Care Manager (Org Wide) (Home-Based With Field Travel)

Lakeland Care Incorporated•Fond Du Lac, WI

13d•Remote

About The Position

The Care Manager serves frail elders, adults with physical disabilities, and adults with intellectual or developmental disabilities who are Lakeland Care members. As part of an interdisciplinary team, the Care Manager provides person-centered care management and service coordination to promote members’ overall well-being through high-quality, outcome-based care. 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, Lakeland Care policies and procedures, and Department of Health Services contract requirements. This is a part-time float position primarily serving Fond du Lac County, with potential travel of up to two hours within the service region. The position is under the general direction of the Care Management Supervisor and includes home visits, care conferences, team meetings, and participation 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 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 as part of an 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 the cost and effectiveness of services and provider choices.
Coordinate care and benefits to provide comprehensive support and ongoing access to federal and state programs.
Implement risk mitigation strategies to promote members’ health, safety, and independence while respecting their rights.
Educate members about appeal and grievance rights and facilitate their participation in appeal and grievance processes.
Participate in ongoing training and maintain current knowledge of federal and state regulations, Lakeland Care policies and procedures, and accepted professional standards.
Create and maintain member records as required by the Department of Health Services contract and Lakeland Care 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, and attend 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.