Community RN Care Manager — Integrated Care Leader

CareSource; Chicopee (MA); Hybrid; USD 75,000 - 121,000; Full time

Job summary

CareSource is seeking an Integrated Care Clinical Manager in Chicopee, MA. This community-based RN monitors and manages care for dually-eligible enrollees with complex medical, behavioral, and social needs, coordinating with healthcare providers and community resources.

The ideal candidate holds an AS in Nursing and MA RN licensure; Medicaid/Medicare managed care experience and Case Management Certification are preferred. A valid driver’s license, vehicle, and insurance are required.

Qualifications

• Associates of Science in nursing from an accredited nursing program.
• Experience in care coordination or case management preferred.
• Medicaid and/or Medicare managed care experience preferred.
• Massachusetts RN license required.
• Case Management Certification highly preferred.
• Must have a valid driver's license, vehicle, and verifiable insurance.

Responsibilities

• Engage with enrollees in their homes and community settings to establish care management relationships.
• Function as a liaison between healthcare providers, community resources, and enrollees.
• Perform required assessments, including Comprehensive Assessment and Crisis and Risk Assessments.
• Lead the interdisciplinary care team to create holistic care plans.
• Oversee enrollee utilization of long-term services and supports.
• Assist members in accessing community resources, including housing and transportation.
• Educate members about their benefits under Medicare and Medicaid.
• Promote healthy lifestyle choices and self-management strategies.
• Follow up with members after hospitalizations to ensure continuity of care.
• Advocate for the needs and preferences of enrollees within the healthcare system.

Skills

Care coordination

Home visits

Interdisciplinary teamwork

Education

AS in Nursing

Job description

CareSource is seeking an Integrated Care Clinical Manager in Chicopee, MA. This community-based RN monitors and manages care for dually-eligible enrollees with complex medical, behavioral, and social needs, coordinating with healthcare providers and community resources.

The ideal candidate holds an AS in Nursing and MA RN licensure; Medicaid/Medicare managed care experience and Case Management Certification are preferred. A valid driver’s license, vehicle, and insurance are required.