RN Care Manager - Community Health Navigator

CareSource; Mobile (AL); On-site; USD 80,000 - 120,000; Full time

Job summary

CareSource is seeking an Integrated Care Clinical Manager for Massachusetts. This nurse will provide monitoring, follow-up, and clinical care management to dually-eligible enrollees with complex needs, integrating health services with community resources to improve outcomes and quality of life.

The role requires leading an interdisciplinary care team, coordinating with providers, and educating members on benefits and preventive care. Travel to member homes is required to support optimum care.

Qualifications

• ASN in nursing from an accredited program.
• Registered Nurse with ability to independently serve complex medical, behavioral, and social needs.
• Case management or care coordination experience preferred.
• Medicare/Medicaid managed care experience preferred.

Responsibilities

• Engage enrollees in home and community settings to build care management relationships.
• Lead the ICT to create holistic care plans addressing medical and non-medical needs.
• Coordinate with providers and community resources to ensure seamless care transitions.
• Oversee enrollee utilization of long-term services and supports to enable living in preferred location.
• Educate members about benefits, services, and preventive care.
• Follow up after hospitalizations to prevent readmissions.
• Travel to member, provider and community-based visits as required.

Skills

Interdisciplinary team leadership

Care coordination

Case management

Communication skills

Cultural competency

Education

ASN in nursing

RN license

Case Management Certification (preferred)

Tools

Microsoft Office

Outlook

Word

Excel

Job description

CareSource is seeking an Integrated Care Clinical Manager for Massachusetts. This nurse will provide monitoring, follow-up, and clinical care management to dually-eligible enrollees with complex needs, integrating health services with community resources to improve outcomes and quality of life.

The role requires leading an interdisciplinary care team, coordinating with providers, and educating members on benefits and preventive care. Travel to member homes is required to support optimum care.