Care Manager (Marinette) (Home-Based with Field Travel)

Lakeland Care•Crivitz, WI

11d•Remote

About The Position

The Care Manager serves frail elders and adults with physical or intellectual/developmental disabilities who are members of Lakeland Care. As part of an interdisciplinary team that includes an RN Care Manager and the member and/or their legal representative, the Care Manager provides care management and service coordination under the general direction of the Care Management Supervisor. The role promotes members’ overall 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. The interdisciplinary team monitors services according to the member-centered plan, Lakeland Care policies and procedures, and Department of Health Services contract requirements. The position involves home visits and field travel, and participation in a 24-hour on-call rotation as needed.

Requirements

Certified Social Worker in Wisconsin with at least one year of experience working with at least one Family Care target population; or
A four-year bachelor’s degree or higher in Human Services or a related field, with at least one year of experience working with at least one Family Care target population; or
A four-year bachelor’s degree or higher in a field other than Human Services, with at least three years of experience working with at least one Family Care target population.
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 their 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 facilitate their participation in those processes.
Participate in ongoing training and maintain knowledge of applicable federal and state regulations, organizational policies and procedures, and accepted 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.
Maintain the confidentiality of member information and protected health information in accordance with state and federal regulations, including HIPAA.