Community-Based RN Care Manager for Dual-Eligible Care (MA)

CareSource; Mobile (AL, MA); Presencial; USD 80.000 - 120.000; Jornada completa

Descripción de la vacante

CareSource Massachusetts seeks an Integrated Care Clinical Manager (RN) to lead complex care management for dually eligible enrollees. The role emphasizes in-home assessments, care plan development, and coordinating between primary care, specialists, and community resources to improve health outcomes.

You will direct the interdisciplinary care team, ensure timely assessments, manage long-term services, and advocate for enrollees while adhering to NCQA standards.

Formación

• RN with ability to independently serve people with complex medical, behavioral, and social needs.
• Care coordination, case management, or dual-eligible experience preferred.
• Medicare/Medicaid managed care experience preferred.

Responsabilidades

• Engage enrollees in their homes and community settings to build a care-management relationship.
• Lead the interdisciplinary care team to create holistic care plans.
• Perform comprehensive assessments and follow-up to manage enrollment health needs.

Conocimientos

Interdisciplinary teamwork

Communication skills

Time management

Cultural sensitivity

Home-based care

Educación

A.S. in Nursing

Herramientas

Outlook

Word

Excel

Descripción del empleo

CareSource Massachusetts seeks an Integrated Care Clinical Manager (RN) to lead complex care management for dually eligible enrollees. The role emphasizes in-home assessments, care plan development, and coordinating between primary care, specialists, and community resources to improve health outcomes.

You will direct the interdisciplinary care team, ensure timely assessments, manage long-term services, and advocate for enrollees while adhering to NCQA standards.