RN Care Manager - Dual-Eligible Care & Transitions

Jobtailor; Revere (MA); On-site; USD 75,000 - 105,000; Full time

Job summary

Jobtailor seeks an experienced Registered Nurse to provide care management for dually eligible enrollees with complex medical, behavioral, and social needs in Massachusetts. You will engage patients in-home and in the community, coordinate with providers and resources, and lead interdisciplinary teams to ensure smooth care transitions.

Responsibilities include comprehensive assessments, care plan development, medication adherence education, and preventive health strategies.

Qualifications

• AS degree in nursing from an accredited nursing program is required.
• Registered Nurse with ability to independently serve people with complex medical, behavioral, and social needs.
• Current unrestricted clinical license in the Commonwealth of Massachusetts as an RN is required.
• Proficiency with Microsoft Office including Outlook, Word and Excel.
• Understanding of Medicare and Medicaid programs and community resources for dual-eligible beneficiaries.
• Strong interpersonal, communication, customer relations, and customer service skills.
• Ability to manage multiple cases and priorities while maintaining attention to detail.
• Ability to function independently and effectively as part of an interdisciplinary team.
• Annual influenza vaccination required.

Responsibilities

• Provide monitoring, follow-up, and clinical care management to dually eligible enrollees with complex needs.
• Engage enrollees in homes and community settings to establish care management relationships.
• Lead interdisciplinary care teams and collaborate with internal and external peers.
• Oversee utilization of long-term services and supports.
• Coordinate care with primary care physicians, specialists, and community resources.
• Advocate for enrollee needs and preferences; report concerns as a mandated reporter.

Skills

Care coordination

Interdisciplinary teamwork

Communication skills

Attention to detail

Independent functioning

Customer service skills

Interpersonal skills

Education

Associate of Science in Nursing (A.S.)

Registered Nurse License

Case Management Certification

Tools

Microsoft Office

Outlook

Word

Excel

Job description

Jobtailor seeks an experienced Registered Nurse to provide care management for dually eligible enrollees with complex medical, behavioral, and social needs in Massachusetts. You will engage patients in-home and in the community, coordinate with providers and resources, and lead interdisciplinary teams to ensure smooth care transitions.

Responsibilities include comprehensive assessments, care plan development, medication adherence education, and preventive health strategies.