Registered Nurse (RN) Clinical Care Manager, Middleboro
CareSource
full-time
Posted on:
Location Type: Hybrid
Location: Boston • Massachusetts • United States
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Salary
💰 $90,000 - $120,000 per year
Job Level
About the role
- Conducts outreach to members and providers to confirm service details
- Coordinate services by working with providers, community partners, and member/caregivers
- Serves as a support resource for member and provider requests
- Collaborates with the care team, providers, and other partners
- Initiate outreach to members, vendors, providers, and/or vendors/suppliers
- Provide administrative support as assigned
- Assist members and the Care Team with solving health plan related concerns
- Help members schedule transportation to medical appointments
- Support targeted member outreach campaigns
- Coordinates interpreting and translation supporting services for the member
- Obtain documents/forms that allow Care Team to speak with members and/or representatives
- Assist leadership with the development, refinement and enhancement of programs
- Mentor for new Care Navigation Specialist
- Maintain accurate documentation and maintenance of member records
- Follow established standards of practice, internal policies, and procedures
- Identify member and provider needs and facilitates referrals
Requirements
- High School or GED required
- One (1) year of related experience in a health-related service field required
- Critical thinking and troubleshooting skills
- Strong customer service and problem-solving skills
- Ability to work in multiple systems, often simultaneously
- Clear, concise, and effective oral and written communication skills
- Strong time management and demonstrated ability to work independently
- Flexibility to adapt to business needs
- Motivated team player
- Excellent organizational skills
- High attention to detail and accuracy
- Basic arithmetic skills required
- Proficiency in Microsoft Office Suite.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
customer serviceproblem-solvingcritical thinkingtroubleshootingadministrative supportdocumentationbasic arithmetic
Soft Skills
oral communicationwritten communicationtime managementflexibilityteam playerorganizational skillsattention to detailindependence
Certifications
High School diplomaGED