Jobs for People with MS: National MS Society

This job was posted by https://www.vermontjoblink.com : For more information, please see: https://www.vermontjoblink.com/jobs/1159152

Key Responsibilities/Duties what you will be doing

• Perform assessment and/or care management interventions for the referred and identified population

{=html} <!-- --> - Provide targeted health education to the enrollee, and their family members/caregivers about available benefits, community resources, health care alternatives, and the importance of proactive disease and/or condition management approaches healthcare and wellness. - Assist clinical disease management team with establishing and maintaining efficient and effective communication processes with vendors providing home interventions for Tufts Health Plan membership. - Complies with departmental workflow and documentation policies and procedures

{=html} <!-- --> - Facilitate communication between the care manager and the enrollee and the enrollee with their practitioners to promote empowering the enrollee to take an active role in managing their health

{=html} <!-- --> - Communicates with all providers, actively involved in the enrollees care, regarding individualized care plan progress, specific program participation, and complex case management interventions

{=html} <!-- --> - Maintain goals and objectives of Tufts Health Plan in working with all enrollees for the coordination of services for the above enrollee population

{=html} <!-- --> - Work in close collaboration between the behavioral health care managers, social care managers, and other department and division-wide colleagues to provide integrated care for at-risk enrollees

{=html} <!-- --> - Continuously assess the enrollees needs and updates the plan of care per established policies and procedures

{=html} <!-- --> - Attend activities including clinical and other professional organization events as needed

{=html} <!-- --> - Maintain professional growth and development through self-directed learning activities and involvement in professional, civic, and community organizations

{=html} <!-- --> - Maintain an active Massachusetts profession-specific license in good standing without restrictions - Other duties as assigned

Qualifications what you need to perform the job

COVID Policy

Please note: We encourage all Point32Health colleagues to follow CDC guidance about COVID-19 vaccines, boosters, isolation and masking. Point32Health reserves the right to adjust its requirements in response to COVID-19 trends in the communities we serve.

Education, Certification and Licensure

• Registered Nurse with current unrestricted license in state of residence
• May be required to obtain other state licensure in states where Point32Health operates
• Bachelors 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 adult chronic conditions
• Past Experience in Pediatrics or OB 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 healthcare environment
• Ability to organize and prioritize work and member needs
• Demonstration of strong clinical and critical thinking skills

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

• Must be able to work under normal office conditions and work from remote office as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• Ability to make face to face visits (member home, provider practices, facilities) as needed to meet the member needs and produce positive outcomes
• Valid Drivers license and vehicle in good working condition as some travel required
• May be required to work additional hours beyond standard work schedule.
• Other duties as assigned and needed by the department

The 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. Management retains the discretion to