In-Home RN Care Manager for Dual-Eligible Care

Commonwealth Care Alliance; Massachusetts; On-site; USD 90,000 - 120,000; Full time

Job summary

Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager to oversee care management for dually-eligible enrollees with complex needs. The role involves building care plans, coordinating with providers, and leading an interdisciplinary team to improve outcomes.

Responsibilities include home visits, making sure services align with Medicare/Medicaid benefits, and ensuring smooth transitions between care settings. Travel within the MA territory is required.

Qualifications

• RN with the ability to independently serve people with complex medical, behavioral, and social needs.
• Associates of Science (A.S) degree in nursing from an accredited nursing program required.
• Case management and care coordination experience preferred.

Responsibilities

• Engage with enrollees in their homes and community settings to establish a complex care management relationship.
• Lead the interdisciplinary care team to create holistic care plans addressing medical and non-medical needs.
• Coordinate with healthcare providers and community resources for seamless care transitions.

Skills

Microsoft Office

Medicare/Medicaid

Interpersonal skills

Communication

Customer service

Team collaboration

Education

A.S. in Nursing

Tools

Outlook

Word

Excel

Job description

Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager to oversee care management for dually-eligible enrollees with complex needs. The role involves building care plans, coordinating with providers, and leading an interdisciplinary team to improve outcomes.

Responsibilities include home visits, making sure services align with Medicare/Medicaid benefits, and ensuring smooth transitions between care settings. Travel within the MA territory is required.