RN Care Manager

Jobtailor; Pittsfield (MA); On-site; USD 65,000 - 95,000; Full time

Job summary

Jobtailor is seeking a Registered Nurse Care Coordinator in Pittsfield, MA to build strong, complex care management relationships with enrollees in their homes and community settings.

You will lead the interdisciplinary care team, coordinate between providers and community resources, perform required assessments, and help members access housing, transportation, and social services while guiding care plans and ensuring smooth transitions.

Qualifications

• Associates of Science (A.S) degree in nursing from an accredited nursing program required.
• Registered Nurse capable of independent service for people with complex medical, behavioral, and social needs.
• Experience in care coordination/case management or with dual‑eligible populations preferred.
• Medicaid/Medicare managed care experience preferred.
• Clinical field/community-based training a plus.
• MS Office proficiency, including Outlook, Word and Excel.
• Understanding of Medicare/Medicaid and community resources.
• Strong interpersonal and communication skills to engage with members, families, and providers.
• Strong customer service skills.
• Valid driver's license, vehicle and verifiable insurance.

Responsibilities

• Engage enrollees in home and community settings to establish a complex care management relationship.
• Liaise between healthcare providers, community resources, and enrollees for seamless communication and transitions.
• Perform assessments including Comprehensive Assessment and MDS-HC Functional Assessments.
• Engage enrollees in care plan development and implementation.
• Lead the interdisciplinary care team (ICT) and collaborate with peers.
• Oversee enrollee utilization of long‑term services and supports.
• Assist members in accessing housing, transportation, and social services.
• Educate members about Medicare and Medicaid benefits and services.
• Follow up with members after hospitalizations or significant health events.
• Work closely with primary care physicians and specialists.

Skills

Care Coordination

Interpersonal Communications

Customer Service

Engagement

Education

Associates of Science in Nursing

Tools

Microsoft Office

Outlook

Word

Excel

Job description

• Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship
• Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions
• Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments
• Engage enrollees in care plan development and implementation
• Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization
• Oversee enrollee utilization of long‑term services and supports
• Assist members in accessing community resources, including housing, transportation, food assistance, and social services
• Educate members about their benefits and available services under both Medicare and Medicaid
• Follow up with members after hospitalizations or significant health events
• Work closely with primary care physicians, specialists, and other healthcare providers

Requirements

• 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
• Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
• Understanding of Medicare and Medicaid programs, as well community resources and services available to dual‑eligible beneficiaries.
• Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
• Strong customer service skills
• Must have valid driver's license, vehicle and verifiable insurance.

Core Competencies

Demonstrates expertise in care coordination and case management for dual‑eligible populations, with a strong understanding of Medicare and Medicaid programs. Capable of leading interdisciplinary teams and effectively engaging with enrollees to facilitate access to community resources and services.

Highest-signal resume keywords

• Registered Nurse
• Care Coordination
• Medicaid Experience
• Medicare Experience
• Interpersonal Communication

ATS Optimization Keywords

Hard Skills

• Care Management
• Comprehensive Assessment
• MDS-HC Functional Assessment
• Crisis Assessment
• Risk Assessment

Soft Skills

• Strong Customer Service
• Effective Engagement
• Interpersonal Skills

Certifications & Qualifications

• Associates of Science in Nursing

Industry Keywords

• Dual‑Eligible Populations
• Community Resources
• Long‑Term Services and Supports
• Healthcare Providers
• Interdisciplinary Care Team

Tools & Technologies

• Microsoft Office
• Outlook
• Word
• Excel