote

About The Position

The Care Manager serves frail elders and adults with physical or intellectual/developmental disabilities who are members of Lakeland Care (LCI). As part of an interdisciplinary team (IDT), the Care Manager provides person-centered care management and service coordination to promote members’ overall well-being and achieve high-quality, outcome-based care. Under the general direction of the Care Management Supervisor, the Care Manager arranges services and supports based on a comprehensive assessment of members’ outcomes and needs. The IDT monitors services under each member-centered plan in accordance with LCI policy and procedures and Department of Health Services (DHS) contract requirements. The position coordinates assessments, care plans, services, benefits, home visits, and care conferences with members, their supports, providers, and an RN Care Manager. It also supports members’ health, safety, independence, and rights; maintains required records and confidentiality; and participates in training, team activities, and an on-call rotation as needed. The role is home-based with field travel and requires access to members’ homes, which may not comply with ADA regulations.

Requirements

Wisconsin Certified Social Worker with at least one year of experience working with at least one Family Care target population; or a four-year bachelor’s degree or higher in Human Services or a related field and at least one year of such experience; or a four-year bachelor’s degree or higher in another field and at least three years of such experience.
Working knowledge of computers, computer programs, typing, and data entry.
Ability to access members’ homes, which are not required to comply with ADA regulations.
Ability to multitask and work in a fast-paced environment.
Ability to lift up to 25 pounds.
Current driver’s license, acceptable driving record, and proof of adequate insurance.

Responsibilities

Conduct comprehensive assessments of members’ outcomes, needs, and risks as part of an interdisciplinary team, and reassess when outcomes or conditions change.
Collaborate with the RN Care Manager to coordinate acute and primary care services, care transitions, and follow-up care.
Develop, coordinate, monitor, and evaluate outcome-based member-centered plans, considering cost and effectiveness when authorizing services and selecting providers.
Coordinate care and benefits to provide comprehensive support and ongoing access to federal and state programs.
Implement risk mitigation strategies that promote members’ health, safety, and independence while respecting their rights.
Educate members about appeal and grievance rights and processes, and facilitate their participation.
Participate in ongoing training and maintain current knowledge of federal and state regulations, LCI policies and procedures, and accepted professional standards.
Create and maintain member records as required by the DHS contract and LCI policy.
Coordinate and participate in home visits and care conferences with members, their supports, and providers to assess and reassess long-term care needs and coordinate interventions.
Participate in the 24-hour on-call rotation as needed.
Participate in team meetings and internal workgroups as required or requested.
Maintain confidentiality of member information and protected health information in accordance with state and federal regulations, including HIPAA.