Registered Nurse (RN) Clinical Care Manager
Boston, Massachusetts, United States of America
Full Time
2 weeks ago
$90,000 - $120,000 USD
Visa Sponsor
Key skills
Communication
About this role
Role Overview
- 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.