Nurse Care Manager
Company: Point32Health
Location: Brookline
Posted on: June 14, 2022
Job Description:
Are you interested in becoming part of a dynamic team that is
looking to innovate and improve? Would you like to work for a
company that has been rated by the BBJ (15+ years) as one of the
best places to work? Do you want to be part of a company that is
committed to giving back to the community? Point32Health is
currently seeking highly motivated individuals to join our
organization as Nurse Care Manager. The Nurse Care Manager serves
as care manager to members across the continuum and collaborates
with care managers from vended programs.Job DescriptionWHAT YOU
WILL BE DOING
- Assesses, plans, implements, documents, coordinates, monitors,
and evaluates the plan of care by collaborating with the members,
family members/DPR, physician, the health care team, providers, and
employer groups, as appropriate.
- Researches, evaluates, and recommends resources to meet medical
and non-medical needs of members.
- Collaborates, refers, and communicates across all programs to
ensure appropriate coordination of services. Identifies problems
and possible solutions in the coordination of care to determine
most appropriate setting.
- Applies motivational interviewing techniques to engage members
in achieving their health goals Functions as a liaison to promote
effective working relationships with providers and as a resource/
consultant for other nurse care managers and departments within
Point32Health.
- Reports clinical occurrences to appropriate designee.
- Performs concurrent review using Point32Health criteria and
guidelines to determine when services are no longer medically
necessary and to transition to appropriate level of care.
- Perform out-of-the-box thinking, collaborate with others, and
make a difference every day!
- Other duties and projects as assigned.RequirementsWHAT YOU NEED
- Registered nurse, BSN required or appropriate experience and/or
education.
- Minimum 5 years of professional clinical experience in a
clinical setting; Active licensure in required states with
Certification in a specialty area.
- Experience with care management, discharge planning, and
electronic medical record systems.
- Patient teaching/education/home care background; knowledge in
motivational interviewing techniques.
- Ability to sway others in acceptance of an idea, plan, or
activity; able to assess both physical and psychosocial
problems.
- Car and Valid Driver's License, excellent telephonic problem
solving, organizational, communication, and interpersonal
skills.
- Resilient, collaborative, self-motivated, flexible,
innovative.WHAT MAKES US STAND OUT
- Work-Life-Flexibility
- Paid volunteer time off (up to 3 days annually)
- Open Time Off
- Annual Mini-Grant of $500 donated to a non-profit organization
of the employee's choice
- Educational ReimbursementWorking EnvironmentVaries between
Point32Health offices and home office conditions and onsite work at
various locations within Point32Health service area. Travel may be
required within the Point32Health service area.DisclaimerThe above
statements are intended to describe the general nature and level of
work being performed by employees assigned to this classification.
They are not intended to be construed as an exhaustive list of all
responsibilities, duties and skills required of employees assigned
to this position.What we build together changes our customer's
health for the better. We are looking for talented and innovative
people to join our team. Come join us!Please note: As of January
18, 2022, all employees including remote employees must be fully
vaccinated. This position will require the successful candidate to
show proof of full vaccination against COVID-19. Point32Health is
an equal opportunity employer, and will consider reasonable
accommodation to those individuals who are unable to be vaccinated
consistent with federal, state, and local law.About
Us:Point32Health is a leading health and wellbeing organization,
delivering an ever-better health care experience to everyone in our
communities. Building on the quality, nonprofit heritage of our
founding organizations, Tufts Health Plan and Harvard Pilgrim
Health Care, we leverage our experience and expertise to help
people find their version of healthier living through a broad range
of health plans and tools that make navigating health and wellbeing
easier.At Point32Health, were working to reshape the world of
health care by pushing past the status quo and delivering even more
to the diverse communities we serve: more innovation, more access,
more support, and healthier lives. And we want people like you on
our side to make it even better.This job has been posted by
TalentBoost on behalf of Point32Health. TalentBoost is committed to
the fundamental principle of equal opportunity and equal treatment
for every prospective and current employee. It is the policy of
TalentBoost not to discriminate based on race, color, national or
ethnic origin, ancestry, age, religion, creed, disability, sex and
gender, sexual orientation, gender identity and/or expression,
military or veteran status, or any other characteristic protected
under applicable federal, state or local law.Req ID: R4323
Keywords: Point32Health, Brookline , Nurse Care Manager, Executive , Brookline, Massachusetts
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