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Sco Onboarding Rncm North 1/North 2 (Gloucester To Chelsea)

Company

Point32Health
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-06-26
Posted at 1 year ago
Job Description
Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where 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.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities.
Job Summary
Under the administrative direction of the Clinical Manager, the Onboarding Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to conduct initial assessments, develop initial plan of care (POC), and transition member to primary owner/Nurse Case Manger(NCM) for new effective members, while working within a healthcare team. The Onboarding NCM directly interfaces with physicians, other members of the primary care team, members, and their caregivers in identifying risk factors, conducting assessments, and developing and implementing care plans initially for members’ care.
Key Responsibilities/Duties – what you will be doing
The Onboarding NCM will have a clear understanding of the role and will demonstrate a commitment to executing on the following responsibilities:
  • Timely completion of initial geriatric assessments and other assessments deemed necessary by program needs.
  • Development and communication (with member, caregiver and primary care physician/primary care team) of an individualized plan of care
  • Completion of the Minimum Data Set-Home Care (MDS-HC)
  • Facilitation of member and caregiver access to community resources relevant to the member’s needs, including referrals to Adult Day Health, Adult Foster Care and the Personal Care Attendant Program.
  • Participation in routine primary care team meetings
  • Pro-active management and follow-up (via home visits and by telephone) according to the member’s care plan
  • Complete regulatory assessments and tasks to assist clinical team to meet business needs
  • Direct caregiver support
  • Serves as a member advocate and facilitator to resolve issues that may be barriers to care
  • Provide education and coaching to the member, family, and/or caregiver about health status, treatment options, goals of care, and health insurance benefits to assist members in making the most informed decisions and help promote self-management
Qualifications – what you need to perform the job
EDUCATION: (Minimum education & certifications required)
  • Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted state license is required.
EXPERIENCE: (Years of experience)
  • Minimum 3 years clinical nursing experience required
  • Proficient in computer use, the Internet, and health information technology required
  • Experience within a SCO program highly preferred
  • Experience in case management managing geriatric/chronic illness populations required
  • Case management certification a plus
  • Experience in Medicare and/or Medicaid managed care preferred
SKILL REQUIREMENTS: (Include interpersonal skills)
  • Demonstrate the ability to work autonomously
  • Demonstrate initiative in achieving individual, team, and organizational goals and objectives
  • Regard for confidential data and adherence to corporate compliance policy
  • Demonstrate cultural competency and sensitivity
  • Must be able to prioritize work and develop strategies for adapting to constantly changing priorities and urgencies.
  • Work cooperatively as a team member across multiple levels within the organization
WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: (include special requirements, e.g., lifting, travel, overtime)
  • Ability to travel frequently to member’s homes, hospitals, skilled nursing facilities, PCP office practices and other sites where patients receive care.
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—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
COVID Policy
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.