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Family Care Partnership RN Care Manager (*ability to work remote)

Employer
Independent Care Health Plan
Location
Milwaukee
Salary
Competitive

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Industry
Healthcare
Role
Manager
Job Type
Long-Term
Hours
Full Time

This professional position provides case management and support to older adults in the community, assuring quality services are provided which are cost effective and monitoring the health and safety of members.

ESSENTIAL DUTIES and RESPONSIBILITIES:

  • Complete the nursing portion of the comprehensive assessment and provide input to the members care accordingly.
  • Conduct home visits and community visits to assure appropriate care and access member satisfaction.
  • Establish and monitor wellness and health promotion activities based on the member's assessment and identified outcomes.
  • Re-evaluate the member's health and wellness at appropriate intervals to manage ongoing health issues, assess the member's response to interventions, or when a medical complaint or event affecting the member's health occurs.
  • Perform routine health monitoring activities, based on the member's need.
  • Builds constructive working relationships with members, their family members, appropriate outside agency staff.
  • Provide, in crisis situations, appropriate assessment of psychiatric, behavioral or medical problems and implement interventions in conjunction with other staff to take appropriate measures to ensure the safety of members
  • Evaluate members' ability to safely manage, either by themselves or through use of supports, their medication, medical care interventions and treatments, equipment, and access to health care services.
  • Take appropriate measures to prevent the spread of infection and communicable diseases and instruct the member and/or caregiver in these measures.
  • Ensure that the member's physician or appropriate medical professional is notified when the member has an acute change in condition
  • Provide or arrange for services, supports or medical care that best meet the member's identified needs, and monitor the effectiveness of these interventions
  • Assists in problem resolution between members and providers.
  • Occasionally assists in conducting presentations to outside agencies and organizations.
  • Assists with program and policy and procedure development and assists with input for the QI/QA program.
  • Fully participate in iCare's Compliance Program, including compliance with iCare's Code of Conduct, policies and procedures, and all applicable Privacy and Security laws

An individual in this position must be able to successfully perform the essential duties and responsibilities listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

The above list reflects the general details necessary to describe the principle and essential functions of the position and shall not be construed as the only duties that may be assigned for the position.

MINIMUM QUALIFICATIONS:

  • Must be a Registered Nurse, licensed in the State of Wisconsin
  • At least two years of related health care experience.
  • A personal vehicle, valid State of Wisconsin motor vehicle operator's license and conformity with insurance coverage limits are required.
  • Ability to effectively communicate thoughts, ideas, and information both orally and in writing.
  • Ability to demonstrate flexibility, set priorities with daily demands and long-term work assignments and projects.
  • Strong interpersonal skills and ability to effectively interact with members and co-workers from a variety of different backgrounds and experiences in a professional and courteous manner.
  • Ability to work effectively as a team member and cooperate in achieving company goals.
  • Problem solving ability to seek solutions using appropriate methodologies.
  • Must be able to travel to any location within the county.
  • Ability to use a personal computer and capability of learning software applications of Independent Care.
  • Ability to work independently with minimal supervision.
  • Case Management skills to determine appropriateness of member's care.
  • Maintain confidentiality regarding Independent Care and its member information.

PREFERRED QUALIFICATIONS:

  • Bachelor's degree (BSN)
  • Previous home health, managed care or case management experience.
  • Previous experience working with persons with older adults in a health care setting.
  • Case Manager Certification
  • General knowledge of Medicaid and Medicare benefits.
  • Previous experience working with Microsoft Windows, including Access and Excel.

PHYSICAL AND MENTAL DEMANDS:

  • Must be able to communicate with members, providers and staff in an effective manner via the telephone and in person.
  • Must be able to effectively communicate in writing and understand written materials of a complicated nature.
  • Must be able to use a computer terminal to input and access information.
  • Must be able to work in a fast-paced environment.
  • Must be able to travel into the community to members' homes, hospitals, etc, in order to conduct assessments and make observations to determine medical and social needs and to perform concurrent reviews and discharge planning.
  • Must be able to sit more than 50% of the time, employee will be working at a desk, with a PC terminal

The mental and physical requirements described here are representative of those that must be met by an individual to successfully perform the essential functions of this position.

$5000 sign-on bonus!

Monday - Friday, no evenings/weekends/holidays!

#CB



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