Job Description
Job Description
Job Title: Registered Nurse Care Manager
Location: Multiple Locations Across Massachusetts
Duration: 3 Month (Possible to hire)
Start Date: Immediately
Job Description:
- We are seeking a licensed Registered Nurse (RN) to serve as a Care Manager in a community-based role supporting dual-eligible Medicare and Medicaid members with complex medical, behavioral, and social needs. The Care Manager will conduct in-home and community-based visits to perform comprehensive assessments, including UCA (Uniform Core Assessment) and functional evaluations, to support individualized care planning and improve health outcomes.
Key Responsibilities:
- Conduct in-home and community-based member assessments to identify care needs and support care coordination
- Perform comprehensive evaluations, including UCA (formerly MDS) and functional assessments
- Develop and implement individualized care plans based on assessment findings
- Coordinate services across medical, behavioral health, and social support systems
- Collaborate with multidisciplinary teams to ensure continuity of care and address complex care needs
- Maintain accurate and timely documentation in compliance with regulatory and organizational standards
- Required Qualifications:
Active Massachusetts RN License
- Associate’s Degree in Nursing
- Minimum of 3 years of experience as an RN or Behavioral Health Clinician, OR
- 1 year of RN/Behavioral Health experience combined with 2 years of experience working with complex populations
- Valid Massachusetts driver’s license, reliable transportation, and current auto insurance
Preferred Qualifications:
- Experience with Long-Term Services and Supports (LTSS) and dual-eligible populations
- Background in Medicare/Medicaid managed care environments
- Experience in population health, community health, or behavioral health settings
- Proven success in complex care coordination and case management
- Case Management Certification (CCM) preferred
Work Environment:
- Community-based and home visit setting
- Travel required across multiple locations in Massachusetts
- Flexible scheduling to accommodate member needs