Overview
Care Manager position in Wausau with work-from-home flexibility. The Care Manager (CM) works as part of an interdisciplinary team (IDT) with a RN Care Manager (RN CM) to serve Lakeland Care's members, including the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The CM provides care management and service coordination, arranging services based on a comprehensive assessment of identified outcomes and needs. The IDT monitors services per member-centered plans and DHS contract requirements. Position requires traveling in the field/community visiting members.
Responsibilities
Coordinate and participate in home visits and care conferences involving the member, their supports, and providers.
Collaborate with RNCM to coordinate acute and primary care services, care transitions, and related follow-up care.
Conduct in-person comprehensive, strengths-based assessment of the member\'s outcomes, needs and risks; perform reassessment as condition changes.
Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights to appeal and grieve.
Maintain member records as required by DHS contract and LCI policy.
Build and maintain an effective and collaborative working relationship with RNCM partner and various departments/stakeholders.
Participate in team meetings and ongoing trainings to stay abreast of policies, procedures, and state/federal regulations.
Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations.
Qualifications
Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations, OR
A four-year bachelor’s degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations, OR
A four-year bachelor’s degree or more advanced degree in any other area than Human Services with a minimum of three (3) years’ experience working with at least one of the family care target populations.
Working knowledge of computers, computer programs, typing, and data entry.
Ability to access members’ homes which are not required to comply with the ADA regulations.
Ability to multi-task and work in a fast-paced environment.
Ability to lift up to 25lbs.
Current driver’s license, acceptable driving record and proof of adequate insurance.
Lakeland Care is a Wisconsin-based non-profit organization focusing on creating a world we all want to live in. We serve members in 22 counties with 11 offices across Central to North East Wisconsin and operate under an Affirmative Action Plan. We participate in E-Verify and are an equal employment opportunity employer.
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