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Registered Nurse (RN) Clinical Care Manager
CareSourceClinical Care Manager providing care management for dually-eligible enrollees with complex needs at CareSource. Engaging with members, healthcare providers, and community resources to improve health outcomes.
Posted 7/10/2026full-timeSpringfield • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $90,000 - $120,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination and case management, with a strong focus on engaging enrollees in their care plans and advocating for their needs within the healthcare system. Proficient in navigating Medicare and Medicaid programs while providing education on chronic condition management.
Highest-signal resume keywords
Registered NurseCare CoordinationCase ManagementMedicaid ExperienceMedicare Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan DevelopmentAssessment PerformanceChronic Condition ManagementMedication AdherenceCommunity Resource Navigation
Soft Skills
Interpersonal SkillsCommunication SkillsAdvocacy
Tools & Technologies
Microsoft OfficeOutlookWordExcel
Certifications & Qualifications
Associates of Science (A.S) Degree in NursingRegistered Nurse License
Industry Keywords
Dual-Eligible PopulationsInterdisciplinary Care TeamCommunity-Based TrainingHealthcare ProvidersCare Transitions
About the role
Key responsibilities & impact- Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship
- Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions
- Perform required assessments on a timely basis
- Engage enrollees in care plan development and implementation, providing routine updates as the enrollee’s status changes
- Lead the interdisciplinary care team (ICT) and collaborate with peers to create holistic care plans
- Advocate for the needs and preferences of enrollees within the healthcare system
- 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
Requirements
What you’ll need- 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.
- Strong interpersonal and communication skills to effectively engage with members, families, and healthcare providers
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options