Mobile RN Care Manager: Complex Care Coordination

CareSource; Massachusetts; Sur place; USD 75 000 - 121 000; Plein temps

Résumé du poste

CareSource/Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager (RN) to coordinate care for dually-eligible enrollees with complex medical, behavioral, and social needs. The role focuses on integrating health services with community resources to improve outcomes and quality of life.

Responsibilities include leading the interdisciplinary care team, conducting comprehensive assessments, coordinating with providers, and ensuring access to housing, transportation,

Qualifications

• Associates of Science (A.S) degree in nursing from an accredited nursing program.
• Registered Nurse with the ability to independently serve people with complex medical, behavioral, and social needs.
• Clinical field/community-based training a plus

Responsabilités

• Engage enrollees in 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.
• Oversee enrollee utilization of long-term services and supports to keep individuals in their chosen location.
• Assist enrollees in accessing housing, transportation, food assistance, and social services.
• Educate members about benefits, managing chronic conditions, and preventive care.
• Follow up after hospitalizations to ensure continuity of care and prevent readmissions.
• Coordinate with primary care physicians, specialists and community partners to avoid duplication of services.

Connaissances

Interpersonal skills

Communication skills

Microsoft Office

Care coordination

Problem-solving

Independence

Formation

Associate of Science in Nursing

Description du poste

CareSource/Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager (RN) to coordinate care for dually-eligible enrollees with complex medical, behavioral, and social needs. The role focuses on integrating health services with community resources to improve outcomes and quality of life.

Responsibilities include leading the interdisciplinary care team, conducting comprehensive assessments, coordinating with providers, and ensuring access to housing, transportation,