Case Manager

Our client, a Healthcare company, is looking for a Case Manager for their Fond du Lac, WI/Jackson, WI/Waterford, WI/ Sheboygan, WI location.


Responsibilities:

• Perform comprehensive assessment of high risk members.
• Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member.
• Address, identify, and continuously reassess cost-efficient, appropriate levels of care.
• Put non medical support in place to ensure compliance with treatment plans (such as housing and transportation).
• Coordinate care transitions as needed.
• Coordinate with physicians, social workers, discharge planners, and claims professionals in transitioning patient to appropriate level of care.
• Engage specialty resources as needed to achieve optimal resolution.
• Keep detailed records of clinical, functional, and fiscal outcomes during the management process.
• Identify opportunities for health promotion and illness prevention.
• Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor outcomes.
• Act as patient advocate by protecting privacy and confidentiality issues.

• Skills competency checklist-Required and must be uploaded during compliance checks
• Elder Abuse training
• HIPAA training
• Infection prevention and control
• OSHA compliance
• Education/skills training received in the past 12 months.
• This includes copies of any training they may have received in the past 12 months.
• Associates or Bachelors Degree in Nursing or related field.
• Current, unrestricted state Registered Nurse license.
• Ability to analyze complex medical information and make rational decisions.
• Case Management certification.

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities