Case Manager (RN)

Insight Global; Massachusetts; On-site; USD 68,000 - 100,000; Full time

Job summary

Insight Global is seeking a skilled Care Manager to support dual-eligible Medicare and Medicaid members with complex medical, behavioral, and social needs in a community setting. The role focuses on assessments and care coordination to improve health outcomes and quality of life.

Responsibilities include conducting in-home and community visits, completing comprehensive and functional assessments, and utilizing the Uniform Core Assessment (UCA) framework to guide care planning and coordination

Qualifications

• 3+ years of RN/Behavioral Health Clinician experience, or 1 year of RN/Behavioral Health experience plus 2 years working with complex populations
• Valid driver's license, reliable transportation, and auto insurance
• Experience with LTSS and Dual-Eligible populations
• Experience in population health or community health

Responsibilities

• Conducting in-home and community-based member visits
• Completing comprehensive assessments, functional assessments and/or UCA Assessments
• UCA = Uniform Core Assessment

Skills

RN/Behavioral Health Clinician

Care coordination

Home health nursing

Driver's license

Job description

• 3+ years of RN/Behavioral Health Clinician experience, or
• 1 year of RN/Behavioral Health experience plus 2 years working with complex populations

• Valid driver's license, reliable transportation, and auto insurance

Nice to Have Skills & Experience

• LTSS and Dual-Eligible populations
• Population health or community health

Job Description

Day-to-Day Responsibilities

This community-based Care Manager supports dual-eligible Medicare and Medicaid members with complex medical, behavioral, and social needs. The primary focus is conducting assessments to improve health outcomes and quality of life.

Responsibilities include:

• Conducting in-home and community-based member visits
• Completing comprehensive assessments, functional assessments and/or UCA Assessments
• UCA = Uniform Core Assessment
• UCA used to be referred to as an MDS assessment

Ideal Candidate: Experienced Care Manager or Home Health Nurse with strong care coordination experience.