Per Diem Care Manager

April 3

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Point32Health

Point32Health is a leading nonprofit health and well-being organization dedicated to delivering a better health care experience to the communities it serves. Through its family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan, Point32Health offers a range of health plans, programs, and services aimed at guiding and empowering individuals and families towards healthier lives. The organization emphasizes innovation, quality, and health equity, striving to provide access to high-quality health care for everyone, regardless of their circumstances or life stages.

Healthcare

πŸ“‹ Description

β€’ Under the administrative direction of the Clinical Manager, the Nurse Case Manager is responsible for assessments of frail elderly population. β€’ The RNCM directly interfaces with physicians, other members of the primary care team, members, and caregivers. β€’ Timely completion of all types of geriatric assessments. β€’ Development and communication of an individualized plan of care. β€’ Completion of the Minimum Data Set-Home Care (MDS-HC). β€’ Pro-active management and follow-up according to care plan. β€’ Serve as a member advocate and facilitator to resolve issues that may be barriers to care. β€’ Provide education and coaching to member, family, and/or caregiver about health status and treatment options.

🎯 Requirements

β€’ Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted state license is required. β€’ Minimum 3 years clinical nursing experience required β€’ Experience in case management managing geriatric/chronic illness populations required β€’ Experience within a SCO program highly preferred β€’ Experience in Medicare and/or Medicaid managed care preferred β€’ Proficient in computer use, the Internet, and health information technology required β€’ Case management certification a plus

πŸ–οΈ Benefits

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

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