SCO RN Community Care Manager-$7,500 Sign On Bonus Position Available In Polk, Florida

Job Description:

Who We Are Point32Health is a leading health and wellbeing organization,delivering an ever-better personalized health care experience toeveryone in our communities. At Point32Health, we are building onthe quality, nonprofit heritage of our founding organizations,Tufts Health Plan and Harvard Pilgrim Health Care, where weleverage our experience and expertise to help people find theirversion of healthier living through a broad range of health plansand tools that make navigating health and wellbeing easier. We enjoy the important work we do every day in service to ourmembers, partners, colleagues and communities. Job Summary

HYBRID OPPORTUNITY!

75%

FIELD WORK 25

%

HOME OFFICE

The Care Manager – Nursing (RN CM) will ensure that all membersreceive timely care management (CM) across the continuum, includingtransitions of care, care coordination and navigation, complex casemanagement, population health and wellness interventions, anddisease/chronic condition management per department guidelines. Thenurse care manager possesses strong clinical knowledge, criticalthinking skills, and ability to facilitate a care plan whichensures quality medical care for the member. The RN CM worksclosely with the member, the caregiver/authorized representative,and providers to meet the targeted member-specific goals. Based onnational standards for CM practice, the RN CM focuses on empoweringthe member to support optimal wellness and improvedself-management. Key Responsibilities/Duties – what you will be doing Administer assessments, collaborate with the member/caregiverand providers to develop a plan of care, implement member-specificCM interventions, and evaluate plan of care and revise asneeded. Facilitate program enrollment utilizing key motivationalinterviewing skills Provide targeted health education, proactive strategies forcondition management, and communication with key providers andvendors actively involved in the member’s care Perform both telephonic and face to face outreach to assessbarriers to wellness, medical, behavioral, and psychosocial needsof the member. Collaborate with member/caregiver and the facility care team tocoordinate a safe transition to the next level of care, whichincludes but is not limited to ensure understanding post-hospitaldischarge instructions, facilitate needed services and follow-up,and implement strategies to prevent re-admission Performs case documentation in applicable CM system accordingto department and regulatory standards Collaborates and liaises with the interdisciplinary care team,to improve member outcomes (i.e., Utilization Management, MedicalDirector, pharmacy, community health workers, dementia carespecialists, wellness, and BH CM) Attend and present (as appropriate), high risk members atinterdisciplinary rounds forum Maintain professional growth and development throughself-directed learning activities Other duties and projects as assigned. Qualifications – what you need toperform the job COVID Policy Please note: We encourage all Point32Health colleagues to followCDC guidance about

COVID-19

vaccines, boosters, isolation andmasking. Point32Health reserves the right to adjust itsrequirements in response to

COVID-19

trends in the communities weserve. Education, Certification and Licensure Registered Nurse with current unrestricted license in state ofresidence May be required to obtain other state licensure in states wherePoint32Health operates Bachelor’s Degree in Nursing preferred National certification in Case Management desirable Experience(minimum years required): 5+ years’ relevant clinical experience Experience in home care or case management preferred Proficiency in second language desirable Experience in specialty areas such as oncology, neurology,chronic condition/disease management a plus Skill Requirements Skill and proficiency in technical concepts and principles;computer software applications Skilled in assessment, planning, and managing member care Advanced communication and interpersonal skills Independent and autonomous with key job functions Ability to address multiple complex issues Flexibility and adaptability to changing healthcareenvironment Ability to organize and prioritize work and member needs Demonstration of strong clinical and critical thinking skillsWorking Conditions and Additional Requirements (include specialrequirements, e.g., lifting, travel): Must be able to work under normal office conditions and workfrom remote office as required. Work may require simultaneous use of a telephone/headset andPC/keyboard and sitting for extended durations. Ability to make face to face visits (member home, providerpractices, facilities) as needed to meet the member needs andproduce positive outcomes Valid Driver’s license and vehicle in good working condition assome travel required May be required to work additional hours beyond standard workschedule. Other duties as assigned and needed by the department The above statements are intended to describe the general natureand level of work being performed by employees assigned to thisclassification. They are not intended to be construed as anexhaustive list of all responsibilities, duties and skills requiredof employees assigned to this position. Management retains thediscretion to add to or change the duties of the position at anytime. Compensation & Total Rewards Overview As part of our comprehensive total rewards program, colleagues arealso eligible for variable pay. Eligibility for any bonus,commission, benefits, or any other form of compensation andbenefits remains in the Company’s sole discretion and may bemodified at the Company’s sole discretion, consistent with thelaw. Point32Health offers their Colleagues a competitive andcomprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additionalbuy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development,individual & family health, and financial health For more detailson our total rewards programs, visit Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA)and Health Equity ?Point32Health is committed to making diversity, equity, inclusion,accessibility and health equity part of everything we do-fromproduct design to the workforce driving that innovation. OurDiversity, Equity, Inclusion, Accessibility (DEIA) and HealthEquity team’s strategy is deeply connected to our core values andwill evolve as the changing nature of work shifts. Programming,events, and an inclusion infrastructure play a role in how wespread cultural awareness, train people leaders on engaging withtheir teams and provide parameters on how to recruit and retaintalented and dynamic talent. We welcome all applicants andqualified individuals, who will receive consideration foremployment without regard to race, color, religion, gender, genderidentity or expression, sexual orientation, national origin,genetics, disability, age, or veteran status.

Scam Alert:

Point32Health has recently become aware of job postingscams where unauthorized individuals posing as Point32Healthrecruiters have placed job advertisements and reached out topotential candidates. These advertisements or individuals may askthe applicant to make a payment. Point32Health would never ask anapplicant to make a payment related to a job application or joboffer, or to pay for workplace equipment. If you have any concernsabout the legitimacy of a job posting or recruiting contact, youmay contact This job has been posted by Ignyte AI on behalf of Point32Health.

Ignyte AI is committed to the fundamental principle of equalopportunity and equal treatment for every prospective and currentemployee. It is the policy of Ignyte AI not to discriminate basedon race, color, national or ethnic origin, ancestry, age, religion,creed, disability, sex and gender, sexual orientation, genderidentity and/or expression, military or veteran status, or anyother characteristic protected under applicable federal, state orlocal law.