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 the 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.
Collaborate with the interdisciplinary care team to improve member outcomes.
Maintain professional growth and development through self-directed learning activities.
Requirements
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; 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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.