Provide monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs
Engage with the enrollee in their homes and other community settings
Function as a liaison between healthcare providers, community resources, and enrollees
Perform required assessments on a timely basis
Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization
Advocate for the needs and preferences of enrollees within the healthcare system

Associates of Science (A.S) degree in nursing or Master's degree in social work or mental health counseling 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
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
Understanding of Medicare and Medicaid programs
Strong interpersonal and communication skills

Registered Nurse (RN) Clinical Care Manager

Key skills