RN Clinical Care Manager (Hybrid) for Complex Enrollees

Mass General Brigham; Somerville (MA); Hybrid; USD 59,000 - 142,000; Full time

Benefits offered by this job

Hybrid work model

In-person home and community visits

Job summary

Mass General Brigham Health Plan seeks an RN Clinical Care Manager to join an interdisciplinary team providing care management for enrollees with complex medical, behavioral, and social needs. The role includes home/community visits, remote work, and collaboration with providers to ensure high-quality, coordinated care.

Required MA RN license and 2–3 years in health plan or case management; BSN preferred; dual-eligible experience and CCM certification preferred.

Qualifications

• Active MA RN license required.
• 2–3 years in health plan or community case management preferred.
• Experience with dual eligible populations preferred.
• Case management certification preferred.

Responsibilities

• Assess enrollees and develop member-centered care plans with the care team.
• Coordinate care, provide health education, and facilitate access to services.
• Document interventions in EMR and ensure DSNP compliance.
• Lead interdisciplinary care team activities and quality improvement efforts.
• Maintain ongoing engagement and support for complex cases.

Skills

RN license (MA)

2-3 years health plan experience

Dual Eligible Populations experience

Certified Case Management (preferred)

Interdisciplinary team collaboration

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Job description

Mass General Brigham Health Plan seeks an RN Clinical Care Manager to join an interdisciplinary team providing care management for enrollees with complex medical, behavioral, and social needs. The role includes home/community visits, remote work, and collaboration with providers to ensure high-quality, coordinated care.

Required MA RN license and 2–3 years in health plan or case management; BSN preferred; dual-eligible experience and CCM certification preferred.