RN Care Manager: In-Home, Outcome‑Driven Nursing

Lakeland Care Incorporated; Madison (WI); On-site; USD 70,000 - 100,000; Full time

Job summary

Lakeland Care Incorporated is seeking a Registered Nurse Care Manager to join an interdisciplinary team serving frail elders, adults with disabilities across Wisconsin. You will assess needs, coordinate services, and develop member-centered plans focused on outcomes and quality of life.

In this role you will conduct in-home visits, support care transitions, maintain DHS-compliant records, and participate in on-call rotations while upholding HIPAA and professional standards.

Qualifications

• Current RN license to practice in 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.

Responsibilities

• Conduct comprehensive assessments of member outcomes, needs and risks, and reassess as conditions change.
• Coordinate acute and primary care services, care transitions and related follow-up care.
• Develop, monitor, and evaluate 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 plan.
• Collaborate with the Care Manager to implement risk mitigation strategies to promote health, safety and independence.
• Maintain required member records and ensure DHS contract compliance.
• Participate in face-to-face in-home visits and care conferences with member, supports and providers.
• Participate in the 24-hour on-call rotation and team meetings.

Skills

Comprehensive assessment

Care coordination

Outcome-based planning

Risk mitigation

HIPAA compliance

Nursing care

Team collaboration

Documentation

On-call rotation

Education

Bachelor’s degree in nursing

Job description

Lakeland Care Incorporated is seeking a Registered Nurse Care Manager to join an interdisciplinary team serving frail elders, adults with disabilities across Wisconsin. You will assess needs, coordinate services, and develop member-centered plans focused on outcomes and quality of life.

In this role you will conduct in-home visits, support care transitions, maintain DHS-compliant records, and participate in on-call rotations while upholding HIPAA and professional standards.