Conduct a comprehensive assessment of the member's outcomes, needs and risks; and reassesses as the member’s outcomes and/or condition changes
Monitor, and evaluate members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers
Participate in home visits and care conferences involving the member, their supports and providers to assess, reassess, and address health and medically related needs
Coordinate acute and primary care services, care transitions and related follow-up care
Promote prevention, wellness, and chronic condition management by incorporating preventative, supportive, restorative, and rehabilitative care into the care planning process
Implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights
Create and maintain member records as required by the Department of Health Services (DHS) contract and LCI policy
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
Demonstrates proficiency in applying the Family Care principles and Resource Allocation Decision process to practice
Ability to be adaptable, prioritize and work in a fast-paced environment
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 lift up to 25lbs
Current driver’s license, acceptable driving record and proof of adequate insurance
Benefits
Strong time management skills to manage workload and caseload logistics
Ability to establish relationships across LCI with the assigned CM Supervisor, team and their support divisions during times of coverage
Participate in on-going training as required; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards
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