RN Care Manager — Community-Based Dual-Eligible Support

caresource; Worcester (MA); On-site; USD 90,000 - 110,000; Full time

Job summary

caresource seeks an Integrated Care Clinical Manager in Massachusetts to provide community-based nursing care, monitoring, and complex care management for dually-eligible enrollees with medical, behavioral, and social needs. The role focuses on coordinating health services and community resources to improve outcomes and quality of life.

The position involves leading the interdisciplinary care team (ICT), collaborating with healthcare providers, and ensuring smooth care transitions.

Qualifications

• ASN from an accredited program.
• Licensed RN in Massachusetts.
• Experience in care coordination or dual-eligible populations preferred.
• Medicare/Medicaid knowledge is a plus.

Responsibilities

• Engage enrollees in home and community settings.
• Coordinate with healthcare providers and community resources.
• Perform comprehensive and functional assessments.
• Lead interdisciplinary care team to design holistic care plans.
• Monitor enrollee utilization and ensure access to long-term supports.
• Educate members on benefits and services and support self-management.

Skills

Interdisciplinary teamwork

Communication skills

Care coordination

Case management

Attention to detail

Time management

Education

Associate of Science in Nursing (ASN)

Tools

Microsoft Office (Outlook, Word, Excel)

Job description

caresource seeks an Integrated Care Clinical Manager in Massachusetts to provide community-based nursing care, monitoring, and complex care management for dually-eligible enrollees with medical, behavioral, and social needs. The role focuses on coordinating health services and community resources to improve outcomes and quality of life.

The position involves leading the interdisciplinary care team (ICT), collaborating with healthcare providers, and ensuring smooth care transitions.