RN Care Manager — Home Visits & Care Coordination

Commonwealth Care Alliance Inc; Springfield (MA); Hybrid; USD 80,000 - 120,000; Full time

Benefits offered by this job

5K Sign-On Bonus

Job summary

Commonwealth Care Alliance is seeking a Hybrid RN Clinical Care Manager in Springfield, MA. The role requires an active MA RN license and experience in care coordination to support dually-eligible enrollees with complex medical and social needs.

You will lead an interdisciplinary team, coordinate with providers and community resources, and conduct home visits to develop and implement holistic care plans while promoting preventive care and health outcomes.

Qualifications

• ASN in nursing from an accredited program (required).
• MA RN license (required) for Massachusetts-based role.
• Experience in care coordination/case management preferred.
• Medicaid/Medicare managed care experience preferred.
• Clinical field/community-based training is a plus.

Responsibilities

• Engage enrollees in their homes and community settings to establish a complex care management relationship.
• Liaise between healthcare providers, community resources, and enrollees for seamless communication.
• Perform timely assessments including Comprehensive Assessment, MDS-HC, and crisis/risk assessments.
• Lead the interdisciplinary care team to create holistic care plans.
• Coordinate with community-based organizations and ensure access to housing, transport, food assistance, and services.
• Follow up after hospitalizations to ensure continuity of care and prevent readmissions.

Skills

Microsoft Office

Medicare/Medicaid knowledge

Interpersonal skills

Case management

Communication skills

Team collaboration

Decision making

Cultural sensitivity

Education

ASN in Nursing

Job description

Commonwealth Care Alliance is seeking a Hybrid RN Clinical Care Manager in Springfield, MA. The role requires an active MA RN license and experience in care coordination to support dually-eligible enrollees with complex medical and social needs.

You will lead an interdisciplinary team, coordinate with providers and community resources, and conduct home visits to develop and implement holistic care plans while promoting preventive care and health outcomes.