RN Care Manager

Job not on LinkedIn

🕒 July 17

🏢🏡 Boston – Hybrid

💵 $80k - $120k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Engage with the enrollee in their homes and other community settings to establish a complex care management relationship • Function as a liaison between healthcare providers, community resources, and enrollees • Perform required assessments on a timely basis, including Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments • Engage enrollees in care plan development and implementation • Lead the interdisciplinary care team (ICT) and collaborate with peers to create holistic care plans • Oversee enrollee utilization of long-term services and supports • Assist members in accessing community resources, including housing, transportation, food assistance, and social services • 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 • Follow up with members after hospitalizations or significant health events • Advocate for the needs and preferences of enrollees within the healthcare system • Evaluate member satisfaction through open communication and monitoring of concerns or issues

🎯 Requirements

• Associates of Science (A.S) degree in nursing from an accredited nursing program required • A Registered Nurse with the ability to independently serve people with complex medical, behavioral, and social needs. 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 • 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. • Must have valid driver's license, vehicle and verifiable insurance.

🏖️ Benefits

• $5K SIGN ON BONUS!