Family Care-Registered Nurse
About The Position
The LTSS Service Coordinator-RN Clinician (RN Case Manager) manages members’ cases within the scope of RN licensure. The role develops, monitors, evaluates, and revises person-centered care plans to meet members’ needs and optimize their health care across the care continuum. The Family Care Program serves older adults and adults with disabilities, with the goal of supporting independent living, employment, and community participation. This is a field-based position serving members in Wisconsin. The associate travels to client sites and designated locations, including members’ homes and communities, and may attend an office occasionally for meetings or training. Candidates must live within a reasonable commuting distance of a posting location.
Requirements
- Associate of Science in Nursing or Bachelor of Science in Nursing, and at least 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in service coordination, case management, or a similar role; or an equivalent combination of education and experience.
- Current, active, valid, and unrestricted RN license in Wisconsin.
- At least 1 year of experience working with at least one of the Family Care target populations.
Nice To Haves
- BA/BS in Health or Nursing.
- Case management experience with older adults or individuals with disabilities.
- Long-term care background.
- Commitment to member-centered care and cultural responsiveness.
- Family Care/Partnership experience.
- Comfort using technology.
- Strong interpersonal and communication skills.
- Ability to work collaboratively in a team environment.
- Problem-solving and crisis-management abilities.
Responsibilities
- Perform telephonic and face-to-face functional assessments to identify, evaluate, coordinate, and manage members’ physical health, behavioral health, social service, and long-term services and supports needs.
- Identify members at risk for complications and coordinate care with members and their health care teams.
- Manage members with chronic illnesses, co-morbidities, and/or disabilities to support cost-effective and efficient use of health benefits.
- Obtain thorough and accurate member histories to develop individual care plans.
- Establish short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
- Identify members who may benefit from an alternative level of care or other waiver programs.
- Develop care plans for member services and ensure members’ access to those services.
- As appropriate, facilitate authorizations and referrals to implement care plans within the benefits structure or through permissible extra-contractual arrangements.
- Interface with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on care management and person-centered care plans.
- Assist with problem solving related to providers, claims, or service issues.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs, unless covered by a collective bargaining agreement
- Medical benefits
- Dental benefits
- Vision benefits
- Short- and long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
