Care Manager - Green Bay (Work From Home Flexible)

Lakeland CareDePere, WI
11dRemote

About The Position

Join our award winning culture as we serve members in your area! Position Summary: The Care Manager (CM), as part of an interdisciplinary team (IDT) with a RN Care Manager (RN CM), serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The Care Manager provides care management and service coordination to LCI members. The Care Manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Position requires traveling in the field/community visiting members.

Requirements

  • Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor’s degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor’s degree or more advanced degree in any other area than Human Services with a minimum of three (3) years’ experience working with at least one of the family care target populations.
  • Working knowledge of computers, computer programs, typing, and data entry.
  • Ability to access members’ homes which are not required to comply with the ADA regulations.
  • Ability to multi-task and work in a fast-paced environment.
  • Ability to lift up to 25lbs.
  • Current driver’s license, acceptable driving record and proof of adequate insurance.

Responsibilities

  • Coordinate and participate in home visits and care conferences involving the member, their supports, and providers.
  • Collaborate with RNCM to coordinate acute and primary care services, care transitions, and related follow-up care.
  • Conduct in-person comprehensive, strengths-based assessment of the member's outcomes, needs and risks; perform reassessment as condition changes.
  • Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
  • Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights to appeal and grieve.
  • Maintain member records as required by DHS contract and LCI policy.
  • Build and maintain an effective and collaborative working relationship with RNCM partner and various departments/stakeholders.
  • Participate in team meetings and on-going trainings to stay abreast of policies, procedures, and state/federal regulations.
  • Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations.
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