Care Manager (Brown) (Home-Based With Field Travel)

Lakeland Care Incorporated•Town of Ledgeview, WI

2d•Remote

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 team works to promote members’ overall well-being through high-quality, person-centered, outcome-based care. Under the general direction of the Care Management Supervisor, the Care Manager provides care management and service coordination. In collaboration with the interdisciplinary team, the Care Manager arranges services and supports based on comprehensive assessments of members’ needs and desired outcomes, and monitors service provision according to member-centered plans, Lakeland Care policy and procedures, and Department of Health Services contract requirements. Lakeland Care is a Wisconsin-based nonprofit managed care organization providing long-term care services and supports through Wisconsin’s Family Care program. It serves eligible members across 22 counties and has 10 offices in central to northeastern Wisconsin.

Requirements

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