RN: Integrated Care Manager for Dual-Eligible

CareSource; Springfield (MA); Sur place; USD 80 000 - 120 000; Plein temps

Avantages offerts par ce poste

Flexible hours

Mobile role with field visits

Competitive salary

Résumé du poste

The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance is a community based registered nurse responsible for monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs.

This role focuses on integrating health services and community resources to coordinate enrollee care for improved health outcomes.

Qualifications

• ASN from an accredited program is required.
• RN licensed to practice in Massachusetts, with ability to serve complex cases.
• Case management experience with dual-eligible populations preferred.
• Medicaid/Medicare managed care exposure preferred.
• Clinical field/community-based training is a plus.

Responsabilités

• Engage with enrollees in homes and community settings to establish complex care management relationships.
• Lead interdisciplinary care team to create holistic care plans addressing medical and social needs.
• Coordinate with providers and community resources to ensure seamless care transitions.
• Perform assessments including Comprehensive Assessment and Functional Assessments.
• Follow up after hospitalizations to ensure continuity of care and prevent readmissions.

Connaissances

Interpersonal skills

Communication skills

Care coordination

Case management

Microsoft Office

Formation

Associate of Science in Nursing (ASN)

Registered Nurse (RN) license

Case Management Certification (preferred)

Outils

Microsoft Office Suite

Description du poste

The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance is a community based registered nurse responsible for monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs.

This role focuses on integrating health services and community resources to coordinate enrollee care for improved health outcomes.