Point32Health
RN Care Manager - Senior Care Options, Boston area - Bilingual preferred (Mandar
Point32Health, Oklahoma City, Oklahoma, United States
RN Care Manager - Senior Care Options, Boston area - Bilingual preferred (Mandarin/Cantonese)
Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. Job Summary The Care Manager – Nursing Field (RN CM) will ensure that all members receive timely care management across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. Job Description
Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. 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. Collaborates and liaises with the interdisciplinary care team, to improve member outcomes. Maintain professional growth and development through self-directed learning activities. Qualifications
Registered Nurse with current unrestricted license in state of residence May be required to obtain other state licensure in states where Point32Health operates National certification in Case Management desirable Required (minimum): Bachelor’s degree or relevant equivalent experience Preferred: Bachelor’s degree in nursing Required (minimum): 5 years’ relevant clinical experience Preferred: Experience in home care or case management. Proficiency in a second language desirable. Experience in specialty areas a plus. Skill Requirements
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 Advanced communication and interpersonal skills Independent and autonomous with key job functions Ability to address multiple complex issues Flexibility and adaptability to changing healthcare environment Ability to organize and prioritize work and member needs Demonstration of strong clinical and critical thinking skills Regard for confidential data and adherence to corporate compliance policy Working Conditions and Additional Requirements
Must be able to work under normal office conditions and work from remote office as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes Valid Driver’s license and vehicle in good working condition as travel is required May be required to work additional hours beyond standard work schedule. Other duties as assigned and needed by the department COVID Policy Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation, and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. #J-18808-Ljbffr
Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. Job Summary The Care Manager – Nursing Field (RN CM) will ensure that all members receive timely care management across the continuum, including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition management per department guidelines. Job Description
Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing skills to facilitate program enrollment. 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. Collaborates and liaises with the interdisciplinary care team, to improve member outcomes. Maintain professional growth and development through self-directed learning activities. Qualifications
Registered Nurse with current unrestricted license in state of residence May be required to obtain other state licensure in states where Point32Health operates National certification in Case Management desirable Required (minimum): Bachelor’s degree or relevant equivalent experience Preferred: Bachelor’s degree in nursing Required (minimum): 5 years’ relevant clinical experience Preferred: Experience in home care or case management. Proficiency in a second language desirable. Experience in specialty areas a plus. Skill Requirements
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 Advanced communication and interpersonal skills Independent and autonomous with key job functions Ability to address multiple complex issues Flexibility and adaptability to changing healthcare environment Ability to organize and prioritize work and member needs Demonstration of strong clinical and critical thinking skills Regard for confidential data and adherence to corporate compliance policy Working Conditions and Additional Requirements
Must be able to work under normal office conditions and work from remote office as required. Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes Valid Driver’s license and vehicle in good working condition as travel is required May be required to work additional hours beyond standard work schedule. Other duties as assigned and needed by the department COVID Policy Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation, and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. #J-18808-Ljbffr