RN Integrated Care Manager: Home Visits & Flexible Hours

CareSource; Boston (MA); Hybrid; USD 80,000 - 120,000; Full time

Job summary

CareSource Commonwealth Care Alliance seeks an Integrated Care Clinical Manager (RN) in Massachusetts. This field-based role delivers complex care management for dually-eligible enrollees, coordinating with primary care, specialists, and community resources to improve health outcomes and quality of life.

You will lead the ICT to develop holistic care plans, educate members on benefits, and ensure seamless care transitions.

Qualifications

• ASN in nursing from an accredited program.
• Current RN license in Massachusetts.
• Experience in care coordination, case management, or working with dual-eligible populations preferred.
• Medicare/Medicaid managed care experience preferred.

Responsibilities

• Engage enrollees in their homes and community settings to establish a complex care management relationship.
• Lead the interdisciplinary care team (ICT) to create holistic care plans addressing medical and non-medical needs.
• Coordinate with healthcare providers and community-based resources to ensure seamless care transitions.
• Educate members about benefits and available services under Medicare and Medicaid and promote self-management.
• Monitor enrollee utilization of long-term services and supports and prevent readmissions.
• Conduct follow-ups after hospitalizations or significant health events to ensure continuity of care.
• Report abuse, neglect, or exploitation of older adults and adults with disabilities as required by state law.

Skills

RN

Care coordination

Case management

Interdisciplinary team leadership

Communication skills

Microsoft Office

Education

AS in Nursing

Tools

Microsoft Office

Job description

CareSource Commonwealth Care Alliance seeks an Integrated Care Clinical Manager (RN) in Massachusetts. This field-based role delivers complex care management for dually-eligible enrollees, coordinating with primary care, specialists, and community resources to improve health outcomes and quality of life.

You will lead the ICT to develop holistic care plans, educate members on benefits, and ensure seamless care transitions.