Care Manager (Onalaska)

Lakeland Care in Onalaska, WI

  • Type: Full Time
position filled

Position Summary:

The 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 (LC). The team s goal is to promote the overall well-being of the members LC 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 LC members. As a member of the IDT, the 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 LC policy and procedures, and Department of Health Services (DHS) contract requirements.

Principal Duties and Responsibilities:

The following duties are typical for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

  • As part of an interdisciplinary team (which also includes a RN Care Manager and the member and/or legal representative), conduct a comprehensive assessment of the member's outcomes, needs and risks; and conduct a reassessment as the member s outcomes and/or 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.
  • Coordinate and participate in home visits and care conferences involving the member, their supports and providers to assess and reassess long-term care needs and coordinate appropriate interventions.
  • Collaborate with the RNCM to coordinate acute and primary care services, care transitions, and related follow-up care.
  • Coordinate care and benefits to ensure a comprehensive support approach, as well as on-going access to federal and state programs.
  • Create and maintain member records as required by the Department of Health Services (DHS) contract and LC policy.
  • Educate members of their rights to appeal and grieve decisions and processes, and facilitate the member's participation in the appeal/grievance process.
  • Participate in team meetings and internal workgroups as required/requested.
  • Participate in the 24-hour on-call rotation as needed.
  • Participate in on-going training; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards.
  • 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.

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