Commonwealth Care Alliance
Hybrid Registered Nurse (RN) Clinical Care Manager - Amesbury, Salem, Danvers an
Commonwealth Care Alliance, Boston, Massachusetts, us, 02298
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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— 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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