Registered Nurse Care Manager

Jobtailor; Worcester (MA); On-site; USD 80,000 - 110,000; Full time

Job summary

Jobtailor is seeking a registered nurse to manage a panel of clinically complex members within our clinical programs, focusing on quality initiatives and ED/IP utilization. You will collaborate with the care team to develop and monitor care plans, conduct assessments, and support program graduations.

You’ll perform self-efficacy and behavioral health screenings (PHQ-9, GAD-7, AUDIT, DAST-10), coordinate with partners, and ensure thorough documentation in EHRs and coding.

Qualifications

• Graduate of an accredited school of nursing with RN licensure.
• Minimum 3+ years of clinical nursing experience.
• Strong clinical judgment and critical thinking.
• Ability to collaborate across teams and settings.
• Proficient written and verbal communication across multiple modalities.

Responsibilities

• Manage a panel of clinically complex members within clinical programs and quality initiatives.
• Collaborate with the care team and community partners to develop and monitor care plans.
• Conduct in-person clinical assessments and determine program placement.
• Complete behavioral health screeners (PHQ-9, GAD-7, AUDIT, DAST-10).
• Coordinate transitions of care during inpatient and ED visits and ensure proper documentation.

Skills

Critical Thinking

Motivational Interviewing

Trauma-Informed Care

Written Communication

Active Listening

Education

RN License (Registered Nurse)

Tools

Electronic Health Records

Care Facilitation Tools

Scheduling Platforms

Job description

• Manage a panel of clinically complex members supporting clinical programs, quality gap initiatives, and ED/IP utilization.
• Collaborate with members to create care plans, oversee progress, reassess needs, and support program or pathway graduation.
• Coordinate with the integrated Cityblock Care Team, external providers, and community partners.
• Communicate program expectations, including duration and goals, to engaged members.
• Complete self‑efficacy, condition‑specific, and behavioral health screeners, including PHQ-9, GAD-7, AUDIT, and DAST‑10.
• Refer members to behavioral health programs as needed.
• Conduct in‑person clinical examinations and help determine member placement in programs of varying intensity.
• Prepare for and participate in case conferences, leading discussions when necessary.
• Develop care plans, address social needs with Community Health Partner support, and coordinate comprehensive care.
• Conduct regular clinical visits and follow‑ups, monitor therapeutic interventions, and address member needs.
• Support health maintenance, chronic disease management, and co‑occurring psychiatric disorder care.
• Perform medication reconciliation, administration, compliance, and education.
• Address prioritized quality gaps and maintain thorough chart documentation and ICD/CPT coding.
• Use care facilitation tools, electronic health records, and scheduling platforms to gather data, document interactions, track tasks, and communicate with resources.
• Support members through inpatient and emergency department transitions of care.

Requirements

• Graduate of an accredited school of nursing (R.N.)
• 3+ years of experience
• Strong critical thinking and sound clinical judgment
• Ability to make complex decisions independently and recognize when to collaborate
• Ability to identify system barriers and develop creative, practical solutions
• Strong written and verbal communication across phone, text, virtual, and in‑person settings
• Comfortable using technology to engage members remotely
• Knowledge of Motivational Interviewing and Trauma‑Informed Care principles
• Ability to translate clinical information for non‑clinical audiences and actively listen
• Medical clearance requirements, including evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or an approved medical or religious accommodation

Core Competencies

Demonstrates expertise in managing clinically complex members through care plan development, coordination with healthcare teams, and effective communication. Proficient in conducting clinical assessments, medication management, and utilizing electronic health records to enhance patient care.

Highest-signal resume keywords

• Registered Nurse (R.N.)
• Clinical Judgment
• Motivational Interviewing
• Trauma‑Informed Care
• Electronic Health Records

ATS Optimization Keywords

Hard Skills

• Clinical Assessments
• Care Plan Development
• Medication Reconciliation
• ICD/CPT Coding
• Chronic Disease Management
• Behavioral Health Screeners
• Quality Gap Initiatives
• Therapeutic Interventions
• In‑Person Clinical Examinations
• Health Maintenance

Soft Skills

• Critical Thinking
• Written Communication
• Verbal Communication
• Active Listening
• Collaboration

Industry Keywords

• Clinical Programs
• Community Health Partner
• Emergency Department Transitions
• Behavioral Health Programs
• Self‑Efficacy Screeners

Tools & Technologies

• Care Facilitation Tools
• Scheduling Platforms
• Electronic Health Records