Care Manager (Marinette) (Home-Based With Field Travel)
About The Position
The Care Manager serves Lakeland Care members, including frail elders and adults with physical or intellectual/developmental disabilities, as part of an interdisciplinary team. Under the general direction of the Care Management Supervisor, the role provides care management and service coordination to promote members’ 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, and the team monitors services under each member-centered plan in accordance with Lakeland Care policies and Department of Health Services contract requirements. The position works collaboratively with an RN Care Manager, members, and/or legal representatives to assess needs and risks, coordinate care and benefits, develop and monitor member-centered plans, and support members’ health, safety, rights, and independence. Work includes home visits, care conferences, member recordkeeping, training, team meetings, and participation in an on-call rotation as needed. The position is home-based with field travel.
Requirements
- Meet one of the following qualification pathways: be a Certified Social Worker in Wisconsin with at least one year of experience working with at least one Family Care target population; have a four-year bachelor’s degree or higher in Human Services or a related field and at least one year of such experience; or have 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 the 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 knowledge of applicable regulations, Lakeland Care policies and procedures, and professional standards.
- Create and maintain member records as required by Department of Health Services contract requirements 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.
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What This Job Offers
Job Type
Full-time
