Do you feel 'called' to do your part to improve the lives of others, to lead change in how health care for the neediest of our society is managed, to share your skills and talents with others who want to do the same with you?
Well, you've found the right place!
This full-time position is responsible for providing advanced level case management and care coordination for Family Care Partnership members in collaboration with the Interdisciplinary Team (IDT), the IDT Supervisor. This position will also provide clinical and administrative support for initiatives to achieve member health outcomes related to program and company objectives.
Member of the IDT
- Understand the Family Care model and work within these parameters
- Work collaboratively with the IDT Supervisor to provide leadership to the IDT
- Provide assessment for all new members and members experiencing acute care needs and collaborate with the Supervisor and IDT on the findings and plan development
- Discern member needs that require NP level intervention, work with Supervisor and IDT to create a plan to address them
- Receive referrals for assessment and intervention for high risk members from the Supervisor and IDT, collaborate and communicate on findings and plan development
- Ensure appropriate care management for members in higher level care settings, such as hospital, SNF, LTAC
- Provide leadership in routine team meetings and case staffing
- Document work in the member record and communicate with Supervisor and IDT on essential findings and follow up needed
- Collaborate with Program and Company Management to provide leadership to IDT Staff
Program Support Roles
- Accept assignment to special areas of focus for program and companywide initiatives
- Provide leadership in the development of strategies to achieve member health and company objectives
- Develop protocols documenting strategies
- Collaborate in the development of metrics to evaluate success
- Provide reporting on initiatives
- Achieve initiative outcomes
- Use critical thinking skills to evaluate and modify practice as indicated
- Follow and track metrics to ensure compliance with protocols
- Participate in the achievement of member, program, and company goals
Essential Duties and Responsibilities:
- Master’s Degree in Nursing.
- Possession of a licensure or eligibility for licensure in the State of Wisconsin as a Registered Nurse, Advance Practice Nurse Prescriber (APNP) licensure, and national NP certification in geriatrics, adult or family practice.
- Strong assessment and care planning skills required along with the ability to provide complex care coordination.
- Ability to effectively communicate thoughts, ideas, and information both orally and in writing.
- Ability to demonstrate flexibility, set priorities with daily demands and long-term work assignments and projects.
- Strong interpersonal skills and ability to effectively interact with providers, members and co-workers from a variety of different backgrounds and experiences in a professional and courteous manner.
- Ability to work effectively as a team member and cooperate in achieving company goals.
- Ability to think creatively and solve complex problems using best practice standards within the context of a managed care environment.
- Must be able to travel to any location in Dane County with some travel possible in other counties within Southeast WI.
- A personal vehicle, valid State of Wisconsin motor vehicle operator’s license and conformity with insurance coverage limits are required.
- Ability to use a personal computer and capability of learning software applications of Independent Care.
- Previous home health, managed care or case management experience.
- Previous experience working with persons in any of all of the target member populations: (frail elderly, physically disabled, developmentally disabled) in a health care setting.
- General knowledge of Medicaid and Medicare benefits.
- Previous experience working with Microsoft Windows, including Access and Excel.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Must be able to communicate with members, providers, and community agencies in an efficient manner via telephone and in person.
- Must be able to work in a fast-paced environment.
- Must be able to travel into the community to make home and/or facility visits or to attend meetings.
- More than 50% of time will be spent working at a desk, with a PC terminal.