Care Manager
Job
Actalent
Remote
Full-Time
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Job Description
Care Manager Job Description As a Care Manager, you will be responsible for assessment, member-centered care plan development, ongoing care coordination, quality assurance, and monitoring of services to program members. These members may be older adults and/or individuals with intellectual and/or physical disabilities. You will work to achieve member outcomes and goals through adherence to standards of care and best practices, while interacting with members and their families with the highest level of respect and compassion. Responsibilities Conduct initial and ongoing assessments specific to discipline. Perform home visits and home assessments as needed, consulting with families and other supports for additional information. Develop and maintain care plans addressing members' long-term care, personal outcomes, progress towards goals, strengths, risks, and supports. Educate members and families on aging, disability, or health issues, providing information to establish and maintain community links. Assist members with filing complaints, grievances, or appeals and obtaining advocacy services. Maintain contact standards and documentation standards, staying informed of current trends and best practices. Manage an assigned caseload of program members in collaboration with an RN Care Manager. Complete comprehensive member assessments, member-centered care plans, and functional screens. Provide ongoing care coordination and quality assurance monitoring of services. Maintain required documentation in adherence to established standards. Essential Skills Case management experience. Knowledge of Medicare, Medicaid, and managed care systems. Experience with BadgerCare and the healthcare industry. Proficiency in healthcare management systems. Skills in Care Management and Care Coordination. Experience in Social Work, Psychology, or Human Services. Certified Functional Screener certification eligibility. Bachelor's Degree in a Human Services Area or closely related field. One year of experience with older adults or persons with physical and/or intellectual disabilities in a social service capacity. Additional Skills & Qualifications Understanding of the healthcare management system. Experience in social work, psychology, or human services. Work Environment The role is primarily based in Sheboygan County, with telework currently being the norm. You will manage your schedule based on members' needs, primarily working day shift hours. Training will occur in-office for 3-6 months. The position requires in-home and/or LTC Facility visits with members. You can work from home but may access an office for training and internal meetings. Regular local travel is required, necessitating use of a personal vehicle, a valid driver's license, and proof of insurance coverage. Work hours are Monday through Friday, generally during business hours of operation (8 a.m. to 4:30 p.m.). Job Type & Location This is a Contract to Hire position based out of Sheboygan, WI. Pay and Benefits The pay range for this position is $23.00 - $30.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Sheboygan,WI.
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