RN Care Manager (Manitowoc) (Home Based with Field Travel)

Lakeland Care•Manitowoc, WI

5d•Remote

About The Position

The RN Care Manager (RNCM) serves Lakeland Care, Inc. members who are frail elders, adults with physical disabilities, and adults with intellectual or developmental disabilities. As part of an interdisciplinary team (IDT), the RNCM 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 RNCM arranges services and supports based on comprehensive assessments of members’ outcomes and needs. The IDT monitors services in accordance with each member’s centered plan, LCI policies and procedures, and Department of Health Services (DHS) contract requirements. The RNCM works with a care manager, the member, and/or the member’s legal representative to assess outcomes, needs, and risks and to reassess when circumstances change. The position coordinates acute and primary care, transitions, and follow-up; develops and monitors outcome-based plans; and incorporates prevention, wellness, and risk mitigation into care planning. The RNCM participates in face-to-face in-home visits, care conferences, team meetings, training, and a 24-hour on-call rotation as necessary. Nursing care must be provided in accordance with the Nurse Practice Act, and member records and confidential information must be handled in compliance with applicable requirements. Lakeland Care is a Wisconsin-based nonprofit managed care organization providing long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Its mission is “Empowering Individuals. Strengthening Communities. Inspiring Futures.” Its vision is to create a world we all want to live in, and its core values are kindness, inclusion, and trust.

Requirements

Current license to practice as a Registered Nurse in Wisconsin.
Ability to access members’ homes, which are not required to comply with ADA regulations.
Ability to lift up to 25 pounds.
Current driver’s license, acceptable driving record, and proof of adequate insurance.

Nice To Haves

Bachelor’s degree in nursing is strongly preferred.
Two or more years of skilled nursing experience is preferred, ideally in gerontology, disabilities, and/or home care.

Responsibilities

Conduct comprehensive assessments of members’ outcomes, needs, and risks, and reassess when their outcomes or conditions change.
Coordinate acute and primary care services, care transitions, and related follow-up care.
Develop, coordinate, monitor, and evaluate outcome-based, member-centered plans; consider cost and effectiveness when authorizing services and selecting providers.
Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into care planning.
Work with the Care Manager to implement risk mitigation strategies that promote members’ health, safety, and independence while respecting their rights.
Participate in ongoing training to maintain current knowledge and ensure compliance with Federal and State regulations, LCI policies and procedures, and accepted professional standards.
Create and maintain member records as required by DHS contract requirements and LCI policies.
Participate in face-to-face in-home visits and care conferences with members, their supports, and providers to assess, reassess, and address health and medically related needs.
Participate in the 24-hour on-call rotation as necessary.
Participate in team meetings and internal workgroups as required or requested.
Provide nursing care in accordance with the Nurse Practice Act.
Maintain confidentiality of member information and protected health information in accordance with State and Federal regulations, including HIPAA.