Health Care Manager Jobs in Appleton, WI (NOW HIRING)

LAKELAND CARE, INC.

Job Description

Job Title:

IDT Registered Nurse Care Manager

Status:

Exempt

Reports To:

Care Management Supervisor

Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Vision

To create a world we all want to live in.

Core Values

Kindness - We believe kindness is always possible and that no compassionate act is ever wasted.

Inclusion - We believe that open hearts and open minds are the only path to a brighter future.

Trust - We believe that honesty is still in style and that promises still have power.

Position Summary:

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). 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 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. 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.

Essential Competencies:

Accountability

• 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.

• 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.

• Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into the care planning process.

Critical Thinking

• 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.

Commitment to Excellence

• 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.

Interpersonal Awareness

• 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.

• Participate in the 24-hour on-call rotation as necessary.

Relationship Building

• Participate in team meetings and internal workgroups as required/requested.

Organizational Regard

• Provide nursing care in accordance with the Nurse Practice Act.

• 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.

The duties listed above are typical for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

Work Relationships and Scope:

The Care Management Supervisor provides general direction for this position. Decisions are made within the policies and procedures established by LCI. There is significant interaction with other professionals, both inside and outside LCI. In addition to frequent and direct interaction with LCI members, this position also interacts regularly with LCI staff, professionals and medical personnel from outside agencies.

Qualifications:

• Current License to practice as a Registered Nurse in the State of Wisconsin.

• Bachelor's degree in nursing strongly preferred.

• 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.

• Ability to lift up to 25lbs.

• Current driver's license, acceptable driving record and proof of adequate insurance.

In evaluating candidates for this position, Lakeland Care may consider a combination of education, training and experience which provides the necessary knowledge, skills and abilities to perform the duties of the position. The education and or the experience requirement for this position may only be waived with the approval of the State as per LCI's contract.

Working Conditions:

Work will be performed in external locations such as members' homes, assisted living facilities and other like settings, and remotely or in a designated office environment. Work hours are generally during normal business hours of 8:00 am - 4:30 pm; however, unscheduled evening and weekend work may occasionally be necessary to meet members' needs and/or the needs of the organization. Periodically, provides 24-hour on-call support. Travel is required frequently throughout the county where the position is based, as well as occasionally outside of the county.

Acknowledgement:

This position description describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive. It does not state or imply these are the only duties and responsibilities assigned to the position. The employee may be required to perform other job-related duties. All requirements are subject to change and to possible modification to reasonably accommodate individuals with a disability.

This position description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the position change.

Registered Nurse Care Manager