Clinical Care Manager

CareSource

Behavioral health care manager coordinating complex medical, behavioral, and social care for Massachusetts dual-eligible members. Conducting mobile visits and leading interdisciplinary care plans.

Posted 8/11/2026full-timeHaverhill • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $80,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination and management for dually eligible populations, with a strong understanding of Medicare and Medicaid programs. Capable of developing and implementing comprehensive care plans while effectively engaging with interdisciplinary teams and community resources.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Care CoordinationMedicaid ExperienceMedicare ExperienceCase Management Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Complex Care ManagementCrisis AssessmentRisk AssessmentCare Plan DevelopmentUtilization ManagementPreventive Health StrategiesCommunity Resource LiaisonInterdisciplinary Team LeadershipMember AdvocacyData Reporting

Soft Skills

Interpersonal CommunicationDecision-MakingProblem-SolvingAttention to DetailCultural Sensitivity

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Licensed Independent Clinical Social Worker (LISCW)Licensed Mental Health Counselor (LMHC)Case Management Certification

Industry Keywords

Dual-Eligible PopulationsHealthcare ProvidersCommunity-Based TrainingNCQA StandardsSocial ServicesPreventive CareMedication AdherenceContinuity of CareHousing AssistanceTransportation Services

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
Engage enrollees in their homes and community settings to establish complex care management relationships
Liaise between healthcare providers, community resources, and enrollees to support communication and care transitions
Perform comprehensive, functional, crisis, and risk assessments
Develop and implement care plans, providing updates as enrollee status changes
Lead interdisciplinary care teams and create holistic care plans addressing medical and non-medical needs
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, and self-management
Assist with preventive health strategies and gap closure
Follow up after hospitalizations and significant health events to support continuity and prevent readmissions
Coordinate care with physicians, specialists, healthcare providers, community organizations, state agencies, and other stakeholders
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
Adhere to NCQA and Care Management standards
Perform other job-related duties as requested

Requirements

What you’ll need

Master's degree in social work or mental health counseling and independent license required
Ability to independently serve people with complex medical, behavioral, and social needs
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 is a plus
Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel
Understanding of Medicare and Medicaid programs and community resources for dual-eligible beneficiaries
Strong interpersonal, written, and verbal communication skills
Ability to manage multiple cases and priorities while maintaining 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 function independently and as part of an interdisciplinary team
Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or Licensed Mental Health Counselor (LMHC) required
Case Management Certification highly preferred
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Influenza vaccination required during designated influenza season
Must reside in the assigned territory and within commutable distance to Massachusetts
Must be able to travel over 50% of the time / regular travel required
Flexible availability, including possible evenings and weekends

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Reasonable accommodations for qualified individuals
Annual Influenza vaccination provided/required as a condition of continued employment
Flexible hours, including possible evenings and/or weekends
Equal opportunity and belonging-focused work environment