Mobile RN Care Manager for Complex Community Care

CareSource; Brockton (MA); On-site; USD 80,000 - 120,000; Full time

Job summary

Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager to deliver in-home, community-based health and social care management for dually eligible enrollees with complex medical, behavioral and social needs.

The RN will lead the interdisciplinary team, assess and develop care plans, coordinate care transitions, and connect members with housing, transportation and other supports while meeting NCQA standards.

Qualifications

• Associates of Science (A.S) degree in nursing from an accredited nursing program required
• A Registered Nurse with the ability to independently serve people with complex medical, behavioral, and social needs. required
• Prior experience in care coordination, case management, or working with dual-eligible populations preferred
• Medicaid and/or Medicare managed care experience preferred
• Clinical Field/ Community Based Training a Plus

Responsibilities

• Engage with enrollees in their homes and community settings to establish a complex care management relationship.
• Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
• Perform Comprehensive Assessments (e.g., MDS-HC or successor) and Crisis/Risk Assessments.
• Lead the interdisciplinary care team (ICT) to create holistic care plans addressing medical and non-medical needs.
• Oversee enrollee utilization of long-term services and supports to keep them in their preferred location.
• Assist members in accessing community resources such as housing, transportation, and food assistance.
• Educate members about benefits and services under Medicare and Medicaid.
• Coordinate with PCPs, specialists, and other providers to share relevant information.

Skills

Interpersonal skills

Communication

Case management

Multi-tasking

Decision making

Teamwork

Customer service

Microsoft Office

Education

Associate of Science (A.S) degree in nursing

Job description

Commonwealth Care Alliance in Massachusetts seeks an Integrated Care Clinical Manager to deliver in-home, community-based health and social care management for dually eligible enrollees with complex medical, behavioral and social needs.

The RN will lead the interdisciplinary team, assess and develop care plans, coordinate care transitions, and connect members with housing, transportation and other supports while meeting NCQA standards.