Care Manager (Portage and Wood) (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 position provides care management and service coordination to promote members’ overall well-being through high-quality, person-centered, outcome-based care. Under the general direction of the Care Management Supervisor, the Care Manager arranges services and supports based on comprehensive assessments of members’ outcomes and needs. The IDT monitors services according to member-centered plans, LCI policies and procedures, and Department of Health Services (DHS) contract requirements. The role involves collaboration with an RN Care Manager, members, legal representatives, providers, and other supports. The Care Manager coordinates assessments, care plans, benefits, services, and follow-up care; supports member health, safety, independence, and rights; maintains compliant member records and confidentiality; and participates in home visits, care conferences, training, team activities, and an on-call rotation as needed.
Requirements
- Be a Certified Social Worker in Wisconsin and have at least one year of experience working with at least one Family Care target population; or have a four-year bachelor’s degree or higher in Human Services or a related field and at least one year of relevant experience; or have a four-year bachelor’s degree or higher in another field and at least three years of relevant 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 related 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 their rights to appeal and grieve decisions and processes, and facilitate their participation in appeal and grievance 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 long-term care needs and coordinate appropriate 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.
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What This Job Offers
Job Type
Full-time
