RN Care Manager career at Care Wisconsin First, Inc in

Care Wisconsin First, Inc is employing RN Care Manager on Tue, 20 Aug 2013 16:03:48 GMT. Summary This position works with members to identify outcomes and assessed needs to ensure services are provided in a manner that is equitable and sustainable with emphasis on promoting member empowerment and community involvement through development of informal support networks as well as coordination of services through various providers. In addition, this position utilizes clinical expertise to...

RN Care Manager

Location: Wisconsin

Description: Care Wisconsin First, Inc is employing RN Care Manager right now, this career will be placed in Wisconsin. Further informations about this career opportunity please read the description below. Summary
This position works with members to identify outcomes and assessed needs to ensure services are provided in a manner that is equitable and sustainable with emphasis on promoting member empowerment and commun! ity involvement through development of informal support networks as well as coordination of services through various providers. In addition, this position utilizes clinical expertise to collaborate with a Care Team (CT) to approach member care and coordinates services with providers.

Essential Responsibilities

• Conduct initial, annual and six month assessments to develop Member Centered Plans (MCPs) with members, assess for potential risk, safety and/or communication issues and develop a plan to address issues.
• Complete In-Home Care Plans (IHCPS) for members needing supportive home care.
• Complete Long Term Care Functional Screens (LTCFS) for members on an annual basis and with a change in condition.
• Coordinate long term care services such as DME/DMS, medication set up, transportation and housing, assisting members with utilizing the Self Directed Supports (SDS) option when indicated.
• Utilize Resource Allocation Decisi! on-making (RAD) to ensure consistent process is being followed! to engage members in problem solving to determine the most effective and cost-effective options to meet assessed needs.
• Collaborate with internal and external customers and providers, monitoring for quality concerns and intervening as necessary.
• Complete requirements based upon contract standards, including timely documentation in the clinical documentation system.
• Coordinate member needs for skilled nursing.
• Conduct annual medication review and educate members regarding medication management, disease process health risks, and prevention strategies as well as the need for monitoring per the treatment plan mainly through the phone making acute visits as needed.
• Provide oversight of medical treatment plans developed by the NP/Physician and delegate tasks appropriately and support flow of care and communication between the member supports and providers.
• Collaborate and consult SW Care Manager regarding medical related conc! erns.
• Participate in on-call rotation.

Knowledge and Training

• Effective organizational and time management skills.
• Ability to self-motivate and prioritize appropriately.
• Knowledge regarding issues of aging, disabilities, mental health and AODA.
• Knowledge and experience in physical assessments.
• Effective decision making and problem solving skills.
• Ability to communicate effectively both verbally and written.
• Develop and maintain effective relationships and provide outstanding customer service internally and externally.
• Ability to work effectively in a team environment.
• Ability to evaluate processes and procedures for continuous process improvement.
• Ability to adapt to and work effectively in a fast paced and changing environment with multiple priorities.
• Basic keyboarding, word processing and data entry skills.

Education and Experience
Ass! ociate degree in Nursing from accredited school or a combination of equ! ivalent education/experience. Licensure in the State of Wisconsin as a Registered Nurse, or eligibility to obtain. Valid State of Wisconsin driver license in good standing and reliable transportation required for frequent travel throughout service area.

Preferred
Bachelor degree. Knowledge and experience with managed care principles.

Care Wisconsin is an Equal Opportunity Employer and will provide reasonable accommodations to qualified individuals in compliance with the Americans with Disabilities Act. Individuals are encouraged to speak with Human Resources or management if they may have a potential need for accommodation.
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Care Wisconsin First, Inc.

If you interested on this career just click on the Apply button, you will be redirected to the official website

This career starts available on: Tue, 20 Aug 2013 16:03:48 GMT

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