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Registered Nurse Care Coordinator

2 months ago

Canton, Ohio, United States Point32Health, Inc. Full time

About Us

Point32Health is a premier health and wellness organization dedicated to providing a personalized healthcare experience for all individuals in our communities. Building on the strong, nonprofit legacy of our founding entities, we utilize our extensive knowledge and skills to assist individuals in achieving their personal health goals through a diverse array of health plans and resources designed to simplify the journey of health and wellness.

We take pride in the meaningful work we perform daily in support of our members, partners, colleagues, and communities. To discover more about Point32Health, click here.

Position Overview

The Care Coordinator - Nursing (RN CM) is responsible for ensuring that all members receive prompt care management across various stages, including care transitions, coordination, complex case management, population health initiatives, and chronic disease management in accordance with departmental protocols. The nurse care coordinator possesses robust clinical expertise, analytical skills, and the ability to facilitate a care strategy that guarantees high-quality medical attention for the member. The RN CM collaborates closely with the member, their caregiver or authorized representative, and healthcare providers to achieve specific member-focused objectives. Following established national standards for care management practices, the RN CM emphasizes empowering members to foster optimal health and enhance self-management.

Key Responsibilities

  • Conduct assessments, work with the member/caregiver and healthcare providers to create a care plan, implement tailored care management interventions, and review the care plan, making adjustments as necessary.
  • Facilitate program enrollment using effective motivational interviewing techniques.
  • Deliver targeted health education, proactive strategies for managing conditions, and maintain communication with key providers and vendors involved in the member's care.
  • Engage in both telephonic and in-person outreach to identify barriers to wellness, as well as medical, behavioral, and psychosocial needs of the member.
  • Collaborate with the member/caregiver and the facility care team to ensure a safe transition to the next level of care, which includes ensuring comprehension of post-discharge instructions, facilitating necessary services and follow-ups, and implementing strategies to avert readmission.
  • Document case details in the relevant care management system in accordance with departmental and regulatory standards.
  • Work in partnership with the interdisciplinary care team to enhance member outcomes (e.g., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and behavioral health case management).
  • Participate in interdisciplinary rounds, presenting high-risk members as appropriate.
  • Engage in professional development through self-directed learning activities.
  • Perform other duties and projects as assigned.

Qualifications

COVID Policy

Point32Health encourages all colleagues to adhere to CDC guidelines regarding COVID-19 vaccinations, boosters, isolation, and masking. The organization reserves the right to modify its requirements in response to COVID-19 trends in the communities served.

Education, Certification, and Licensure

  • Registered Nurse with a current unrestricted license in the state of residence.
  • May need to obtain additional state licensure in areas where Point32Health operates.
  • Bachelor's Degree in Nursing is preferred.
  • National certification in Case Management is desirable.

Experience (minimum years required):

  • 5+ years of relevant clinical experience.
  • Experience in home care or case management is preferred.
  • Proficiency in a second language is desirable.
  • Experience in specialized areas such as oncology, neurology, or chronic condition management is a plus.

Skills Required

  • Proficient in technical concepts and principles; adept with computer software applications.
  • Skilled in assessment, planning, and managing member care.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and autonomously in key job functions.
  • Capacity to address multiple complex issues.
  • Flexibility and adaptability to a changing healthcare landscape.
  • Strong organizational and prioritization skills regarding work and member needs.
  • Demonstrated clinical and critical thinking abilities.

Working Conditions and Additional Requirements (including special requirements, e.g., lifting, travel):

  • Ability to work in a standard office environment and remotely as required.
  • May require simultaneous use of a telephone/headset and PC/keyboard, with extended periods of sitting.
  • Capability to conduct in-person visits (member homes, provider practices, facilities) as necessary to meet member needs and achieve positive outcomes.
  • Valid driver's license and a vehicle in good working condition are required, as some travel may be necessary.
  • May be required to work additional hours beyond the standard work schedule.
  • Other duties as assigned by the department.

The above statements are intended to outline the general nature and level of work performed by employees in this classification. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees in this position. Management retains the discretion to add or modify the duties of the position at any time.

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are eligible for variable pay. Eligibility for any bonuses, commissions, benefits, or other forms of compensation remains at the Company's discretion and may be modified as needed, in accordance with the law.

Point32Health offers a competitive and comprehensive total rewards package, which currently includes:

  • Medical, dental, and vision coverage.
  • Retirement plans.
  • Paid time off.
  • Employer-paid life and disability insurance with additional buy-up coverage options.
  • Tuition assistance program.
  • Well-being benefits.
  • A full suite of benefits to support career development, individual and family health, and financial wellness.

For more details on our total rewards programs, visit our website.

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is dedicated to integrating diversity, equity, inclusion, accessibility, and health equity into all aspects of our operations—from product design to the workforce driving that innovation. Our DEIA and Health Equity strategy is closely aligned with our core values and will evolve as the nature of work changes. Programming, events, and an inclusion infrastructure are integral to fostering cultural awareness, training leaders to engage with their teams, and establishing parameters for recruiting and retaining talented individuals. 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.