Care Manager (Dane) (Home-Based With Field Travel)
About The Position
The Care Manager serves frail elders and adults with physical or intellectual/developmental disabilities who are members of Lakeland Care (LCI). As part of an interdisciplinary team (IDT), the Care Manager provides care management and service coordination under the general direction of the Care Management Supervisor. The role arranges services and supports based on a comprehensive assessment of each member’s outcomes and needs, and monitors services according to the member-centered plan, LCI policies and procedures, and Department of Health Services (DHS) contract requirements. This position coordinates with an RN Care Manager, members and/or their legal representatives, providers, and other supports to promote members’ well-being, health, safety, and independence through person-centered, outcome-based care. The position is home-based with field travel and includes home visits and care conferences. It also participates in a 24-hour on-call rotation as needed.
Requirements
- Wisconsin Certified Social Worker with at least one year of experience working with at least one Family Care target population; or a bachelor’s degree or higher in Human Services or a related field with at least one year of such experience; or a bachelor’s degree or higher 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, 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 in those processes.
- Participate in ongoing training and maintain current knowledge of federal and state regulations, LCI policies and procedures, and accepted professional standards.
- Create and maintain member records as required by the DHS contract and LCI 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 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
