In-Home RN Case Manager — Integrated Care (MA)

CareSource; Mobile (AL); On-site; USD 75,000 - 121,000; Full time

Job summary

CareSource in Massachusetts is seeking an Integrated Care Clinical Manager (RN) to coordinate comprehensive care for dually-eligible enrollees with complex medical, behavioral, and social needs. You will lead the interdisciplinary care team, collaborate with providers, and ensure seamless care transitions in community settings.

This mobile role requires travel, a Massachusetts RN license, and experience in care coordination or case management; Medicaid/Medicare knowledge is preferred.

Qualifications

• Associates of Science in nursing from an accredited program.
• Registered Nurse able to independently serve people with complex needs.
• Care coordination or case management experience preferred.
• Medicaid/Medicare managed care experience preferred.

Responsibilities

• Engage enrollees in home and community settings to build complex care management relationships.
• Coordinate between healthcare providers and community resources for seamless care transitions.
• Perform comprehensive assessments including MDS-HC and risk assessments.
• Lead the interdisciplinary care team to create holistic care plans addressing medical and social needs.
• Monitor long-term services usage to keep enrollees in their preferred location.
• Follow up after hospitalizations to ensure continuity and prevent readmissions.

Skills

Interdisciplinary teamwork

Communication skills

Care coordination

Multitasking

Education

AS in Nursing

RN license

Tools

Microsoft Office

Job description

CareSource in Massachusetts is seeking an Integrated Care Clinical Manager (RN) to coordinate comprehensive care for dually-eligible enrollees with complex medical, behavioral, and social needs. You will lead the interdisciplinary care team, collaborate with providers, and ensure seamless care transitions in community settings.

This mobile role requires travel, a Massachusetts RN license, and experience in care coordination or case management; Medicaid/Medicare knowledge is preferred.