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

Lakeland Care Incorporated•Madison, WI

2d•Onsite

About The Position

The RN Care Manager (RNCM) works as part of an interdisciplinary team serving Lakeland Care, Inc. members, including frail elders and adults with physical or intellectual/developmental disabilities. The role provides care management and service coordination under the general direction of the Care Management Supervisor. The RNCM 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 contract requirements. The position involves face-to-face in-home visits, care conferences, coordination with members and their supports and providers, and participation in a 24-hour on-call rotation as necessary. The RNCM provides nursing care in accordance with the Nurse Practice Act and maintains member records and confidential health information in compliance with applicable requirements.

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 preferred, ideally in gerontology, disabilities, and/or home care.

Responsibilities

Assess members’ outcomes, needs, and risks with the interdisciplinary team, 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, considering the cost and effectiveness of services and provider choices.
Promote prevention and wellness by incorporating preventive, supportive, restorative, and rehabilitative care into care planning.
Work with the Care Manager to implement risk mitigation strategies that support members’ health, safety, and independence while respecting their rights.
Participate in ongoing training to maintain current knowledge and comply with 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 the confidentiality of member information and protected health information in accordance with state and federal regulations, including HIPAA.