RN Care Manager (Org Wide) (Home-Based with Field Travel)

Lakeland Care Inc.; Fond du Lac (WI); On-site; USD 42,000 - 65,000; Part time

Job summary

Lakeland Care Inc. is seeking an RN Care Manager to join an interdisciplinary team serving frail elders, adults with physical or intellectual and developmental disabilities in Fond du Lac and Dodge County.

This part-time float position involves travel within the service region and in-home visits to coordinate care. As an active IDT member, you will assess needs, develop and monitor outcome-based care plans, coordinate services, and ensure DHS contract compliance while maintaining patient privacy

Qualifications

• Current Wisconsin RN license.
• Bachelor’s degree in nursing strongly preferred.
• Two+ years of skilled nursing experience preferred (gerontology/disabilities/home care).
• Ability to access members’ homes and lift up to 25 lbs.
• Valid driver’s license and adequate auto insurance.

Responsibilities

• Conduct comprehensive assessments of member outcomes, needs and risks.
• Coordinate acute and primary care services and care transitions.
• Develop, monitor and evaluate member-centered, outcome-based care plans.
• Promote prevention and wellness within the care planning process.
• Implement risk mitigation to support health, safety and independence.
• Maintain member records per DHS contract and policy; participate in in-home visits.
• Join 24-hour on-call rotation and participate in team meetings and care conferences.
• Provide nursing care in accordance with the Nurse Practice Act and HIPAA requirements.

Skills

Care coordination

Assessment skills

Interdisciplinary teamwork

Nursing expertise

PHI/HIPAA compliance

Education

RN licensure (WI)

Bachelor’s degree in nursing

Job description

Description

Join our award winning culture as we serve members in your area! This is a part-time float position primarily within Fond du Lac and Dodge County, potential travel up to 2 hours within the service region.

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

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

Requirements

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.

Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin.

Our Mission

Empowering individuals. Strengthening communities. Inspiring futures.

Our Vision

To create a world we all want to live in.

Our 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.

We are an equal employment opportunity employer functioning under an Affine… We are an organization that participates in E-Verify.