Care Manager – Nursing, Field

🕒 vor 20 Tagen

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $87.092 - $130.638 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

Jetzt Bewerben

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Point32Health

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

🏥 Gesundheitswesen

🛡️ Versicherung

⚕️ Krankenversicherung

Healthcare • Insurance • Healthcare Insurance

Point32Health ist eine führende gemeinnützige Organisation für Gesundheit und Wohlbefinden, die Gesundheitsversorgung und -dienstleistungen für Einzelpersonen in allen Lebensphasen bietet. Durch seine Unternehmensfamilie, zu der auch Harvard Pilgrim Health Care und der Tufts Health Plan gehören, bietet Point32Health eine Vielzahl von Gesundheitsplänen, Programmen und Dienstleistungen, die medizinische Versorgung, Pharmazie, Wellness und psychische Gesundheit umfassen. Point32Health setzt sich für gesundheitliche Chancengleichheit ein und wurde für seine inklusiven Praktiken anerkannt, insbesondere in den Bereichen gesundheitliche Chancengleichheit, Inklusion von Menschen mit Behinderungen und LGBTQ+ Arbeitsplatzinklusion. Mit einem Fokus auf innovative Lösungen und qualitativ hochwertige Versorgung strebt Point32Health danach, eine bessere Gesundheitsversorgungserfahrung für seine Mitglieder und Gemeinschaften zu schaffen.

Beschreibung

• Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. • Perform departmental assessments and evaluate members holistically to identify needs, health goals, and barriers to wellness. • Through assessment and collaboration with member/caregiver and providers, 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, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission. • Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and Behavioral Health CM). • Attending and presenting (as appropriate) high risk members at interdisciplinary rounds forum. • Maintain professional growth and development through self-directed learning activities.

🎯 Anforderungen

• 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 • 5 years’ relevant clinical experience • Experience in home care or case management preferred • Proficiency in a second language desirable • Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications • Skilled in assessment, planning, and managing member care • Advanced communication and interpersonal skills • Ability to address multiple complex issues • Ability to organize and prioritize work and member needs • Regard for confidential data and adherence to corporate compliance policy

🏖️ Vorteile

• 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