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

Lakeland Care • DePere, WI

1d • Remote

About The Position

The Care Manager is part of an interdisciplinary team serving Lakeland Care members who are frail elders or adults with physical or intellectual/developmental disabilities. Under the general direction of the Care Management Supervisor, the role provides care management and service coordination to support members’ overall well-being through high-quality, person-centered, outcome-based care. The Care Manager works with an RN Care Manager and the member and/or legal representative to assess needs and risks, arrange services and supports, and monitor delivery according to the member-centered plan, Lakeland Care policies and procedures, and Department of Health Services contract requirements. The position is home-based with field travel and involves home visits, care conferences, team meetings, and participation in the 24-hour on-call rotation as needed.

Requirements

• Be a Certified Social Worker in Wisconsin and have at least one year of experience working with at least one Family Care target population; or hold a four-year bachelor’s degree or higher in Human Services or a related field and have at least one year of such experience; or hold a four-year bachelor’s degree or higher in another field and have 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 service 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 facilitate their participation in those processes.
• Participate in ongoing training and maintain knowledge of applicable regulations, organizational policies and procedures, and professional standards.
• Create and maintain member records in accordance with Department of Health Services contract requirements and Lakeland Care policies.
• Coordinate and participate in home visits and care conferences with members, their supports, and providers to assess 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.
• Protect the confidentiality of member information and protected health information in accordance with state and federal regulations, including HIPAA.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level