Fond du Lac
Full Time
Description
Culture Highlights!
- Telework environment – work from where it’s most convenient, home, office, etc.
- Flexible work model – flex time creating a work-life blend meeting outcomes of role and life events.
- Monday through Friday schedule.
- 9 paid holidays, and 3 additional floating holidays (pro-rate applies).
- Volunteer in your community – 24 hours awarded annually.
- Professional Development – internal and external learning and development opportunities.
- Robust Total Rewards – Medical/Dental/Vision, Telehealth, Flex Spending, 401k Matching, Life insurance, LT/ST Disability, EAP, & Mileage Reimbursement.
- Eligible employer for Federal Public Service Loan Forgiveness Program.
**Hiring anywhere within our geographic service regions in Wisconsin only. Travel onsite or in-person will be required as needed.**
IDEAL CANDIDATE WILL HAVE FAMILY CARE EXPERIENCE!
Position Summary:
The Residential Services Specialist will actively support Care Management’s understanding and utilization of the least restrictive and most integrated residential settings available to members when it is determined that a member requires residential care to best support outcomes. This role will support utilization of the best placement based on assessed needs when a member must utilize residential services. In addition, this role provides subject matter expertise when members with complex care planning needs require individualized and high-cost placements. The ability to build and maintain relationships with providers and IDT staff is essential to the success of this role.
The Residential Services Specialist reviews organizational data, analyzes utilization trends, and compares information to current policies, established guidelines, and LCI Membership. In addition to acting as a partner to Care Management, this position will routinely interface with other internal Divisions and external Provider Partners to support collaborative provider growth and development to ensure fiscal sustainability and appropriateness utilization of residential services.
Responsibilities & Competencies:
- Partner and collaborate with IDT Staff to understand and meet members’ community-based residential needs.
- Serve as a resource and collaborate through consultation with LCI’s Care Management staff to support 30 day notices from residential care providers.
- Develop and provide training on new and/or more effective guidance to improve overall experiences with residential placement processes for LCI members, providers, and IDT staff.
- Identify barriers to placement and address problems cooperatively as they occur.
- Collect, analyze, and utilize data to support informed decision making for member care and provider needs to promote holistic care planning.
- Develop and analyze proactive indicators to address changing and emerging needs of members.
- Assist with reviewing solutions for gaps and/or quality concerns within the Provider Development Specialists as it relates to residential placement. Assist in reviewing for the proper utilization of crisis stabilization/diversion facilities.
- Collaborate with internal stakeholders, including CM Practice, Utilization, Behavioral Health, other members of the Provider Relations team, and Business/Fiscal, to ensure quality and sustainability outcomes are met, as in alignment with our Strategic Plan and Goals.
- Work in partnership with other internal divisions to monitor, evaluate and process residential service rate negotiations for member changes in condition and exceptional care needs.
- Liaison with community and provider stakeholders as needed to develop and strengthen our service delivery outcomes and sustainability, simultaneously.
- Work with internal and external partners to identify opportunities to continue to improve process, streamline communication, and ensure a continually evolving support that meets the needs of Care Management.
Are you excited about this role but not sure if your work experiences align to the role or qualifications? We encourage you to apply anyway. At Lakeland Care, our values drive how we do our work and how we hire. We strive to build an inclusive, authentic workforce that embraces diversity and differences in strengths. So be sure to highlight your skill set and competencies you’re confident in!
Requirements
- Bachelor’s degree in a Health or Human Services related field, or equivalent combination of education and experience (includes knowledge, skills, and abilities).
- Minimum of two (2) 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.
- Demonstrates proficiency in applying the Family Care principles and Resource Allocation Decision process to practice.
- Strong data analysis and application skills.
- Strong evaluation, assessment, and interview skills.
- Must demonstrate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Must have exceptional verbal and written communication skills.
- Must have creative problem solving and critical thinking skills.
- Must have excellent organization and interpersonal skills.
- Must have strong analytical and negotiation skills.
- Ability to develop effective working relationships with providers, external stakeholders, and care management staff.
- Current driver’s license, acceptable driving record and proof of adequate insurance required.
Acknowledgement:
This job posting describes the general nature and level of work performed by the individual assigned to this position and should not be interpreted as all inclusive and is subject to change by the employer as the needs of the employer and requirements of the position change.
APPLICATION DEADLINE DATE: Accepting through 8/27/2024; may be extended as needed. Resume required.
For questions on this role, please reach out to the Talent Acquisition Specialist at Becky.Vang@lakelandcareinc.com.
**COMPENSATION ON THIRD PARTY SITES ARE NOT LISTED BY LAKELAND CARE AND LIKELY INACCURATE. PLEASE INQUIRE DIRECTLY WITH HUMAN RESOURCES.**
——————————————————————————————–
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.