Mobile RN Case Manager — Community Health Lead

Commonwealth Care Alliance Inc; Springfield (MA); Hybrid; USD 80,000 - 120,000; Full time

Job summary

Commonwealth Care Alliance Inc is seeking a Hybrid RN Case Manager in Springfield, MA. This community-based role focuses on coordinating care for dually-eligible enrollees with complex medical, behavioral, and social needs, delivering assessments, care plans, and education to patients and families.

You will lead the interdisciplinary care team, work across healthcare providers and community resources, and travel to member homes as needed to ensure seamless transitions and prevent readmissions.

Qualifications

• Associates of Science in nursing from an accredited program.
• Active RN license in the Commonwealth of Massachusetts.
• Prior care coordination or case management experience preferred.
• Medicaid/Medicare managed care experience preferred.

Responsibilities

• Engage enrollees in their homes to establish a care management relationship.
• Coordinate with healthcare providers and community resources for seamless care transitions.
• Conduct comprehensive assessments and functional assessments as required.
• Lead the interdisciplinary care team to develop holistic care plans.
• Assist enrollees in accessing housing, transportation, food, and social services.
• Follow up after hospitalizations to prevent readmissions.
• Educate members about managing chronic conditions and preventive care.

Skills

Interpersonal skills

Communication

Decision making

Attention to detail

Team collaboration

Customer service

Multitasking

Education

AS in Nursing

RN License (Massachusetts)

Case Management Certification (preferred)

Tools

Microsoft Office

Job description

Commonwealth Care Alliance Inc is seeking a Hybrid RN Case Manager in Springfield, MA. This community-based role focuses on coordinating care for dually-eligible enrollees with complex medical, behavioral, and social needs, delivering assessments, care plans, and education to patients and families.

You will lead the interdisciplinary care team, work across healthcare providers and community resources, and travel to member homes as needed to ensure seamless transitions and prevent readmissions.