Home-Based RN Care Manager – Dual-Eligible Care

CareSource; Massachusetts; On-site; USD 80,000 - 120,000; Full time

Benefits offered by this job

Flexible hours

Total rewards package

Travel opportunities

Job summary

CareSource is seeking an Integrated Care Clinical Manager in Massachusetts to monitor and manage clinical care for dually-eligible enrollees with complex needs. The role focuses on integrating health services with community resources to improve outcomes and quality of life.

The position requires RN licensure, experience in care coordination, and ability to travel within the Massachusetts territory to conduct member and provider visits. A comprehensive total rewards package is offered.

Qualifications

• AS in nursing from an accredited program is required.
• RN with ability to serve people with complex medical, behavioral, and social needs.
• Experience in care coordination or with dual-eligible populations preferred.

Responsibilities

• Engage with enrollees in their homes and community settings.
• Coordinate with healthcare providers and community resources for care transitions.
• Perform assessments including Comprehensive Assessment and functional assessments.
• Lead interdisciplinary care team to develop holistic care plans.
• Oversee enrollee utilization of long-term services and supports.
• Educate enrollees about benefits under Medicare and Medicaid.

Skills

Microsoft Office

Medicare/Medicaid knowledge

Communication skills

Case management

Ethical practice

Multitasking

Interpersonal skills

Education

A.S. in Nursing

Registered Nurse (RN) license

Tools

MS Office

Job description

CareSource is seeking an Integrated Care Clinical Manager in Massachusetts to monitor and manage clinical care for dually-eligible enrollees with complex needs. The role focuses on integrating health services with community resources to improve outcomes and quality of life.

The position requires RN licensure, experience in care coordination, and ability to travel within the Massachusetts territory to conduct member and provider visits. A comprehensive total rewards package is offered.