Senior Care Options RN Community Care Manager

3 hours ago

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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€’ Ensure that all members receive timely care management across the continuum β€’ Collaborate with the member/caregiver and providers to develop a plan of care β€’ Facilitate program enrollment utilizing key motivational interviewing skills β€’ Provide targeted health education and proactive strategies for condition management β€’ Collaborate with member/caregiver to coordinate a safe transition to the next level of care β€’ Perform case documentation in applicable CM system according to department and regulatory standards β€’ Collaborate with the interdisciplinary care team to improve member outcomes β€’ Attend and present high risk members at interdisciplinary rounds forum β€’ Maintain professional growth and development through self-directed learning activities

🎯 Requirements

β€’ Registered Nurse with current unrestricted license in state of residence β€’ May be required to obtain other state licensure in states where Point32Health operates β€’ Bachelor’s Degree in Nursing preferred β€’ National certification in Case Management desirable β€’ 5+ years’ relevant clinical experience β€’ Experience in home care or case management preferred β€’ Proficiency in second language desirable β€’ Experience in specialty areas such as oncology, neurology, chronic condition/disease management 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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