Lakeland Care jobs - 36 jobs

Join our award winning culture as we serve members in your area! Under the general supervision of the Program Manager, the Care Management (CM) Supervisor provides day-to-day supervision of Lakeland Care's (LCI) care management teams. CM Supervisors are responsible to ensure quality and appropriate care to the members of LCI in accordance with Federal and State requirements and LCI policy. The Care Management Supervisor plays an integral role in promoting critical thinking and supporting the professional development of each care management staff. Responsibilities & Competencies: Provide consultation and guidance to care management teams on LCI policies, procedures, guidelines and best practices to ensure effective and cost effective member-centered planning. Engage in a collaborative, interdepartmental approach in risk management to ensure member health, safety and independence while upholding member rights. Promote positive relationships between care management staff, members, legal representatives, providers, community agencies and internal departments. Review internal reports and follow up with care management teams to ensure optimum quality care management practice in the care planning process and coordination of care. Participate in Quality Improvement projects and other internal/external workgroups. Participate in on-going training; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards. Identify training and resource needs and communicate identified needs to the Program Manager. Manage staff in the Care Management Division, including interviewing, hiring, providing orientation, coaching, promoting professional development, providing employee performance feedback and implementing corrective action plans. Represent LCI to the community at large through professional interaction, clinical consultation, public speaking, and participation in community advisory groups as requested. Maintain the confidentiality of client information and protected health information as required by State and Federal regulations, including the Health Information Portability and Accountability (HIPAA) Act of 1996. Requirements Bachelor's degree in a Health or Human services related field, equivalent combination of education and experience (includes knowledge, skills, and abilities), OR licensed Registered Nurse in Wisconsin. Minimum of one (1) year leadership experience is required, two or more years preferred. Minimum of three (3) year's professional experience in a long-term care organization or community-based setting required; work experience with one or more of the target groups served by Family Care preferred. Knowledge of community based long-term care and service delivery for the elderly, physically and intellectually/developmentally disabled adults. Possess strong evaluation, assessment, and interview skills. Strong oral and written communication skills. Leadership qualities necessary to supervise and train staff and peers. Working knowledge of basic computer programs and typing skills. Current driver's license, acceptable driving record and proof of adequate insurance required. --------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), Lakeland Care provides long-term care services and supports to eligible frail elders and individuals with physical and intellectual or developmental disabilities to achieve their daily and lifelong goals through Wisconsin's Family Care program. Currently we serve in 22 counties and have 11 offices in the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion - We believe that open hearts and open minds are the only path to a brighter future. Trust - We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify..

Our "mission" is to provide a high quality facility and service to older adults in an atmosphere which enhances the quality of life and fosters independence, self-sufficiency, respect, dignity and security within a framework reflecting our core values- respect, competence, excellence, social responsibility, learning, innovation, compassion, community as well as, mutual caring and concern for those served and those employed. Benefits: Competitive pay Flexible schedules Hiring bonus Refer a friend bonus 401 K PTO Life Insurance Health Insurance Short term disability FSA Basic Function Provides a clean and sanitary environment for staff and residents using proper policies and procedures. Essential Duties Wet mops resident rooms and bathrooms daily. Uses “Wet Floor” signs and other cautions as indicated. Dusts in assigned work areas. Cleans draperies and privacy curtains. Cleans resident beds and closets per schedule. Sanitizes resident unit using proper policies and procedures. Washes windows and mirrors per schedule. Cleans vaporizers per policies and procedures. Properly sanitizes resident utensils in a timely manner. Shampoos and cleans carpeting per schedule and prn. Labels all compounds and chemicals properly and stores them in locked storage areas. Follows user directions for all compounds and chemicals. Uses proper body mechanics Follows proper infection control practices. Follows proper hand washing practices. Washes walls and ceilings. Keeps ash trays and wastebaskets emptied. Adheres to cleaning duties and schedule for area assigned. Disposes of garbage safely, promptly, and in a sanitary manner. Reports promptly any indication of rodents and other pests. Maintains clean storage area. Stores cleaning rags in closed metal containers. Observes for resident safety when in resident care areas. Maintains fire aisles when using cleaning cart. Observes, reports, and intervenes in potential fire/safety hazards. Ensures one chair with arms per resident per room. Returns folding chairs to proper place when not in use. Treats residents and staff with respect and dignity. Adheres to all facility and department safety policies and procedures. Supervision Received Receives supervision from Housekeeping Supervisor. Qualifications No convictions for abuse, neglect or mistreatment or for misappropriation of property. Prompt and regular attendance. Knowledge, Skills, and Abilities Ability to read, write and make simple calculations and follow oral and written directions. Knowledge of principles and requirements of sanitation and safety in handling housekeeping tasks and equipment. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Oracle Cloud ERP Coordinator - Intern * IT Solutions Support * Temporary Status - Summer * Day Shift * Pay: Starting at: $15.38 / hour Summary Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position will focus on learning how the organization operates and expected to gain valuable insight that can further chosen career field. This position reports to the Manager or Director of the department and is employed by Mosaic Health Systems. Duties * Monitor and triage incoming tickets from Finance, SCM, HCM, and Payroll users. Gather details, reproduce issues where possible, and assign to the right analyst while keeping clear documentation in the ticketing system. * Assist with data clean-up, reconciliation, and test scripts for patches, quarterly Oracle Cloud updates, and new feature rollouts. This includes running test cases, logging results, and flagging defects. * Create or update process flows, configuration guides, and "how-to" documents for end users and the support team. Make sure everything is stored in the central knowledge base. * Research Oracle Cloud ERP functionality (Finance, SCM, HCM, Payroll) to support enhancement requests. Summarize findings and recommend possible configuration options or workarounds. * Join small project efforts such as a Finance automation pilot or an HCM workflow change. Take meeting notes, track action items, and follow up with team members. Qualifications * High School diploma required. Junior or Senior college level student preferred. * Computer knowledge required. Familiar with a variety of software program, including Word, Excel, Access, PowerPoint is required.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Inpatient Coder II * Inpatient Coding * Full Time Status * Day Shift * Pay: $24.74 - $37.11 / hour Summary * Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. * This position works under the supervision of the Manager and is employed by Mosaic Health System. Duties * Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. * Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. * Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. * Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. * Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. * Ensures data accuracy by responding to coding edits received. * Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. * Mentors and assists with training coders. * Completes analysis by utilizing reports, record reviews, etc. * Other duties as assigned. Qualifications * Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. * CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. * Three years experience in coding in an acute care setting required.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Charge Master Analyst * Revenue Integrity * Full Time Status * Day Shift * Pay: $56,742.40 - $85,113.60 / year Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * This position will also train clinical staff in coding procedures and ensures coding and charge descriptions are compliant with industry standards, legal mandates, and reporting requirements. The accuracy of medical coding, charge descriptions, and hospital rates, as well as maximizing insurance reimbursement are other responsibilities. This position is responsible for creating and maintaining the charge description master file based on correct CPT/HCPC coding and established charge methodology and is employed by Mosaic Life Care. Duties * Analyzes and conducts financial reviews to determine charge capture accuracy and comprehensiveness. Reviews include observance of operational procedures, documentation reviews, validation of data entry and final data capture and other aspects of operational audits. * Ensures accurate clinical charges, descriptions, and billing codes in the charge master. Ensures accurate crosswalk of charge master details with Epic clinical systems used for charge capture and clinical documentation. * Ensures compliance with pricing policy/practice. Performs annual and ongoing price changes. * Leads revenue enhancement projects, which includes working with denials management team, annual price analysis, organizational-wide project to standardize charges. * Manages communication of routine changes to coding, billing, and clinical departments. * Other duties as assigned Qualifications * All required education is a minimum requirement. Higher levels of education are acceptable. Bachelor's Degree- Healthcare related discipline is Required. * CPC, RHIT or RHIA, or in pursuit thereof is required. EPIC Resolute Hospital Billing Charging Certification Or EPIC Resolute Professional Billing Revenue Integrity; Charge Capture and Coding is preferred. * 5 Years Coding/Billing experience preferred in health care industry, with specific experience typically obtained as a Coder and 3 Years Prior experience with EPIC CDM, EAP and coding for HB and PB is required

Mission Statement Our "mission" is to provide a high quality facility and service to older adults in an atmosphere which enhances the quality of life and fosters independence, self-sufficiency, respect, dignity and security within a framework reflecting our core values- respect, competence, excellence, social responsibility, learning, innovation, compassion, community as well as, mutual caring and concern for those served and those employed. Benefits: Competitive pay Flexible schedules Hiring bonus Refer a friend bonus 401 K PTO Life Insurance Health Insurance Short term disability FSA Basic Function To be responsible for volume preparation of foods and to determine and requisition appropriate quantities of food needed to meet menu requirements for residents and personnel. Essential Duties Prepare, season and cook meat, fish, fowl, vegetables, soups, desserts, modified diet foods and casserole dishes according to standard recipes. Prepare all food in sufficient quantities to cover all service requirements. Time preparation to meet service schedules. Estimate food requirements, utilize leftovers. Present food in attractive and palatable manner. Handle, store and refrigerate food in proper manner. Standardize recipes and determine number of portion needed for meal. Requisition daily food and supplies. Supervise and instruct kitchen workers regarding food preparation and cleaning. Clean work area and equipment. Submit requisitions for maintenance of kitchen equipment. Confer with managers and dietitian regarding total kitchen functioning. Follow all policies and procedures of the Dietary Department. Adhere to all facility and department safety policies and procedures. Qualifications Experience in quantity food preparation in a residential or health care facility OR an Associate Degree in Food Service Management from an accredited Technical School. No convictions for abuse, neglect or mistreatment or for misappropriation of property. Prompt and regular attendance. Knowledge, Skills, and Abilities Prior supervisory experience desirable. Basic Math skills when adjusting recipes, which included measuring and scaling. Ability to read, write and make simple calculations and follow oral and written directions. Ability to cook variety of food in large quantities and be familiar with required seasonings and cooking time. Ability to prepare and serve modified diet menus. Knowledge of principles and requirements of sanitation and safety in handling food and equipment Knowledge of operation and care of large quantity food equipment. Ability to direct and instruct other kitchen help in job tasks and work cooperatively with Supervisors. Working Conditions Works in well lighted but hot, humid and noisy area. Subject to interruptions. Subject to involvement with personnel, visitors, state and federal agency personnel and residents. Occasionally subject to hostile, emotionally upset residents. Frequent exposure to cleaning chemicals. Provided with necessary protective equipment and devices. Frequent change between hot and cold work areas. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Director of Cybersecurity * IT Cybersecurity * Full Time Status * Day Shift Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * The Director Cybersecurity is responsible for the analysis, design, planning, implementation, and maintenance of the cybersecurity strategy and program. The Director Cybersecurity plans, coordinates, and directs all daily operational activities and provides direction and solutions that enhance mission-critical operations of the cybersecurity program. This position works closely with the Corporate Information Security Officer (CISO), IT leadership and other key business decision-makers in identifying and implementing effective cybersecurity controls and solutions in support of the business. Specifically, this position provides the strategy, leadership, and day-to-day management of the GRC / IAM department. • Responsible for building, implementing, and maturing, the Governance Risk and Compliance Program for Mosaic including Risk Management Program, Policy Lifecycle, Security Awareness Training Program, Regulatory Compliance, Medical Device Security Program, Disaster Recovery Program and Data Security Governance Program. • Responsible for building, implementing, and maturing the Identity Access Management Program for Mosaic including centralized and standardized identity lifecycle management, Access Request, Single Sign-on, Multi-Factor Authentication, Privileged Account Management, Access Certification, and Role Based Access. The Director Cybersecurity has the ultimate responsibility of identifying, designing, implementing, and maintaining current and future cybersecurity processes and solutions. The Director Cybersecurity will establish key performance indicators and measure performance against these and develop key risk metrics to measure and report on cybersecurity risk. The Director Cybersecurity will be responsible for building a high performing team, fostering an open, diverse and empowered culture to ensure alignment to the Mosaic culture prioritizing patient care. This position is employed by Mosaic Life Care. Duties * Leadership/Supervisory Role: The position first and foremost is a high-level departmental leader who develops and maintains the cybersecurity road map, ensuring that cybersecurity capabilities continually support the overall business's goals and objectives. This position is responsible for hiring and building high-performing teams, empowering people and rewarding results. Develops and clearly communicates goals and priorities and continuously coaches and monitors team progress. Responsible for developing clear career paths to support team growth. * Strategy Leadership: Demonstrates the ability to establish and communicate a vision for the team. Is able to think fluidly through the current priorities while planning for the future. Understands the competitive landscape, industry best practices and aligns to the IT strategy and roadmap to enable the business. Responsible for the development, implementation, and maintenance of the cybersecurity strategy with the ability to clearly communicate and collaborate with key stakeholders, provide clear reporting on status and risks, and provides ongoing metrics to track progress. The Director Cybersecurity develops, implements, and monitors cybersecurity policies, standards and procedures that enable strong security and risk-management capabilities. The Director works with leadership to develop operational and capital budgets to address the needs of various areas of the cybersecurity. Governs the procurement and contracting process to achieve effective results. Ensures adherence to overall financial objectives of the business and tracks expenditures. * Collaboration and Support: The role of the Director Cybersecurity is a collaborative one and, as such, builds a collaborative culture within the department and partners with various corporate/clinical /operational departments within the organization. The Director also works closely with the IT leadership in the business technology planning process as well as the analysis of departmental efficiencies and effectiveness. * Analysis: The Director Cybersecurity plays an analytical role where they constantly assess the effectiveness of the existing processes and solutions developed by the department. The Director analyzes complex business requirements and makes recommendations to IT leadership for technical solutions. * Knowledge: This position also plays a lead role in the maintenance of knowledge within the cybersecurity department, coordinating the implementation of best practices and the adoption of suitable trends. The Director Cybersecurity also keeps track of licensing on all cybersecurity related items. Qualifications * Bachelor's Degree in Computer Science, Information Technology, or any other related field is required. * Healthcare experience strongly preferred. * 5 Years of a candidate for this position will must have had a minimum of 5 years working experience in an IT position within a fast-paced and constantly evolving environment is required. The candidate must demonstrate successful experience in the management of information technology and information systems, as well as experience in leading and managing a team of technical resources is required. The candidate must demonstrate an intimate understanding of network infrastructure technologies, inclusive of security solutions is required.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Senior Regional Finance Coordinator * VP Finance * Full Time Status * Day Shift * Pay: $83,512.00 - $125,395.40 / year Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * This position provides vision and leadership to maximize Mosaic Life Care's financial performance. The SRFC will serve as a key executive responsible for directing their designated Markets financial reporting and decision support functions and will be accountable for the planning, budgeting, analytical analysis, proforma development, decision support, productivity and financial reporting for their Market. The SRFC will be "right hand" of the ACFO and Market President and will play a critical role in the Market's continued financial strength and growth. The SRFC coordinates all financial analysis and financial operational support for the Market. This coordinator represents the finance division with excellence as he or she adheres to a structured rounding cadence with all operational leaders and works with the ACFO to plan and direct the timely and accurate delivery of financial support. The SRFC supports the ACFO in accomplishing system financial objectives and maintaining timely and compliant financial reporting and is employed by Mosaic Life Care. The Senior Regional Finance Coordinator accomplishes this through highly effective relationships with caregivers, peers, medical staff, officers, presidents/administrators, regulators, vendors and consultants. All functional initiatives are carried out in alignment with Mosaic Life Care's Mission/Vision/Values and Strategic Priorities. Duties * Direct the financial planning and profitability efforts of the Market including forecasts, decision support, proformas, and productivity by working closely with the Director of Finance, ACFO, Market President and Market Operational Leaders. * The SRFC provides monthly narrative and market level communications surrounding the month end close. * The SRFC maintains open communications with the ACFO regarding project and analytical requests to define / facilitate prioritization and urgency. All proformas and business plans are to be reviewed by ACFO prior to socialization. * The SRFC provides support and analytic input into the DBAs and initiative tracking within the rolling forecast. * Analyzes, interprets and communicates financial reports and data to the ACFO and Market President; including but not limited to service line profitability. * Other duties as assigned Qualifications * All required education is a minimum requirement. Higher levels of education are acceptable. Bachelor's degree in business, finance, or related field required. Master's degree preferred. * Provider and/or outpatient clinic experience strongly desired. * 5 Years Experience in healthcare finance preferred. Prior experience and knowledge of Allscripts EPSi or similar enterprise budget systems required. A working knowledge of financial database systems and other analytical tools designed to support clinical operations required.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Payment Validation Analyst * PFS Billing-Follow Up-Denials * Full Time Status * Day Shift * Pay: $54,038.40 - $81,057.60 / hour Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * Responsible for ensuring accurate payment is received from payors, including line level payment validation where appropriate. * This position works under the supervision of the Director of Revenue Integrity, and is employed by Mosaic Life Care. Duties * Responsible for analyzing contractual underpayments. Identify and resolve daily encounters holding in Epic WQs for contractual underpayments. Identify root cause and work on corrective action implementation. * Responsible for resolving encounters in Epic WQ for price/contract discrepancy. Identify root cause and work with CDM Analyst/Revenue Integrity Analyst to implement fee schedule correction, and/or identify root cause causing the discrepancy. * Works on rebill projects focused on recoupment of underpayments. * Subject matter expert regarding payer reimbursements and contracts. Be informed of changes to payer reimbursement and work with CDM Analyst and/or Revenue Integrity Analysts to implement changes, if and as needed. * Other duties as assigned Qualifications * Bachelor's Degree, and H.S. Diploma are both required. * 5 Years of Health care experience. Minimum five years' experience and knowledge of hospital financial operations including reimbursement, Medical Billing, Charge Master Development and Maintenance, Medical Records/Coding and Charge Audit experience is required. 5 Years of Broad based knowledge of hospital financial operations including reimbursement, coding and charge master development and maintenance is required. 5 Years of In-depth knowledge of CPTs, HCPCs and ICD-10 medical coding, and related APC Medicare reimbursement is required. * Epic Contracts Module Certification is preferred.

Job Description NELC is one of the fastest growing home infusion therapy services company in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 57 hospital systems in Maine, New Hampshire, Massachusetts, and Vermont. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our member hospitals, NELC provides patient focused care. For more information, visit our website at ******************* New England Life Care currently has openings for full time Intake Coordinators. These are hourly, non-exempt roles with normal Monday - Friday schedules from 8am - 5pm. Once fully trained, there is a requirement to participate in the with weekend rotation, which is typically once every three to six weeks. Training is 100% on site. Partial work from home may be available after fully trained. Summary: The is an entry level position, with responsibility for comprehensive coordination of care for NELC patients receiving home infusion therapy. This position will have a Sr. Intake Coordinator designated as an official mentor. The Intake Coordinator position has a Career Ladder in place. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions: Senior Intake Coordinator - Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 2-5 years to: Lead Intake Coordinator - Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement. Benefits: Health insurance Career Ladders Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Accurately compiles the initial Patient Profile for each therapy and distributes it to the appropriate members of the healthcare team for processing. Responsible for answering all incoming phones for Intake Workgroup and ensuring all calls are documented in an email to appropriate staff and documenting in patient file where appropriate. Communicates effectively with pharmacy, reimbursement, materials management and delivery staff regarding new referrals and ongoing patient issues. All communication will be clearly documented in patient file. Works collaboratively with the Liaison/Care Coordination team to ensure efficient discharge. Effectively communicates patient requirements and changes in patient status to appropriate members of infusion and reimbursement teams as well as the internal/external Nursing staff involved in meeting the patient's home health needs. Comprehensively documents all patient related information / conversations in patient's clinical record as updates are presented to Intake staff. Communicates all changes in patient supply requirements to Pharmacy and Patient Service Representative (PSR) for any active patient resuming therapy. Responsible for documenting and processing the requested delivery through SOP S015 - (Time Commitment Process). Responsible for updating any errors in patient file that is presented through daily reports (i.e., updating Referral sources; updating Access, etc...) Follows NELC policies & procedures in the normal conduction of company business. Will develop skills in understanding insurance coverage with the guidance of Senior Intake Coordinator and/or Supervisor. Professional Requirements: Good Communication skills both verbally and written Good organizational skills Good customer service skills Attention to detail Positive, team player a must. Must be able to work holidays on a rotating schedule. Strong computer skills, with working knowledge of Microsoft Office (Word, Excel, Power Point, Outlook) Preferred Experience Knowledge of HIPAA Privacy and Security Regulations 4-5 years healthcare administrative experience Associates degree Medical terminology ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday - Friday schedules from 8am - 5pm. Once fully trained, there is a requirement to participate in the with weekend rotation, which is typically once every three to six weeks.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - PFS Denial Nurse Auditor * PFS Billing-Follow Up-Denials * Full Time Status * Day Shift * Pay: $60,382.40 - $96,616.00 / year Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The Denials Nurse Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management. This position is employed by Mosaic Life Care. Duties * Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts. * Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings. * Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement. * Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes. * Other duties as assigned. Qualifications * Bachelor's Degree - Graduate of school of nursing, BSN is required. * Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Registered Nurse license by the State of Missouri required. * 5 Years of experience in health care as a registered nurse, preferably in revenue cycle is required. Excellent understanding of financial and health care strategies is required.

Job Description New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has a Remote Authorization Specialist position available. The normal schedule is Monday - Friday from 8:30am to 5:00pm. The ideal candidate for this role will have at least three years of authorization or billing experience. **Only hiring for this remote role in the following states: Maine, Massachusetts, New Hampshire, Maryland, North Carolina, Connecticut, and Florida** Job Summary: The Remote Authorization Specialist is responsible for obtaining and maintaining prior authorization status for NELC patient medications/therapies. The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed documentation to support the billing department in meeting payer requirements for patient accounts. Career Ladders: NELC's reimbursement department offers career ladders to Authorization Specialists. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions: Authorization Specialist- represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to: Senior Authorization Specialist - Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to: Lead Authorization Specialist - Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement. Benefits: Remote position Room for growth and potential for advancement Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Responsibilities: Achieve performance appraisals with "meets expectations" or better Maintain a good record of attendance and punctuality No Performance management deficiencies in the period Demonstrate independence and competence to follow Authorization Request process for all payers. Demonstrate independence and competence to follow the Re-Authorization process Demonstrate independence and competence to follow the Specialty process Demonstrate independence and competence on all MOA's and therapies Demonstrate independence and competence and ability to Authorize all services, document and communicate accurately on all changes of service, in CPR+ and to appropriate departments. Demonstrate independence and competence and ability to work through a TO DO without the need for extended timeframes. Demonstrates the ability to work within a team and independently with confident communication skills and exceptional customer service skills. Completes three continuing education programs in the period specifically related to professional development, LEAN and/or leadership development. Education: High School Diploma, or equivalent required. Minimum of 2 years authorization, reimbursement or claims processing experience required. Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred. Practical experience with Medicare, Medicaid and third-party payor contracts preferred Knowledge of HIPAA Privacy and Security requirements preferred. Skills: Excellent organizational skills required. Basic accounting transaction/analyst skills required. Demonstrated ability to identify research and solve problems required. Ability to work independently as well as part of a team required. Practical experience with Microsoft computer systems and applications, to include Word & Excel ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday - Friday from 8:30am to 5:00pm.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Business Intelligence Developer II * IT Date & Analytics * Full Time Status * Day Shift * Pay: 72,945.60 - $109,428.80 / year Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * The Business Intelligence Developer works under the supervision of the Business Intelligence Manager as part of the Data and Advanced Analytics team and is a key resource in ensuring the delivery of BI solutions for our business partners. An excellent blend of analytical, technical and communication skills in a team-based environment is essential for this role. Works with structured and unstructured data to develop ad-hoc reports, automated reports, extracts, data products, and dashboard. This position is employed by Mosaic Life Care. Duties * Create content to display Epic data from Chronicles, Clarity, and Caboodle. * Work with subject matter experts to understand the needs of data consumers. * Performs other duties as assigned. Qualifications * Bachelor's Degree - Computer Science or other related area or equivalent background and experience is required. * Epic Cogito; Full Cogito Training Track is required within 90 days. Epic Clarity/Caboodle; Must include at least 1 Data Model Certification is required within 90 days. * Experience working with data warehousing environments, and/or business analytics platforms is required. 2 Years - Experience with Epic Cogito collection of analytic tools is preferred. 3 Years - Experience working with data warehousing environments, and/or business analytics platforms is preferred. * Oracle Fusion reporting experience preferred but not required. Specifically developing and maintaining reports/dashboards with Oracle tools such as Oracle Transactional Business Intelligence (OTBI), Business Intelligence Publisher (BIP), Fusion Data Intelligence (FDI), and Smart View. Familiarity with the Oracle modules Supply Chain Management (SCM), Human Capital Management (HCM), Finance (FIN), Enterprise Performance Management (EPM) and the related Subject Areas and Tables Views also preferred.

Compassionate Care. Patient Focused. Home Health Excellence. At Heartland Home Health, a Gentiva company, we believe every day is an opportunity to deliver personalized, meaningful care to patients in the comfort of their own homes. We provide skilled nursing and support services that empower patients to recover, heal, and live safely at home. What You'll Do as a Home Health LPN: Deliver skilled nursing care under the direction of a Registered Nurse, following the patient's individualized Plan of Care. Assist in assessing patient and family needs and contribute to planning, implementing, and evaluating patient care. Provide direct care for illness management, rehabilitation support, and preventive health education. Report changes in patient condition promptly to the supervising RN and interdisciplinary team. Document all care and communication clearly and accurately. Attend staff meetings and participate in team-based care planning. Build supportive, professional relationships with patients and their families, helping them feel safe and confident in their home care journey. About You Qualifications - What You'll Bring: Active LPN license in the state of employment (or eligibility to obtain). 1+ year of LPN experience Compassionate, dependable, and comfortable providing care in home environments. Excellent observation, communication, and documentation skills. Valid driver's license, auto insurance, and reliable transportation. Current CPR certification required. Preferred Experience (Not Required): 1+ year nursing experience in home health, hospice, geriatrics, ICU, Med-Surg, ER, PACU, wound care, telemetry, critical care Staff LPN, LVN in hospital or facility setting Admissions, float pool, nursing home, or travel nursing Experience with chronic conditions or post-acute rehab care We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Home Health Nursing team and bring comfort, care, and confidence to patients where it matters most-at home. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Heartland Home Health Our Company At Heartland Home Health, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated. Related Job Titles Licensed practical nurse, Licensed vocational nurse, Nurse, Nursing, LPN, LVN, Licensed Nurse, Staff LPN, Staff LVN, Travel LPN, Travel LVN, Hospice LPN, Hospice LVN, Med surg LPN, Cardiac nurse, Geriatric nurse, Home health LPN, Home health LVN, Home care LPN, Home care LVN, Palliative care nurse, LPN Travel, LVN Travel, LPN PRN, LPN Hospital, LPN home health, licensed practical nurse home care, home health nurse jobs, LPN home visits, in-home nursing care LPN, home health LPN jobs, visiting nurse LPN, LPN PRN home health, LPN flexible schedule jobs, home care nursing careers, LPN skilled nursing visits, patient care at home LPN, Heartland LPN job, post-acute LPN jobs, LPN field nurse, practical nurse in-home services, community-based LPN care, home health licensed nurse, LPN home care opportunities, LPN mobile nursing jobs

We are searching for a CNA or universal worker to act as our transport agent. You will be responsible for taking residents to and from appointments, typically at a doctor's or Dentist office. Hours are variable depending on the need. Other services as assigned by the supervisor. Most transports occur between the hours of 8-5 CST. with no weekends and no holidays. Must have a valid drivers license and pass background screening.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey. Details * Remote - Epic Revenue Application Analyst II - Professional Billing * Rev Cycle Implementation Team * Full Time Status * Day Shift * Pay: $72,945.60 - $109,428.80 / year Summary * Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. * This position works with minimal supervision, uses defined methodologies in a team environment to perform system life cycle tasks for assigned systems and technologies. This position is responsible for implementation and support of applications. This position works closely with end users to troubleshoot and correct problems relating to applications and assists with conversions and implementations of software products. This position uses operational knowledge to seek out, research and evaluate a variety of solutions to provide end users with high quality, efficient products. This position maintains and supports specified installed application software products. * This position is employed by Mosaic Health System. Duties * Demonstrates accountability in delivering assigned task. Reports project issues and accomplishments to application/project manager. * Delivers a work product that meets project requirements as defined by the scope and stays within departmental guidelines for application configuration/development. * Analyzes and documents current and future needs and workflows through interviews and gathering data regarding regulatory requirements, operational procedures, and hospital/departmental policies. * Participates in the planning, development, implementation, maintenance, support, and evaluation of clinical or business application systems as assigned. These activities may include system design, documentation of design decisions, workflow redesign and documentation, data collection, database building, testing, and troubleshooting. * Participates/Contributes/Takes instructions in team and project meetings. Works closely with team/department members. Works effectively and efficiently as part of a team on assignments. Can work independently on some assignments. Takes direction. * Other duties as assigned Qualifications * All required education is a minimum requirement. Higher levels of education are acceptable. Associate's Degree in Information Technology, Business Administration, or related field or three or more years of related experience required. * EPIC certification(s) - current upon hire preferred. OR EPIC certification(s) - achieve within 120 days required. AND if certification not achieved upon hire must be willing to travel or actively participate in remote training required. * 3 years or more of related experience required. AND experience supporting clinical, ancillary, or business environments required. AND Application system build experience preferred.

Join our award winning culture as we serve members in your area! Under the general direction of the Member Rights Manager (MRM), this position provides support to Lakeland Care, Inc. (LCI) members and their representatives in understanding and exercising their rights and responsibilities related to Family Care, including due process procedures available to them in a grievance or appeal. This position assures members, LCI employees, and providers are offered the necessary education and support regarding member rights and organizational compliance with process deadlines as well as upholding and prioritizing members' rights. In addition, this position represents LCI through verbal and written communication for hearings, committees and meetings, while providing support and guidance to members, member representatives and teams to create a culture of shared values and member satisfaction. This position is required under the DHS Family Care contract and requires regular collaboration with external parties such as: ombudsman, attorneys, WI DHS oversight staff, and Quality oversight staff (Metastar). Essential Competencies: Facilitate grievance and appeal processes including but not limited to: assisting members with due process rights; coordinating and leading mediation, pre-hearing meetings and hearings; investigating case notes and review of new material; ensuring all parties have related documentation for each case; drafting and sending all appeal and grievance correspondence and maintaining all case documentation in an organized, confidential and secure manner. Monitor Lakeland's contractual responsibilities specific to Members' Use of Personal Resources (MUPR) including consultation and providing education to care teams, as well as ensuring documentation of all MUPR instances. Assist in reviewing data to identify trends and opportunities for improvement and successes. Participate in the annual external Quality review representing the Member Rights Specialist role. Consult with senior leaders as needed when applying policy and contract interpretations, ensuring timely communication and escalation of issues with potential risk and/or impact to member health and safety and/or operations. Gather information about member complaints, identify obstacles and strategies for conflict resolution and management. Actively participate in informal grievance/appeal resolution and member centered problem solving. Ensure availability of informal and formal resolution procedures of all appeals and grievances. Provide appropriate and timely follow-up, documentation, and mandatory reporting on all appeals, grievances, complaints, and concerns reported by members. Maintain a well-organized case load and accurate record of communications, interactions and collaborations. Assist with initial mediation to resolve member appeals and grievances through the following systems: LCI appeals, State Fair Hearing, Department of Health Services (DHS) reviews, and Lakeland local systems. Serve as a liaison between members and care team (and others in the organization when appropriate) to facilitate problem solving, mediation and conflict resolution. Assist Interdisciplinary Team (IDT) staff in providing support for members and their representatives in understanding their rights and responsibilities. Build and maintain strong relationships with external agencies including: Disability Rights Wisconsin, Board on Aging and Long-Term Care Ombudsman and WI Department of Health Services staff. Maintain Lakeland's Appeal and Grievance hearing committee; recruit committee membership as needed and ensure proper training of committee members. Participate in variety of internal and external committees and workgroups as requested. Coordinate training related to appeals and grievances and member rights for all relevant stakeholders. Requirements Bachelor's degree in Social Sciences, Health Care Administration, related discipline, or equivalent combination of education and experience (includes knowledge, skills, and abilities). Must possess intermediate skills with Microsoft Office Suite, particularly Word, PowerPoint, Excel, and Outlook. Must have one to two years of experience related to advocacy or negotiation. Effective problem solving and conflict resolution skills required. Experience with mediation, grievances and appeals preferred. Awareness of and experience with the nature of physical disabilities, disabilities due to advanced age, and intellectual/developmental disabilities. Knowledge of appropriate service for the treatment and care of persons with intellectual /developmental disabilities, physical disabilities, and frail elderly. Knowledge of the Wisconsin Family Care Program, managed care principles, and Family Care contract. Knowledge of Chapters 10, 51, 55, 880 procedures and requirements related to member rights. Effective, high level written and oral communication skills. Excellent organizational skills Demonstrated commitment to providing excellent customer service required. Valid driver's license with reliable transportation, the ability to travel to all LCI service areas and acceptable driving record and proof of adequate insurance required. ------------------------------------------------------------------------ Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion - We believe that open hearts and open minds are the only path to a brighter future. Trust - We believe that honesty is still in style and that promises still have power.

We're growing - Join our award winning culture as we serve members in your area! The RN Care Manager (RN CM), as part of an interdisciplinary team (IDT) with a Care Manager, serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The RN Care Manager does not provide hands-on care; it provides care management and service coordination to LCI members. The RN care manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Position requires traveling in the field/community visiting members. Responsibilities & Competencies: 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. ------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion - We believe that open hearts and open minds are the only path to a brighter future. Trust - We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.

Join our award winning culture as we serve members in your area! Out of our Wausau office serving members in and around Stevens Point, WI Rapids and Marshfield . The Care Manager (CM), as part of an interdisciplinary team (IDT) with a RN Care Manager (RN CM), serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The Care Manager provides care management and service coordination to LCI members. The Care Manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Position requires traveling in the field/community visiting members. Responsibilities & Competencies: Coordinate and participate in home visits and care conferences involving the member, their supports, and providers. Collaborate with RNCM to 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 RNCM 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. Requirements Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor's degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor's degree or more advanced degree in any other area than Human Services with a minimum of three (3) years' experience working with at least one of the family care target populations. 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 multi-task and work in a fast-paced environment. Ability to lift up to 25lbs. Current driver's license, acceptable driving record and proof of adequate insurance. --------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion - We believe that open hearts and open minds are the only path to a brighter future. Trust - We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.