Care Manager – Nursing

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

📋 Description

• Ensure that all members receive timely care management (CM) throughout the continuum.

• Conduct telephonic outreach and/or face-to-face meetings using key motivational interviewing techniques to encourage program enrollment.

• Carry out departmental assessments and evaluate members comprehensively to identify their needs, health objectives, and obstacles to wellness.

• Create a tailored plan of care for each member, implement specific interventions from care managers, and update the care plan as necessary.

• Offer targeted health education, proactive strategies for managing conditions, and maintain communication with key providers and vendors involved in the member’s care.

• Work collaboratively with the member, caregiver, and facility care team to ensure a smooth transition to the next level of care.

• Act as a liaison with the interdisciplinary care team to enhance member outcomes.

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

⛳️ Requirements

• Registered Nurse with a current unrestricted license in the state of residence.

• May need to acquire additional state licensure in states where Point32Health operates.

• Comprehend and adhere to the provisions of state-specific Nurse Practice Act(s).

• National certification in Case Management is preferred.

• Bachelor’s degree or relevant equivalent experience (minimum required).

• A minimum of 5 years of relevant clinical experience.

• Proficiency in a second language is advantageous.

• Experience in home care or case management is preferred.

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

• Ability to collaborate effectively as a team member at various organizational levels.

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

• Advanced communication and interpersonal skills.

• Capacity to address multiple complex issues.

• Flexibility and adaptability to a changing healthcare environment.

• Ability to organize and prioritize tasks and member needs.

• Demonstrated strong clinical and critical thinking skills.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Retirement plans.

• Paid time off.

• Employer-paid life and disability insurance, with additional buy-up coverage options available.

• Tuition assistance program.

• Well-being benefits.

• Comprehensive benefits package to support career development, individual and family health, and financial well-being.