Field-Based RN Care Manager: Complex Community Health & Care Coordination

CareSource; Lunenburg (MA); On-site; USD 80,000 - 120,000; Full time

Job summary

CareSource in Massachusetts seeks an Integrated Care Clinical Manager, a community-based RN responsible for monitoring, follow-up and clinical care management for dually eligible enrollees with complex medical, behavioral, and social needs.

You will lead the interdisciplinary care team, coordinate with providers and community resources, perform essential assessments, and educate members on benefits and preventive care while traveling to member homes and clinics to ensure seamless care

Qualifications

• Associates of Science degree in nursing from an accredited program.
• Registered Nurse licensed in Massachusetts.
• Care coordination or case management experience with dual-eligible populations preferred.
• Medicaid/Medicare managed care experience preferred.
• Clinical Field/Community Based Training is a plus.

Responsibilities

• Engage enrollees in homes and community settings to build complex care management relationships.
• Coordinate communication between providers, community resources, and enrollees.
• Perform comprehensive assessments (including MDS-HC) and functional assessments as needed.
• Lead interdisciplinary care team to develop holistic care plans.
• Oversee enrollee utilization of long‑term services to keep members in their preferred location.
• Educate enrollees on benefits, medications, preventive care and self-management.
• Follow up after hospitalizations to ensure continuity of care.

Skills

Care coordination

Communication skills

Interdisciplinary teamwork

Customer service

Cultural competence

Education

Associate of Science in Nursing

RN license

Case Management Certification (preferred)

Tools

Microsoft Office

Job description

CareSource in Massachusetts seeks an Integrated Care Clinical Manager, a community-based RN responsible for monitoring, follow-up and clinical care management for dually eligible enrollees with complex medical, behavioral, and social needs.

You will lead the interdisciplinary care team, coordinate with providers and community resources, perform essential assessments, and educate members on benefits and preventive care while traveling to member homes and clinics to ensure seamless care