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Commonwealth Care Alliance

Hybrid Registered Nurse (RN) Clinical Care Manager - Amesbury, Salem, Danvers an

Commonwealth Care Alliance, Boston, Massachusetts, us, 02298

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Overview Hybrid Registered Nurse (RN) Clinical Care Manager - Amesbury, Salem, Danvers and surrounding

— Commonwealth Care Alliance (CCA) is seeking a registered nurse or other independently licensed behavioral health clinician to provide intensive monitoring, follow-up and clinical care management to a panel of health plan members with complex medical, behavioral and social care needs, including Severe and Persistent Mental illness. The role supports a hybrid work arrangement with remote work where possible, and requires in-person visits to members in their homes or community settings.

Responsibilities

Complex care management

Care plan development, updates and implementation with members

Member education

Provider communication, including collaboration with DMH and DDS (BH)

Routine member engagement

Quality gap closures, including medication reconciliation and follow-up after hospitalization (FUH)

Blood pressure readings

Initiation and Engagement (IET)

Participate in interdisciplinary care team meetings

Perform standardized assessments (e.g., MDS, Comprehensive, Functional, and Crisis and Risk Assessments)

Conduct home visits for routine assessments and post-transition follow up

Monitor data to inform proactive outreaches and updates to the care and service plan

Serve as a resource for members regarding available benefits and resources

Act as a clinical resource for other members of the interdisciplinary care team

Additional duties as requested by supervisor

Working Conditions

Standard office conditions

Must be able to travel to member homes or other community environments

Must be able to come to the local CCA office and/or provider offices for various meetings as needed

Requires a strong internet connection when working remotely

Member Facing Yes: The job has in-person contact (not telephonic/virtual) with CCA members or patients as part of the job duties.

Required Education (must Have)

RN Clinical Care Managers must have:

Associate degree in nursing

Active RN license, in good standing, in state of assignment

BH Clinical Care Managers must have:

Master’s degree in social work or mental health counseling

Active LCSW, LMHC or LICSW license in good standing in the state assigned; may require multiple state licenses based on product

Desired Education (nice to Have)

Bachelor’s or Master’s degree in nursing preferred

Other related Healthcare Degree

Certified Care Manager (CCM)

Required Licensing (must Have)

RN Clinical Care Managers must have an Active RN license, in good standing, in state of assignment.

BH Clinical Care Managers must have an active LCSW, LMHC or LICSW license in good standing in the state assigned; may require multiple state licenses based on product

MA Health Enrollment (required If Licensed In Massachusetts)

Yes, this is required if the incumbent is licensed in Massachusetts.

Required Experience (must Have)

Meaningful clinical and care management experience, including 3+ years caring for people with complex medical, behavioral and social needs

Desired Experience (nice To Have)

Experience working in a health plan, with Medicare Advantage and/or dually eligible population

Experience with a care management platform (Guiding Care a plus)

Experience with Substance Use Disorders

Required Knowledge, Skills & Abilities (must Have)

Proven skills, knowledge base, and judgement necessary for independent clinical decision making in alignment with clinical licensure

Excellent critical thinking, organizational, time management and problem solving skills

Ability to function independently and effectively as part of an interdisciplinary team

Strong and effective communication skills, both written and verbal

Strong interpersonal and customer relations skills

Strong customer service skills

Ability to work in multiple systems, often simultaneously

Flexibility to adapt to business needs

Motivated team player

High attention to detail and accuracy

Required Language (must Have) English

Desired Knowledge, Skills, Abilities & Language (nice To Have)

Ability to utilize an Electronic Medical Record or other electronic platforms

Ability to use on-line training platforms

Demonstrated ability to utilize virtual care platforms

Proficiency in Microsoft Office Suite

Bilingual preferred

Seniority level Mid-Senior level

Employment type Full-time

Job function Other

Industries Hospitals and Health Care

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