Care Manager: Member-Centered Care Navigator

Lakeland Care, Inc.

Rhinelander (WI)

On-site

USD 55,000 - 75,000

Full time

9 days ago

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Job summary

Lakeland Care, Inc. in Wisconsin is seeking a Care Manager to join an interdisciplinary team (IDT) serving frail elders and adults with disabilities.

You will perform comprehensive assessments, coordinate services, and develop member-centered plans based on DHS requirements. Under the supervision of the Care Management Supervisor, you will monitor care, educate members about rights and appeals, participate in 24-hour on-call rotations, and ensure compliance with HIPAA and program policies across

Qualifications

  • WI Certified Social Worker with at least 1 year experience in Family Care populations.
  • Bachelor’s degree in Human Services or related field with 1 year Family Care experience.
  • Bachelor’s degree in any field with 3 years Family Care experience.
  • Computer literacy, typing and data entry.
  • Ability to access members’ homes and multi-task in a fast-paced environment.
  • Ability to lift up to 25 lbs and maintain mobility.
  • Current driver’s license with acceptable driving record.

Responsibilities

  • Conduct comprehensive assessment of member outcomes, needs and risks.
  • Coordinate with RN Care Manager for services, transitions and follow-up care.
  • Develop, monitor and evaluate member-centered plans considering cost and effectiveness.
  • Coordinate care and benefits to access federal/state programs.
  • Implement risk mitigation to promote health, safety and independence.
  • Educate members on rights to appeal and participate in processes.
  • Participate in ongoing training; ensure compliance with regulations and policies.
  • Create and maintain member records per DHS contract and policy.
  • Coordinate home visits and care conferences to reassess long-term needs.
  • Participate in 24-hour on-call rotation and team meetings.
  • Maintain confidentiality of PHI per HIPAA and state/federal laws.

Skills

Certified Social Worker (WI)
Computer literacy
Ability to lift 25 lbs
Valid driver's license
Multi-tasking

Education

Four-year bachelor’s degree in Human Services or related field with 1 year experience
Four-year bachelor’s degree in any field with 1 year Family Care experience
Four-year bachelor’s degree in any field with 3 years Family Care experience

Job description

Lakeland Care, Inc. in Wisconsin is seeking a Care Manager to join an interdisciplinary team (IDT) serving frail elders and adults with disabilities.

You will perform comprehensive assessments, coordinate services, and develop member-centered plans based on DHS requirements. Under the supervision of the Care Management Supervisor, you will monitor care, educate members about rights and appeals, participate in 24-hour on-call rotations, and ensure compliance with HIPAA and program policies across

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