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

Lakeland Care Incorporated•Rhinelander, WI

9d•Remote

About The Position

The Care Manager serves frail elders and adults with physical or intellectual/developmental disabilities who are members of Lakeland Care (LCI). Working as part of an interdisciplinary team (IDT), the role supports members’ overall well-being through high-quality, person-centered, outcome-based care. Under the general direction of the Care Management Supervisor, the Care Manager provides care management and service coordination. The position arranges services and supports based on comprehensive assessments of members’ outcomes and needs, and the IDT monitors services according to member-centered plans, LCI policies and procedures, and Department of Health Services contract requirements. The role collaborates with an RN Care Manager and members or their legal representatives to assess needs and risks, coordinate services and benefits, develop and monitor member-centered plans, and promote members’ health, safety, independence, and rights. It also involves home visits, care conferences, member recordkeeping, ongoing training, and participation in a 24-hour on-call rotation as needed.

Requirements

One of the following qualifications: Wisconsin Certified Social Worker and at least one year of experience working with at least one Family Care target population; a bachelor’s or more advanced degree in Human Services or a related field and at least one year of such experience; or a bachelor’s or more advanced degree 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 with 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 choosing providers.
Coordinate care and benefits to support a comprehensive approach 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 current knowledge of applicable 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.
Protect the confidentiality of member information and protected health information in accordance with applicable state and federal regulations, including HIPAA.