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Clinical Care Manager

Insight Global

Job Description

Job Description

Must-Haves

  • Current Massachusetts license as one of the following:
    • Registered Nurse (RN)
    • Licensed Clinical Social Worker (LCSW/LICSW)
    • Licensed Mental Health Counselor (LMHC)
  • Associate's Degree in Nursing or Master's Degree in Social Work/Mental Health Counseling
  • 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

 

Ideal Candidate: Experienced Care Manager or Home Health Nurse with strong care coordination experience.

 

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
Vacancy posted 7 days ago
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