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.
Through assessment and collaboration with member/caregiver and providers, 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.
Collaborates and liaises 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
Proficiency in a second language desirable
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.
Hard skills
motivational interviewingcare managementhealth educationclinical assessmentdocumentationcondition managementplan of care developmentintervention implementationholistic evaluationmember outreach