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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management and person-centered care for individuals with chronic illnesses and disabilities, ensuring effective coordination of health services and support. Proficient in developing individualized care plans and facilitating access to necessary services while maintaining strong interpersonal and communication skills.
Highest-signal resume keywords
RN License In WisconsinCase Management ExperienceExperience With Chronic IllnessesPerson-Centered CareFamily Care Program Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Functional AssessmentsCare Plan DevelopmentCrisis ManagementService CoordinationHealth Benefit Utilization
Soft Skills
Interpersonal SkillsCommunication SkillsTeam CollaborationProblem Solving
Tools & Technologies
Telephonic Assessment ToolsCare Management Software
Certifications & Qualifications
Associate Of Science In NursingBachelor Of Science In Nursing
Industry Keywords
Long Term CareFamily CareCultural ResponsivenessHealth Services Coordination
About the role
Key responsibilities & impact- Manage members' cases within the scope of licensure
- Develop, monitor, evaluate, and revise person-centered care plans
- Perform telephonic and face-to-face functional assessments
- Identify, evaluate, coordinate, and manage members' physical health, behavioral health, social services, and long-term services and supports needs
- Identify members at risk for complications and coordinate care with members and healthcare teams
- Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits
- Obtain thorough and accurate member histories to develop individualized care plans
- Establish short- and long-term goals with members, caregivers, families, natural supports, and physicians
- Identify members who may benefit from alternative levels of care or waiver programs
- Ensure members' access to required services
- Facilitate service authorizations and referrals when appropriate
- Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on person-centered care plans
- Assist with provider, claims, or service issue resolution
- Travel to member homes and communities for in-person visits
- Support the Family Care Program, a Wisconsin long-term care program for older adults and adults with disabilities
Requirements
What you’ll need- Requires an Associate of Science in Nursing or Bachelor of Science in Nursing and minimum of 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience providing an equivalent background
- Current, active, valid, and unrestricted RN license in Wisconsin is required
- Minimum of one year of experience working with at least one of the Family Care target populations is required
- BA/BS in Health/Nursing preferred
- Strong preference for case management experience with older adults or individuals with disabilities
- Long Term Care background preferred
- Commitment to member-centered care and cultural responsiveness
- Family Care/Partnership experience preferred
- Comfortable using technology preferred
- Strong interpersonal and communication skills
- Ability to work collaboratively in a team environment
- Problem solving and crisis management abilities
- Ability to travel to worksites and other locations, including members' homes/communities, for in-person visits
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid workforce strategy
- Professional and personal growth opportunities