Responsibilities
- Ensure that all members receive timely care management (CM) across the continuum
- Perform telephonic member outreach and/or face‑to‑face encounter utilizing key motivational interviewing skills to facilitate program enrollment
- Perform departmental assessments and evaluate members holistically to identify needs, health goals, and barriers to wellness
- Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care
- Maintain professional growth and development through self‑directed learning activities
- 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 and liaise with the interdisciplinary care team to improve member outcomes
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
- 5 years’ relevant clinical experience is required
- 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
- Ability to address multiple complex issues
- Flexibility and adaptability to changing healthcare environment
Core Competencies
Demonstrates expertise in care management, including telephonic outreach, holistic assessments, and interdisciplinary collaboration to enhance member outcomes. Proficient in documentation and compliance with regulatory standards while maintaining professional growth in a dynamic healthcare environment.
#J-18808-LjbffrSCO RN Care Manager, Chinese Speaking Preferred in ma at Unknown Company
- Typical pay
- $71,760–$115,000
For context, most registered nurses earn between $71,760–$115,000 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.