RN Care Manager (Dane) (Home-Based with Field Travel)

Lakeland Care•Madison, WI

1d•Hybrid

About The Position

The RN Care Manager serves members of Lakeland Care, Inc. (LCI), including frail elders and adults with physical or intellectual/developmental disabilities. As part of an interdisciplinary team (IDT), the RN Care Manager provides care management and service coordination under the general direction of the Care Management Supervisor. The role arranges services and supports based on comprehensive assessments of members’ outcomes and needs, and monitors services according to member-centered plans, LCI policies and procedures, and Department of Health Services (DHS) contract requirements. The position involves face-to-face, in-home visits and care conferences with members, their supports, and providers. It also includes coordinating acute and primary care, care transitions, and follow-up; developing and monitoring member-centered plans; promoting prevention and wellness; and collaborating on strategies that support members’ health, safety, rights, and independence. The RN Care Manager maintains required records and confidentiality, practices under the Nurse Practice Act, and participates in an on-call rotation as necessary. Lakeland Care is a Wisconsin-based nonprofit managed care organization providing long-term care services to eligible elders and people with physical and intellectual or developmental disabilities. It serves members in 22 counties and has 11 offices in the Central to Northeast region of Wisconsin.

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 condition change.
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.
Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into care planning.
Collaborate 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 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 the DHS contract and LCI policy.
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.