Hybrid RN Case Manager - South Shore / Southeast MA - $5K SIGN ON BONUS!

CareSource • Attleboro, MA

2d • $80,000 - $120,000 • Hybrid

About The Position

The Integrated Care Clinical Manager is a community-based registered nurse who provides monitoring, follow-up, and clinical care management to dually eligible enrollees with complex medical, behavioral, and social care needs. The role integrates health services and community resources to coordinate care, improve health outcomes, and enhance quality of life. The position serves the South Shore/Southeast Massachusetts territory and is mobile, with routine travel to homes, providers, and community settings. The role requires residing in the assigned territory, subject to possible business-need exceptions, and living within commuting distance of Massachusetts. Travel may exceed 50% of working time. Flexible hours, including possible evenings and weekends, may be needed to serve members.

The manager engages enrollees while considering cultural and linguistic needs, coordinates with healthcare providers and community organizations, leads interdisciplinary care teams, and supports enrollees in accessing services and remaining in the location of their choice. The role includes assessments, care planning, education, post-hospital follow-up, advocacy, and reporting suspected abuse, neglect, or exploitation as required by law. The position requires an associate degree in nursing, an unrestricted Massachusetts RN license, a valid driver's license, a vehicle, and verifiable insurance. An acceptable driver's license record check and annual influenza vaccination during the designated influenza season are conditions of employment. Compensation is $80,000–$120,000, with potential eligibility for a bonus tied to company and individual performance. A $5,000 sign-on bonus is advertised.

Requirements

• Associate of Science degree in nursing from an accredited nursing program.
• Registered Nurse able to independently serve people with complex medical, behavioral, and social needs.
• Current unrestricted Registered Nurse license in the Commonwealth of Massachusetts.
• Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel.
• Understanding of Medicare and Medicaid programs and community resources and services available to dual-eligible beneficiaries.
• Strong interpersonal and communication skills for engaging members, families, and healthcare providers.
• Ability to manage multiple cases and priorities while maintaining attention to detail.
• Adherence to a code of ethics aligned with professional practice.
• Awareness of and sensitivity to the diverse backgrounds and needs of the populations served.
• Decision-making and problem-solving skills.
• Ability to work independently and effectively as part of an interdisciplinary team.
• Strong written and verbal communication, interpersonal, customer-relations, and customer-service skills.
• Valid driver's license, vehicle, and verifiable insurance; employment is conditional on an acceptable driver's license record check.
• Annual proof of influenza vaccination for designated positions during influenza season (October 1–March 31); employees hired during the season have 30 days from hire to complete vaccination and verify immunization.
• Must reside in the assigned territory, subject to possible business-need exceptions, and live within commuting distance of Massachusetts.
• Ability to travel regularly, potentially more than 50% of the time, and work flexible hours that may include evenings or weekends.
• Ability to perform the position’s essential functions, with reasonable accommodations available through an interactive review process where applicable.

Nice To Haves

• Prior experience in care coordination, case management, or working with dual-eligible populations.
• Medicaid and/or Medicare managed-care experience.
• Clinical field or community-based training.
• Case Management Certification.

Responsibilities

• Engage enrollees in their homes and community settings to establish complex care management relationships while considering cultural and linguistic needs.
• Serve as a liaison among enrollees, healthcare providers, and community resources to support communication and care transitions.
• Complete required assessments on time, including Comprehensive Assessments, MDS-HC or successor Functional Assessments, and Crisis and Risk Assessments.
• Involve enrollees in developing and implementing care plans and update plans as their status changes.
• Lead interdisciplinary care teams and collaborate with internal and external peers to develop holistic plans addressing medical and non-medical needs.
• Oversee enrollees’ use of long-term services and supports and ensure systems support their ability to remain in the location of their choice.
• Help members access community resources, including housing, transportation, food assistance, and social services.
• Educate members about Medicare and Medicaid benefits and available services.
• Educate members and families about chronic-condition management, medication adherence, and preventive care.
• Promote healthy lifestyle choices and self-management strategies.
• Assist enrollees with preventive health strategies, including closing care gaps.
• Follow up after hospitalizations or significant health events to support continuity of care and help prevent readmissions.
• Coordinate care and share relevant information with primary care physicians, specialists, and other providers.
• Coordinate with community-based organizations, stakeholders, state agencies, and service providers to support coordination and avoid duplication.
• Advocate for enrollees’ needs and preferences within the healthcare system.
• Evaluate member satisfaction through communication and monitoring concerns or issues.
• Travel regularly for member, provider, and community-based visits.
• Report abuse, neglect, or exploitation of older adults and adults with disabilities as required by state law.
• Adhere to NCQA and Care Management standards.
• Perform other job-related duties as requested.

Benefits

• Potential bonus tied to company and individual performance.
• Substantial and comprehensive total rewards package focused on employee well-being.
• $5,000 sign-on bonus advertised.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree