CareSource mission

CareSource mission

Hybrid RN Care Manager - Berkshire County - $5k Sign on

Pittsfield, MA

Sponsorship not specified$80k-$120kDetected 1 day ago
Customer SupportPatient CareCommunicationProblem SolvingMicrosoft Office

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odds of building a lasting career here

26Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds (Level II)66
Fits your clock70

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About the role

  • The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs.
  • This position focuses on integrating health services and community resources to coordinate enrollee care for improve health outcomes and enhanced quality of life.
  • Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic needs of each member.

Responsibilities

  • Develop Self and Others
  • Drive Execution
  • We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Requirements

  • May be required to travel greater than 50% of time to perform work duties.
  • Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer
  • Over 50% (Mobile) Routine travel required
  • 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
  • Regular travel to conduct member, provider and community-based visits as required
  • Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter as required by State law.

Nice to have

  • Associates of Science (A.S) degree in nursing from an accredited nursing program required
  • Prior experience in care coordination, case management, or working with dual-eligible populations preferred
  • Medicaid and/or Medicare managed care experience preferred
  • Clinical Field/ Community Based Training a Plus

Skills

  • 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.
  • Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
  • Adhere to code of ethics that aligns with professional practice.
  • Awareness of and sensitivity to the diverse backgrounds and needs of the populations served
  • Decision making and problem-solving skills.
  • Strong and effective communication skills, both written and verbal
  • Strong interpersonal and customer relations skills
  • Strong customer service skills
  • Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN) required
  • Case Management Certification is highly preferred
  • Licensure and Certification:

Compensation

  • In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
  • $80,000 - $120,000
  • CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
  • Compensation Type (hourly/salary):

Benefits

  • Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
  • Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization, to create holistic care plans that address medical and non-medical needs.
  • Educate members about their benefits and available services under both Medicare and Medicaid.
  • Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care.
  • Assist enrollees in preventative health strategies, including gap closure
  • Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions.

Company info

  • We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Equal opportunity

  • CareSource is an Equal Opportunity Employer.

This listing is sourced directly from CareSource mission's careers page and normalized into a canonical job model.