Care Manager – Bilingual Preferred (Mandarin/Cantonese, Spanish a Plus)

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Point32Health

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 Non-profit

🧘 Wellness

Healthcare Insurance • Non-profit • Wellness

Point32Health is a leading nonprofit health and well-being organization that provides health coverage and services for individuals at all life stages. Through its family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan, Point32Health offers a variety of health plans, programs, and services encompassing medical, pharmacy, wellness, and behavioral health. Point32Health is committed to health equity and has been recognized for its inclusive practices, earning distinctions in areas such as health equity, disability inclusion, and LGBTQ+ workplace inclusion. With a focus on innovative solutions and high-quality coverage, Point32Health strives to create a better healthcare experience for its members and communities.

📋 Description

• 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.

🎯 Requirements

• Registered Nurse with current unrestricted license in state of residence • 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 • Advanced communication and interpersonal skills. • Ability to address multiple complex issues • Strong clinical and critical thinking skills

🏖️ Benefits

• 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

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