Lakeland Care

Manager

• Serve members (frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities) as part of an interdisciplinary team with an RN Care Manager
• Provide care management and service coordination to Lakeland Care members
• Arrange for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs
• Monitor provision of services based on the member-centered plan per LCI policy and Department of Health Services (DHS) contract requirements
• Coordinate and participate in home visits and care conferences involving the member, their supports, and providers
• Collaborate with RN Care Manager to coordinate acute and primary care services, care transitions, and related follow-up care
• Conduct in-person comprehensive, strengths-based assessments and perform reassessments as condition changes
• Develop, coordinate, monitor and evaluate outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers
• Implement risk mitigation strategies to promote member health, safety and independence while respecting rights to appeal and grieve
• Maintain member records as required by DHS contract and LCI policy
• Build and maintain effective collaborative working relationships with RN 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 confidentiality of member information and PHI in accordance with HIPAA and state/federal regulations

Care Manager

• Arrange for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs
• 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
• Position requires traveling in the field/community visiting members

• 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