Hybrid Registered Nurse (RN) Clinical Care Manager

Posted 5 hours ago

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About the role

  • Community based Registered Nurse delivering clinical care management to dually-eligible enrollees with complex needs. Collaborating with healthcare providers and community resources to improve health outcomes.

Responsibilities

  • Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship.
  • Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
  • Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments.
  • Lead the interdisciplinary care team (ICT) and collaborate with peers to create holistic care plans that address medical and non-medical needs.
  • Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees.
  • Educate members about their benefits and available services under both Medicare and Medicaid.

Requirements

  • Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required.
  • Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required.
  • Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or a Licensed Mental Health Counselor (LMHC) required.
  • Case Management Certification is highly preferred.
  • Must have valid driver's license, vehicle and verifiable insurance.
  • Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
  • Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.

Benefits

  • Influenza vaccination is a requirement of this position.
  • CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season.
  • Reasonable accommodations to qualified individuals with disabilities or medical conditions.

Job title

Registered Nurse (RN) Clinical Care Manager

Job type

Experience level

Mid levelSenior

Salary

$90,000 - $120,000 per year

Degree requirement

Associate's Degree

Location requirements

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