Hybrid RN Care Manager – Complex Care & Home Visits

Commonwealth Care Alliance Inc; Gloucester (MA); Hybrid; USD 75,000 - 121,000; Full time

Job summary

Commonwealth Care Alliance is seeking a Mobile Hybrid RN Care Manager for the North Shore/Merrimack Valley region in Massachusetts. This community-based role focuses on monitoring, care coordination, and delivering complex care management to dually eligible enrollees with medical, behavioral, and social needs.

You will lead the interdisciplinary team, conduct assessments, develop care plans, and connect members with home-based and community resources.

Qualifications

• Associates of Science in Nursing from an accredited program.
• Active RN license in Massachusetts.
• Experience in care coordination or case management preferred.
• Medicaid/Medicare managed care experience preferred.
• Clinical field/community-based training a plus.

Responsibilities

• Engage with enrollees in their homes and community settings to build a complex care management relationship.
• Liaise between healthcare providers, community resources, and enrollees for seamless care transitions.
• Perform assessments (comprehensive, functional, risk) in a timely manner.
• Develop and implement care plans with regular updates as status changes.
• Lead the interdisciplinary care team to create holistic plans addressing medical and social needs.
• Oversee enrollment in long-term services to maintain preferred living locations.
• Educate members and families about benefits and services under Medicare/Medicaid.
• Coordinate with PCPs, specialists, and community organizations.

Skills

Interpersonal skills

Communication skills

Care coordination

Clinical assessments

Home visits

Education

AS in Nursing

RN license

Tools

Microsoft Office

Job description

Commonwealth Care Alliance is seeking a Mobile Hybrid RN Care Manager for the North Shore/Merrimack Valley region in Massachusetts. This community-based role focuses on monitoring, care coordination, and delivering complex care management to dually eligible enrollees with medical, behavioral, and social needs.

You will lead the interdisciplinary team, conduct assessments, develop care plans, and connect members with home-based and community resources.