Care Manager

🕒 4 dias atrás

🍂 Massachusetts – Remoto

🍂 Massachusetts – Remote

💵 $87.073 - $130.610 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Point32Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

🧘 Bem-estar

Healthcare Insurance • Non-profit • Wellness

A Point32Health é uma organização líder sem fins lucrativos de saúde e bem-estar que oferece cobertura de saúde e serviços para indivíduos em todas as fases da vida. Através de seu grupo de empresas, incluindo Harvard Pilgrim Health Care e Tufts Health Plan, a Point32Health oferece uma variedade de planos de saúde, programas e serviços que englobam saúde médica, farmacêutica, bem-estar e saúde comportamental. A Point32Health é comprometida com a equidade em saúde e tem sido reconhecida por suas práticas inclusivas, recebendo distinções em áreas como equidade em saúde, inclusão de deficiência e inclusão no local de trabalho LGBTQ+. Com foco em soluções inovadoras e cobertura de alta qualidade, a Point32Health busca criar uma melhor experiência de saúde para seus membros e comunidades.

Descrição

• Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. • Perform departmental assessments and evaluate member holistically to identify needs, health goals, and barriers to wellness. • Develop a member-specific plan of care, implement member-specific care manager interventions, and revise plan of care as needed. • Complete documentation in applicable platform according to departmental policy and regulatory standards. • Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member’s care. • Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care. • Collaborate and liaise with the interdisciplinary care team to improve member outcomes. • Maintain professional growth and development through self-directed learning activities.

🎯 Requisitos

• Registered Nurse with current unrestricted license in state of residence • May be required to obtain other state licensure in states where Point32Health operates • Understand and follow the provisions of state-specific Nurse Practice Act(s) where Point32Health operates • National certification in Case Management desirable • Bachelor’s degree or relevant equivalent experience • 5 years’ relevant clinical experience • Proficiency in a second language desirable • Experience in specialty areas a plus. • Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications • Work cooperatively as a team member across multiple levels within the organization • Skilled in assessment, planning, and managing member care

🏖️ Benefícios

• Medical, dental and vision coverage • Retirement plans • Paid time off • Employer-paid life and disability insurance with additional buy-up coverage options • Tuition program • Well-being benefits • Full suite of benefits to support career development, individual & family health, and financial health