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

Lakeland Care Incorporated•Manitowoc, WI

About The Position

The RN Care Manager (RNCM) is part of an interdisciplinary team serving Lakeland Care, Inc. (LCI) members, including frail elders and adults with physical or intellectual/developmental disabilities. The role 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’ needs and desired outcomes. The team monitors services in accordance with each member-centered plan, LCI policies and procedures, and Department of Health Services (DHS) contract requirements. The position is home-based with field travel and includes face-to-face in-home visits and care conferences with members, their supports, and providers. The RNCM participates in a 24-hour on-call rotation as necessary and provides nursing care in accordance with the Nurse Practice Act.

Requirements

Current license to practice as a Registered Nurse in the State of 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 strongly preferred.
Two or more years of skilled nursing experience preferred, ideally in gerontology/disabilities and/or home care.

Responsibilities

Conduct comprehensive assessments of members’ outcomes, needs, and risks as part of an interdisciplinary team, and reassess when 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 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 current knowledge and ensure compliance with regulations, LCI policies and procedures, and accepted professional standards.
Create and maintain member records as required by the DHS contract and LCI policies.
Participate in face-to-face in-home visits and care conferences to assess, reassess, and address members’ 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.