Registered Nurse Care Manager

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