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.
Requirements
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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