Hybrid RN Case Manager - South Shore / Southeast MA - $5K SIGN ON BONUS!

CareSource; Quincy (MA); On-site; USD 75,000 - 121,000; Full time

Job summary

CareSource in Quincy, MA is seeking a Hybrid RN Case Manager to provide monitoring, follow-up, and clinical care management for dually eligible enrollees with complex medical, behavioral, and social needs. The role involves home visits, coordinating with providers and community resources, conducting comprehensive assessments, leading the care team, guiding utilization of long-term services, and educating members about Medicare and Medicaid benefits, with a $5K sign-on bonus.

Qualifications

• A.S. in nursing from an accredited program.
• Active Massachusetts RN license required.
• Case Management Certification preferred.
• Must have a valid driver\'s license and verifiable auto insurance.

Responsibilities

• Engage enrollees in their homes and community settings.
• Function as a liaison between healthcare providers, community resources, and enrollees.
• Perform 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 Medicare and Medicaid benefits.
• 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.

Skills

Care coordination

Case management

Home health

Patient education

Team collaboration

Education

Associate 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: Quincy, MA
• Sign-On Bonus: $5K

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 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 a 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 engagement.