RN Care Manager - Shawano (Work From Home Flexible)

Lakeland Care was one of the first Managed Care Organizations to provide the Family Care Program in the state of Wisconsin more than 19 years ago. Family Care helps eligible elders and adults with disabilities live independently at home or in their community. Lakeland Care members partner with our care teams and local providers to get the supports and services they need to achieve their goals. Lakeland Care supports members in 22 counties in Northeast and North Central Wisconsin.

The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The RN Care Manager does not provide hands-on care; it provides care management and service coordination to LCI members. The RN 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. Position requires traveling in the field/community visiting members.

Coordinate and participate in home visits and care conferences involving the member, their supports, and providers. 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 Care Manager partner and various departments/stakeholders. Participate in team meetings and on-going 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. Provide nursing care in accordance with the Nurse Practice Act.