SCO RN Care Manager – North 2

Responsibilities

• 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.
• 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.
• Skill and proficiency in Microsoft applications, technical concepts and principles; computer software applications
• Skilled in assessment, planning, and managing member care
• Independent and autonomous with key job functions
• Ability to address multiple complex issues
• Flexibility and adaptability to changing healthcare environment

Core Competencies

Demonstrates expertise in member assessment, care planning, and management, with a focus on motivational interviewing and interdisciplinary collaboration to enhance member outcomes. Holds a Registered Nurse license and possesses strong documentation skills in compliance with regulatory standards.

Highest-signal resume keywords

• Registered Nurse License
• Case Management Certification
• Member Care Assessment
• Motivational Interviewing Skills
• Microsoft Applications Proficiency

Hard Skills

• Member Care Planning
• Health Education
• Condition Management Strategies
• Documentation Compliance
• Holistic Needs Assessment
• Interdisciplinary Collaboration
• Regulatory Standards Knowledge
• Complex Issue Resolution
• Autonomous Functioning
• Flexibility in Healthcare

Soft Skills

• Communication Skills
• Adaptability
• Professional Growth
• Collaboration
• Independent Decision-Making

Certifications & Qualifications

• Registered Nurse License
• National Case Management Certification

Industry Keywords

• Nurse Practice Act
• Healthcare Environment
• Member Outcomes
• Care Team Coordination
• Telephonic Outreach

Tools & Technologies

• Microsoft Applications
• Care Management Software
• Documentation Platforms