RN Care Manager

CareSource

RN Care Manager providing clinical care management for dual-eligible enrollees with complex needs. Integrating health services and community resources to improve health outcomes.

Posted 7/30/2026full-timePittsfield • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination and case management for dual-eligible populations, with a strong understanding of Medicare and Medicaid programs. Capable of leading interdisciplinary teams and effectively engaging with enrollees to facilitate access to community resources and services.

Highest-signal resume keywords

Registered NurseCare CoordinationMedicaid ExperienceMedicare ExperienceInterpersonal Communication

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Care ManagementComprehensive AssessmentMDS-HC Functional AssessmentCrisis AssessmentRisk Assessment

Soft Skills

Strong Customer ServiceEffective EngagementInterpersonal Skills

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Associates of Science in Nursing

Industry Keywords

Dual-Eligible PopulationsCommunity ResourcesLong-Term Services and SupportsHealthcare ProvidersInterdisciplinary Care Team

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, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments
Engage enrollees in care plan development and implementation
Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization
Oversee enrollee utilization of long-term services and supports
Assist members in accessing community resources, including housing, transportation, food assistance, and social services
Educate members about their benefits and available services under both Medicare and Medicaid
Follow up with members after hospitalizations or significant health events
Work closely with primary care physicians, specialists, and other healthcare providers

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
Strong customer service skills
Must have valid driver's license, vehicle and verifiable insurance.

Benefits

Comp & perks

Influenza vaccination requirement
Reasonable accommodations for qualified individuals with disabilities or medical conditions
Comprehensive total rewards package