Hybrid Registered Nurse (RN) Clinical Care Manager - Fall River and surrounding areas

The Clinical Care Manager RN is a community-based role focused on monitoring, follow-up and coordination of care for dually-eligible enrollees with complex medical, behavioral, and social needs in Massachusetts. Responsibilities include in-home and community-based assessments, care plan development, leading an interdisciplinary team, coordinating with healthcare providers and community resources, educating members about benefits (Medicare/Medicaid), promoting self-management, preventing readmissions, ensuring timely transitions of care, and maintaining frequent contact post-hospitalizations. Travel within the territory is required to conduct member, provider, and community visits; the role emphasizes advocacy, alignment with NCQA standards, and collaboration across state agencies and service providers. Licensure in MA as RN/LCSW/LISCW/LMHC is required, with preferred case management certification and a valid driver’s license. Vaccination against influenza is required seasonally for designated positions.