RN Care Manager - Part Time (Org Wide) (Home-Based with Field Travel)
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This is a float position with a focus in Green Lake, Marquette, Waushara counties, potential travel up to 2 hours in the service region.
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.
Responsibilities & Competencies:
- 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.