Integrated Care RN: Community-Based Manager

caresource; Everett (MA); On-site; USD 90,000 - 120,000; Full time

Job summary

caresource in Massachusetts seeks an Integrated Care Clinical Manager (RN) to provide monitoring, follow-up, and care management for dually-eligible enrollees with complex medical, behavioral, and social needs in home and community settings. The role leads an interdisciplinary team and coordinates care with providers and resources to improve outcomes.

The position requires an RN license in MA, with experience in care management; travel to member sites and hospitals is expected to ensure

Qualifications

• RN with AS degree and Massachusetts license required.
• Experience in care coordination or case management preferred.
• Medicaid and/or Medicare managed care experience preferred.

Responsibilities

• Engage enrollees in home and community settings to develop care plans and monitor progress.
• Lead the interdisciplinary care team to create holistic care plans addressing medical and social needs.
• Coordinate with healthcare providers, community resources, and state agencies to avoid duplication of services.

Skills

Microsoft Office

Interpersonal skills

Communication skills

Case management

Home care coordination

Education

AS degree in Nursing

Job description

caresource in Massachusetts seeks an Integrated Care Clinical Manager (RN) to provide monitoring, follow-up, and care management for dually-eligible enrollees with complex medical, behavioral, and social needs in home and community settings. The role leads an interdisciplinary team and coordinates care with providers and resources to improve outcomes.

The position requires an RN license in MA, with experience in care management; travel to member sites and hospitals is expected to ensure