Care Manager (Org Wide) (Home-Based With Field Travel)

Lakeland Care•Fond du Lac, WI

12d•Hybrid

About The Position

The Care Manager is part of an interdisciplinary team serving Lakeland Care members who are frail elders, adults with physical disabilities, and adults with intellectual or developmental disabilities. The role provides care management and service coordination under the general direction of the Care Management Supervisor. The team works to promote members’ overall well-being through high-quality, person-centered, outcome-based care. The Care Manager arranges services and supports based on comprehensive assessments of members’ outcomes and needs. The interdisciplinary team monitors services under each member-centered plan in accordance with Lakeland Care policies and procedures and Department of Health Services contract requirements. This is a part-time float position primarily within Fond du Lac County, with potential travel up to two hours within the service region. The role includes home visits, care conferences, and participation in a 24-hour on-call rotation as needed.

Requirements

One of the following: Wisconsin Certified Social Worker and at least one year of experience working with at least one Family Care target population; a four-year bachelor’s degree or more advanced degree in Human Services or a related field and at least one year of such experience; or a four-year bachelor’s degree or more advanced degree 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, 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 their rights to appeal and grieve decisions and processes, and facilitate their participation in appeal and grievance processes.
Participate in ongoing training and maintain current knowledge of applicable federal and state regulations, Lakeland Care policies and procedures, and accepted professional standards.
Create and maintain member records as required by the Department of Health Services contract and Lakeland Care policy.
Coordinate and participate in home visits and care conferences with members, their supports, and providers to assess or 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 the confidentiality of member information and protected health information in accordance with state and federal regulations, including HIPAA.