Hybrid RN Case Manager — Remote/Field, $5K Sign-On

Commonwealth Care Alliance Inc; Stoughton (MA); Hybride; USD 75 000 - 121 000; Plein temps

Avantages offerts par ce poste

Sign-on bonus

Résumé du poste

Commonwealth Care Alliance is seeking an Integrated Care Clinical Manager for Massachusetts. This mobile role covers the South Shore and Southeast MA, coordinating care for dually-eligible enrollees with complex needs and linking medical and community resources to improve outcomes.

You will lead the interdisciplinary team, ensure appropriate long-term supports, and educate members on Medicare/Medicaid benefits, with regular travel within assigned territory.

Qualifications

• Associates of Science (A.S) degree in nursing from an accredited nursing program.
• Registered Nurse with ability to independently serve people with complex needs.
• Prior experience in care coordination or case management preferred.
• Medicaid/Medicare managed care experience preferred.

Responsabilités

• Engage with enrollees in homes and community settings to build an effective care management relationship.
• Coordinate with healthcare providers and community resources for seamless transitions.
• Conduct comprehensive assessments and functional assessments as required.
• Develop and implement care plans with the interdisciplinary team.
• Oversee utilization of long-term services to support enrollee location preferences.
• Educate members on benefits, services, and chronic condition management.
• Follow up after hospitalizations to ensure continuity of care.

Connaissances

Care coordination

Interdisciplinary teamwork

Communication skills

Microsoft Office

Care transitions

Formation

Associate of Science in Nursing

Registered Nurse license (MA)

Outils

Microsoft Office

EMR knowledge

Description du poste

Commonwealth Care Alliance is seeking an Integrated Care Clinical Manager for Massachusetts. This mobile role covers the South Shore and Southeast MA, coordinating care for dually-eligible enrollees with complex needs and linking medical and community resources to improve outcomes.

You will lead the interdisciplinary team, ensure appropriate long-term supports, and educate members on Medicare/Medicaid benefits, with regular travel within assigned territory.