Care Manager Float - Appleton at Lakeland Care Incorporated

Appleton, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Mar, 26

Salary

0.0

Posted On

16 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Management, Service Coordination, Assessment, Risk Mitigation, Member Education, Record Keeping, Home Visits, Team Collaboration, Compliance, Data Entry, Communication, Problem Solving, Multi-tasking, Confidentiality, Health Services Knowledge, Long Term Care Function Screens

Industry

Hospitals and Health Care

Description

Description Join our award winning culture as we serve members in your area! The Care Manager (CM) Float, as a temporary member of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care (LCI). 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. Under general direction of the Care Management Supervisor, this Float position provides care management and service coordination to LCI members. As a temporary member of the IDT, the care manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Additionally, the Float position may be required to conduct Long Term Care Function Screens when coverage of Screeners is warranted. The CM Float position will provide coverage for CMs who are on an extended leave of absence, filling a time between the departure and hiring/training of a new employee or any other reason deemed appropriate by the CM Supervisor/Regional Manager. Essential Competencies: Collaborate with the RNCM to coordinate acute and primary care services, care transitions, and related follow-up care. Develop, coordinate, monitor and evaluate the members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers. Coordinate care and benefits to ensure a comprehensive support approach, as well as on-going access to federal and state programs. Conduct a comprehensive assessment of the member's outcomes, needs and risks; and conduct a reassessment as the member’s outcomes and/or condition changes. Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights. Educate members of their rights to appeal and grieve decisions and processes, and facilitate the member's participation in the appeal/grievance process. Participate in on-going training; 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. Perform annual and/or change in condition functional recertification of members via the Long Term Care Function Screen, within the timeframes necessary, to ensure continuous functional eligibility. Coordinate and participate in home visits and care conferences involving the member, their supports and providers to assess and reassess long-term care needs and coordinate appropriate interventions. 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. Requirements Certified Social Worker in the State of Wisconsin with a minimum of one (1) years’ experience working with at least one of the family care target populations, or Bachelor’s degree in human services, psychology, or related field with two (2) years’ experience working with at least one of the family care populations; or Bachelor’s 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.

Responsibilities

The Care Manager Float provides care management and service coordination for members of Lakeland Care, focusing on their overall well-being through person-centered care. This role involves conducting assessments, coordinating services, and ensuring compliance with health regulations.