Registered Nurse, RN

CareSource

Registered Nurse coordinating complex medical, behavioral, and social care for dual-eligible members in Massachusetts. Conducting assessments, care planning, community visits, and interdisciplinary coordination.

Posted 8/5/2026full-timeBrockton • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management for dually eligible enrollees, integrating health services and community resources to enhance health outcomes. Proficient in conducting assessments, developing care plans, and leading interdisciplinary teams while adhering to regulatory standards.

Highest-signal resume keywords

Registered Nurse (RN)Care CoordinationMedicare and Medicaid KnowledgeCase Management CertificationInterdisciplinary Team Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentsCare Plan DevelopmentCrisis ManagementUtilization ManagementPreventive Health StrategiesCommunity Resource CoordinationHealth EducationRisk AssessmentBehavioral Health ManagementComplex Care Management

Soft Skills

Strong Communication SkillsInterpersonal SkillsCustomer Service SkillsDecision-Making SkillsProblem-Solving Skills

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Registered Nurse LicenseCase Management Certification

Industry Keywords

Dually Eligible BeneficiariesNCQA StandardsLong-Term Services and SupportsCommunity-Based CareHealthcare Provider Liaison

About the role

Key responsibilities & impact

Provide monitoring, follow-up, and clinical care management to dually eligible enrollees with complex medical, behavioral, and social care needs
Integrate health services and community resources to coordinate enrollee care and improve health outcomes and quality of life
Engage enrollees in their homes and community settings to establish complex care management relationships
Liaise between healthcare providers, community resources, and enrollees to ensure communication and care transitions
Complete comprehensive, functional, crisis, and risk assessments
Develop and implement care plans with enrollees and provide updates as their status changes
Lead interdisciplinary care teams and create holistic medical and non-medical care plans
Oversee utilization of long-term services and supports
Help members access housing, transportation, food assistance, and social services
Educate members and families about Medicare, Medicaid, chronic conditions, medication adherence, preventive care, healthy lifestyles, and self-management
Support preventive health strategies and gap closure
Follow up after hospitalizations or significant health events to promote continuity of care and prevent readmissions
Coordinate with physicians, specialists, community organizations, state agencies, and service providers
Advocate for enrollee needs and preferences and evaluate member satisfaction
Conduct regular member, provider, and community-based visits
Report abuse, neglect, or exploitation as a mandated reporter under state law
Adhere to NCQA and Care Management standards
Perform other related duties as requested

Requirements

What you’ll need

Associate of Science (A.S.) degree in nursing from an accredited nursing program required
Registered Nurse able to independently serve people with complex medical, behavioral, and social needs
Current unrestricted clinical license in the Commonwealth of Massachusetts as a Registered Nurse (RN) required
Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel
Understanding of Medicare and Medicaid programs and community resources for dual-eligible beneficiaries
Strong written and verbal communication, interpersonal, customer relations, and customer service skills
Ability to manage multiple cases and priorities with attention to detail
Adherence to a professional code of ethics
Awareness and sensitivity to diverse backgrounds and population needs
Decision-making and problem-solving skills
Ability to work independently and effectively as part of an interdisciplinary team
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Annual influenza vaccination required during influenza season
Must reside in the assigned territory and within commutable distance to the Commonwealth of Massachusetts
May be required to travel greater than 50% of the time
Prior care coordination, case management, or dual-eligible population experience preferred
Medicaid and/or Medicare managed care experience preferred
Clinical field/community-based training is a plus
Case Management Certification highly preferred

Benefits

Comp & perks

$5,000 sign-on mentioned in the job title
Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Influenza vaccination requirement provided by the employer during influenza season
Reasonable accommodations for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs
Flexible hours, including possible evenings and/or weekends as needed