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

Job Overview

We're growing - join our award winning culture as we serve members in your area! This is a float position primarily within Waushara County, potential travel up to 2 hours within the service region.

The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care, Inc. (LCI).

Job Description

The team’s goal is to promote the overall well-being of the members LCI serves by providing high quality, person-centered, outcome-based care.

The IDT staff monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements.

Coordinate acute and primary care services, care transitions and related follow-up care.

Develop, coordinate, monitor, and evaluate members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.

Key Responsibilities

• The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care, Inc.
• Under general direction of the Care Management Supervisor, this position provides care management and service coordination to LCI members.
• As a member of the IDT, the RN Care Manager (RNCM) arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs.
• Essential Competencies: As part of an interdisciplinary team (which also includes a care manager and the member and/or legal representative), the RNCM conducts a comprehensive assessment of the member's outcomes, needs and risks; and reassesses as the member’s outcomes and/or condition changes.
• Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into the care planning process.
• In collaboration with the Care Manager (CM), implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights.
• Participate in, via face-to-face, in-home visits and care conferences involving the member, their supports, and providers to assess, reassess, and address health and medically related needs.
• With long standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities.

Required Skills and Qualifications

• Participate in on-going training to maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards.
• Create and maintain member records as required by the Department of Health Services (DHS) contract and LCI policy.
• Participate in team meetings and internal workgroups as required/requested.
• Maintain the confidentiality of member information and protected health information (PHI) as required by State and Federal regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
• Two (2) or more years of skilled nursing experience preferred, ideally in gerontology/disabilities and/or home care.
• Ability to access members’ homes which are not required to comply with the ADA regulations.

Benefits and Perks

• Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into the care planning process.
• Maintain the confidentiality of member information and protected health information (PHI) as required by State and Federal regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
• Current driver’s license, acceptable driving record and proof of adequate insurance.

Work Location and Schedule

This role is listed as Remote USA with location information shown as Remote USA. The employment type is Full Time.

About the Company

Lakeland Care is the organization connected with this listing. USA Jobs Today displays this opportunity for job discovery only, so applicants should verify company details, application instructions, and eligibility on the official employer website.