About Job
- Coordinate and participate in home visits and care conferences involving the member, their supports, and providers.
- Coordinate acute and primary care services, care transitions, and related follow-up care.
- Conduct in-person comprehensive, strengths-based assessment of the member's outcomes, needs and risks; perform reassessment as 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 to appeal and grieve.
- Maintain member records as required by DHS contract and LCI policy.
- Build and maintain an effective and collaborative working relationship with Care Manager partner and various departments/stakeholders.
- Participate in team meetings and on-going trainings to stay abreast of policies, procedures, and state/federal regulations.
- Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations.
- Provide nursing care in accordance with the Nurse Practice Act.
- 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.
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