Registered Nurse (RN) Case Manager job Milwaukee Wisconsin
Registered Nurse (RN) Case Manager job Milwaukee Wisconsin
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Registered Nurse (RN) Case Manager Job

Employer Name: SpiderID: 8833981
Location: Milwaukee, Wisconsin Date Posted: 7/25/2019
Wage: Category: Nurses/Nurses Aids
Job Code:

Job Description:
Complete the nursing portion of the MCO initial and comprehensive assessment and complete the member centered plan according to standardized procedures (within first 10 days and then 6 month intervals.)

Establish and monitor wellness and health promotion activities based on the Memberís assessment and identified personal and clinical outcomes.

Re-evaluate the Memberís health and wellness, based upon Family Care standards and nursing best practices, to manage ongoing health and safety issues.

Coordinate with primary and acute care systems for Members.

Monitor and follow-up with Member hospitalizations.

Perform routine health monitoring activities, based on the Memberís need and MCO standards, for example, reviewing blood sugar monitoring results.

In crisis situations provide appropriate assessment of medical, behavioral or psychiatric problems and implement interventions in conjunction with other members of the Interdisciplinary team and Member supports, the Memberís physician and/or other community support professionals.
Evaluate Membersí ability to safely manage, either by themselves, or through use of supports, their medication, medical care interventions and treatments, medical equipment, and access to health care services and educate as needed.

Take appropriate measures to prevent the spread of infection and communicable diseases and instruct the Member and/or caregiver in these measures.

Ensure that the Memberís physician or appropriate medical professional is notified when the Member has an acute change in condition.

In collaboration with the other IDT staff, provide or arrange for services, supports or medical care that best support the Memberís identified outcomes, and monitor the effectiveness of these services and supports
Update the Long Term Care Functional Screen for Members per guideline.
Promote Membersí independence in functioning at home and in the larger community
Assist in the coordination of Member natural and formal supports.
Identify individualized member outcomes and the most cost-effective services/ items needed to achieve these outcomes.
Complete member centered plans (MCPs) based on assessment findings, supporting medical information, member preference, and the Resource Allocation Decision (RAD)..
Follow quality standards of practice established by the MCO.
Provide or arrange for services and supports that best support the Memberís identified outcomes and monitor the effectiveness of these supports and services.

Update the Long Term Care Functional Screen for Members per guideline.
Participate in Agency meetings and in-services as appropriate.

Perform other duties as assigned for the smooth and safe operation of WCS Inc. and their clients.

Job Requirements:
The Registered Nurse must have current licensure to practice in Wisconsin (A bachelorís degree (BSN) is preferred) and have at least one (1) year of paid, formal (non-family ) experience working with a specific population (e.g. DD, ID, PD or Frail Elder) in community care management or related community experience with persons in the MCOís target population. This experience must be directly related to the population the nurse will be serving within the CMU.

Knowledge of community resources and long term care options available to meet the needs of the members served by the MCO.

Strong computer skills. Proficient in Windows and Microsoft Office applications. Ability to use computer programs to perform essential job duties.

Eligible to perform functional assessments with the Long Term Care Functional Screen (LTCFS) and to maintain certification as a WI State screener.

Able to work independently and as a part of an interdisciplinary team.

Must have a valid WI Drivers License, own auto, and automobile insurance

Excellent business communication skills, written and verbal required.

Not be convicted of a misdemeanor or felony directly related to providing personal care or other health care services.

Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required: 1
Education Required: None
Overnight Travel: None
Vacation Time:

Contact Information:
Contact Name: Gina Botshtein Company Type: Employer
Company: WCS Inc. Phone: 1 (414) 617 - 2201
Street: 5225 N Ironwood Rd Fax:
City: Glendale
State: Wisconsin
Zip: 53217
Web Site:

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