Senior Manager, Adjusting Services
American Family Insurance
Care Manager
Lakeland Care
full-time
Posted on:
Location Type: Hybrid
Location: Waupaca • Wisconsin • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- Coordinate and participate in home visits and care conferences involving the member, their supports, and providers
- Collaborate with RNCM to 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 RNCM 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
- Arrange for provision of services and supports based on comprehensive assessment and monitor provision via IDT
Requirements
- Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations
- OR A four-year bachelor’s degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations
- OR A four-year bachelor’s degree or more advanced degree in any other area than Human Services with a minimum of three (3) years’ experience working with at least one of the family care target populations
- Working knowledge of computers, computer programs, typing, and data entry
- Ability to access members’ homes which are not required to comply with the ADA regulations
- Ability to multi-task and work in a fast-paced environment
- Ability to lift up to 25lbs
- Current driver’s license, acceptable driving record and proof of adequate insurance
- Position requires traveling in the field/community visiting members
- Maintain confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations
Benefits
- Work From Home Flexible
- On-going trainings and professional development
- Award-winning culture
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
comprehensive assessmentrisk mitigation strategiesdata entrymember-centered plansmonitoring and evaluationcare coordinationhome visitscare transitionsrecord maintenancetyping
Soft skills
collaborationcommunicationmulti-taskingorganizational skillsrelationship buildingconfidentialityindependenceproblem-solvingadaptabilityteamwork
Certifications
Certified Social Workerdriver's license