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RN Care Management Supervisor
2 months ago
Lakeland Care is seeking a highly skilled RN Care Management Supervisor to join our team. As a RN Care Management Supervisor, you will be responsible for providing day-to-day supervision of our care management teams, ensuring quality and appropriate care to our members in accordance with Federal and State requirements and Lakeland Care policy.
Key Responsibilities:- Provide consultation and guidance to care management teams on Lakeland Care policies, procedures, guidelines, and best practices to ensure effective and cost-effective member-centered planning.
- Engage in a collaborative, interdepartmental approach in risk management to ensure member health, safety, and independence while upholding member rights.
- Promote positive relationships between care management staff, members, legal representatives, providers, community agencies, and internal departments.
- Review internal reports and follow up with care management teams to ensure optimum quality care management practice in the care planning process and coordination of care.
- Participate in Quality Improvement projects and other internal/external workgroups.
- Participate in on-going training; maintain current knowledge to ensure compliance with Federal and State regulations, Lakeland Care policy, and accepted professional standards.
- Identify training and resource needs and communicate identified needs to the Program Manager.
- Represent Lakeland Care to the community at large through professional interaction, clinical consultation, public speaking, and participation in community advisory groups as requested.
- Conduct comprehensive assessments of member outcomes, needs, and risks; and reassess 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.
- Provide nursing care in accordance with the Nurse Practice Act.
- Maintain the confidentiality of client information and protected health information as required by State and Federal regulations, including the Health Information Portability and Accountability (HIPAA) Act of 1996.
- Licensed Registered Nurse in Wisconsin.
- Minimum of one (1) year leadership experience is required, two or more years preferred.
- Minimum of three (3) year's professional experience in a long-term care organization or community-based setting required; work experience with one or more of the target groups served by Family Care preferred.
- Knowledge of community-based long-term care and service delivery for the elderly, physically and intellectually/developmentally disabled adults.
- Possess strong evaluation, assessment, and interview skills.
- Strong oral and written communication skills.
- Leadership qualities necessary to supervise and train staff and peers.
- Working knowledge of basic computer programs and typing skills.
- Current driver's license, acceptable driving record, and proof of adequate insurance required.
Lakeland Care is a Wisconsin-based, Top Workplace award-winning 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.
We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status, or any other characteristic protected by law. We are an organization that participates in E-Verify.