Care Manager, Nursing – Mandarin/Cantonese Speaking, Community Experience

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

📋 Description

• Engage in member outreach through phone calls and in-person meetings to facilitate program enrollment.

• Conduct comprehensive assessments and evaluate members holistically to recognize their needs, health objectives, and obstacles to wellness.

• Create, implement, and modify individualized care plans and interventions for care management.

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

• Deliver focused health education and proactive strategies for condition management.

• Communicate effectively with providers and vendors involved in the care of members.

• Coordinate safe transitions to subsequent levels of care, including post-discharge instructions, services, and follow-up.

• Employ strategies aimed at preventing readmissions.

• Work collaboratively with interdisciplinary care teams to enhance member outcomes.

• Attend interdisciplinary rounds and present high-risk members.

• Foster professional development through self-directed learning.

⛳️ Requirements

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

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

• Must understand and adhere to the provisions of state-specific Nurse Practice Act(s) in the areas where Point32Health operates.

• National certification in Case Management is preferred.

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

• A minimum of 5 years of relevant clinical experience is necessary.

• Experience in home care or case management is preferred.

• Proficiency in a second language is a plus.

• Experience in specialty areas is advantageous.

• Must possess skills and proficiency in Microsoft applications, technical concepts and principles, and various computer software applications.

• Demonstrated skills in assessment, planning, and managing member care are essential.

• Advanced communication and interpersonal skills are required.

• Ability to address multiple complex issues effectively.

• Capable of organizing and prioritizing work as well as member needs.

• Strong clinical and critical thinking abilities are essential.

• Must maintain confidentiality of data and adhere to corporate compliance policies.

• Ability to make face-to-face visits as required.

• A valid driver’s license and a vehicle in good working order are necessary.

• Willingness to work additional hours beyond the standard work schedule may be required.

🏝️ Benefits

• Comprehensive medical, dental, and vision coverage.

• Retirement plan options.

• Paid time off benefits.

• Employer-funded life and disability insurance with options for additional coverage.

• Tuition assistance program.

• Well-being benefits.

• A full range of benefits that support career growth, individual and family health, and financial wellness.

• Eligibility for variable pay opportunities.