Hybrid RN Case Manager - Holyoke

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

Job summary

CareSource in Springfield, MA is seeking a Hybrid RN Case Manager to provide monitoring, follow-up, and clinical care management to dually-eligible enrollees with complex medical, behavioral, and social needs in community settings. The role emphasizes interdisciplinary collaboration, patient education, and coordination of long-term services.

Requires MA RN license, ASN, and experience in care coordination; case management certification is a plus; valid driver's license and reliable vehicle

Qualifications

• ASN in nursing from an accredited program.
• Current MA RN license required.
• Case Management Certification preferred.
• Driver's license, vehicle, and proof of insurance required.

Responsibilities

• Engage with enrollees in their homes and community settings.
• Function as a liaison between healthcare providers, community resources, and enrollees.
• Perform required assessments, including Comprehensive Assessment and Crisis 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.
• Educate members about their Medicare and Medicaid benefits.
• Promote healthy lifestyle choices and self-management strategies.
• Follow up with members after hospitalizations to ensure continuity of care.

Skills

Home health care

Care coordination

Interdisciplinary collaboration

Patient education

Education

Associates of Science in Nursing

Job description

About This Role

The Hybrid RN Case Manager is a community-based registered nurse responsible for providing monitoring, follow-up, and clinical care management to dually-eligible enrollees with complex medical, behavioral, and social care needs. This role is ideal for experienced nurses looking to integrate health services and community resources to improve health outcomes.

Highlights

• Pay: $75,200 - $120,500/year
• Location: Springfield, MA
• Facility: CareSource
• Schedule: Full-time

What You'll Do

• Engage with enrollees in their homes and community settings.
• Function as a liaison between healthcare providers, community resources, and enrollees.
• Perform required assessments, including Comprehensive Assessment and Crisis 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.
• 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.

Requirements

Education

• Associates of Science (A.S) degree in nursing from an accredited nursing program required

Experience

• Prior experience in care coordination, case management, or working with dual-eligible populations preferred

Licenses & Certifications

• Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN) required
• Case Management Certification is highly preferred
• Must have valid driver's license, vehicle, and verifiable insurance

About CareSource

CareSource is a leading healthcare provider committed to delivering exceptional patient care. They focus on improving health outcomes for their members through innovative care management solutions and community partnerships.