Care Manager

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Conduct telephonic outreach to members and/or engage in face-to-face interactions, employing essential motivational interviewing techniques to encourage program enrollment.

• Carry out departmental assessments and assess members holistically to determine their needs, health objectives, and obstacles to wellness.

• Create a personalized care plan for each member, implement specific interventions from the care manager, and modify the care plan as necessary.

• Ensure documentation is completed in the appropriate platform in accordance with departmental policies and regulatory standards.

• Deliver targeted health education, proactive condition management strategies, and maintain communication with key providers and vendors involved in the member’s care.

• Work in collaboration with the member/caregiver and the facility care team to ensure a secure transition to the next level of care.

• Collaborate and connect with the interdisciplinary care team to enhance member outcomes.

• Pursue professional growth and development through self-directed learning initiatives.

⛳️ Requirements

• Current unrestricted Registered Nurse license in the state of residence.

• May need to obtain additional state licensure in locations where Point32Health operates.

• Comprehend and adhere to the regulations set forth in state-specific Nurse Practice Act(s) applicable to Point32Health operations.

• National certification in Case Management is preferred.

• Bachelor’s degree or equivalent relevant experience is required.

• A minimum of 5 years of pertinent clinical experience.

• Proficiency in a second language is a plus.

• Experience in specialized areas is advantageous.

• Competence in Microsoft applications, technical concepts, and principles; familiarity with computer software applications.

• Ability to collaborate effectively as a team member across various levels within the organization.

• Expertise in assessment, planning, and managing member care.

🏝️ Benefits

• Comprehensive medical, dental, and vision coverage.

• Retirement savings plans.

• Paid time off.

• Employer-funded life and disability insurance with optional buy-up coverage.

• Tuition assistance program.

• Well-being benefits.

• A full array of benefits designed to support career advancement, individual and family health, as well as financial well-being.