Care Manager, Nursing – Mandarin/Cantonese Speaking, Community Experience

🕒 vor 3 Tagen

🍂 Massachusetts – Remote

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💵 $87.112 - $130.668 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Point32Health

Point32Health

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 face-to-face encounters to facilitate program enrollment • Conduct departmental assessments and evaluate members holistically to identify needs, health goals, and barriers to wellness • Develop, implement, and revise member-specific plans of care and care manager interventions • Complete documentation according to departmental policy and regulatory standards • Provide targeted health education and proactive condition-management strategies • Communicate with providers and vendors involved in member care • Coordinate safe transitions to the next level of care, including post-discharge instructions, services, and follow-up • Implement strategies to prevent readmission • Collaborate with interdisciplinary care teams to improve member outcomes • Attend and present high-risk members at interdisciplinary rounds • Maintain professional growth through self-directed learning

🎯 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 • Bachelor’s degree or relevant equivalent experience • 5 years’ relevant clinical experience • Experience in home care or case management preferred • Proficiency in a second language desirable • Experience in specialty areas a plus • Skill and proficiency in Microsoft applications, technical concepts and principles, and 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 • Strong clinical and critical thinking skills • Regard for confidential data and adherence to corporate compliance policy • Ability to make face-to-face visits as needed • Valid driver’s license and vehicle in good working condition • May be required to work additional hours beyond standard work schedule

🏖️ 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 • Variable pay eligibility

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