Must-Haves
- Current Massachusetts license as one of the following:
- Associate’s degree in nursing
- Either:
- 3+ years of RN/Behavioral Health Clinician experience, or
- 1 year of RN/Behavioral Health experience plus 2 years working with complex populations
- Valid driver's license, reliable transportation, and auto insurance
Preferred Experience
- LTSS and Dual-Eligible populations
- Medicare/Medicaid managed care
- Population health or community health
- Behavioral health
- Complex care coordination
- Case Management Certification (CCM) preferred
Day-to-Day Responsibilities
This community-based Care Manager supports dual-eligible Medicare and Medicaid members with complex medical, behavioral, and social needs. The primary focus is conducting assessments to improve health outcomes and quality of life.
Responsibilities include:
- Conducting in-home and community-based member visits
- Completing comprehensive assessments, functional assessments, and/or UCA Assessments
- UCA = Uniform Core Assessment
- UCA used to be referred to as an MDS assessment
Additional Details
- Must reside within a commutable distance of Massachusetts
- 50%+ local travel required for member and provider visits
- Annual influenza vaccination required
- Community/mobile-based position with significant fieldwork throughout assigned territory
