Clinical Care Manager Nurse
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 58656 - 142448
Posted on:
20-10-2025
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
The Clinical Care Manager Nurse requires an active RN license and the ability to accommodate a hybrid work model that requires travel in the area M-F including practice-based remote work and in-person home and community visits to Duals members. The ideal candidate will reside in Eastern MA area given our membership.
Clinical Care Managers (3 total) will be geographically aligned within proximity as member enrollment progresses. The population will primarily include enrollees residing in Essex Middlesex Suffolk Norfolk Plymouth Bristol Dukes and Nantucket counties. The Clinical Care Managers responsibilities and caseload may be adjusted based on enrollee enrollment trends.
Job Summary
The OpportunityMass General Brigham Health Plan seeks a Registered Nurse (RN) Clinical Care Manager to work as part of an interdisciplinary care team providing care management for health plan enrollees with complex medical behavioral and social needs including Severe and Persistent Mental Illness (SPMI).
As a clinical expert on the interdisciplinary team the Clinical Care Manager conducts assessments develops enrollee centered care plans coordinates care provides health education and collaborates with providers to ensure comprehensive support.
This position requires an active RN license and a hybrid working model including practice-based remote work and enrollee in-person home and community visits as needed.
The population will primarily include enrollees residing in Essex Middlesex Suffolk Norfolk Plymouth Bristol Dukes and Nantucket counties. The Clinical Managers responsibilities and caseload may be adjusted based on enrollee enrollment trends.
What Youll Do:
-Collaborate with the interdisciplinary care teamincluding LTSC GSSC primary care providers and specialiststo support program enhancements process improvements and comprehensive care coordination.
-Participate in interdisciplinary care team meetings ensuring medication reconciliation timely follow-ups after hospitalization quality gap closures and consistent communication with providers and enrollees.
-Develop update and implement individualized enrollee-centered care plans in collaboration with enrollees and the care team incorporating self-care shared decision-making and addressing behavioral health needs.
-Conduct outreach assessments and home visits using telephonic electronic or in-person methods to evaluate clinical status identify needs and provide ongoing community-based care management or appropriate referrals.
-Monitor enrollees clinical status for early signs of deterioration proactively intervene to prevent unnecessary hospitalizations and act as the clinical escalation point for urgent issues through triage telephonic support and care coordination.
-Provide health education coaching and routine engagement to assigned enrollees proactively addressing questions concerns and facilitating access to providers and supportive services.
-Utilize electronic medical record systems to accurately document monitor and evaluate enrollee interventions and care plans ensuring compliance with DSNP regulations and internal policies.
-Serve as a clinical resource and lead interdisciplinary care team member for assigned enrollees supporting compliance initiatives quality assurance and collaborating with care management leadership on challenging cases.
-Perform additional duties as assigned by supervisors to support care management goals and promote enrollee well-being.
Qualifications
Qualifications
- Associates Degree Nursing required or Bachelors Degree Nursing preferred
- Massachusetts Registered Nurse required
- Basic Life Support BLS Certification preferred
- At least 2-3 years of experience in health plan or community case management is highly preferred
- Experience with Dual Eligible Populations (Medicare and Medicaid) highly preferred
- Certified Case Management Certificationpreferred
Skills for Success
- Exceptional communication abilities with active listening skills
- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions conclusions or approaches to problems.
- Ability to establish strong rapport and relationships with patients and staff.
- Proficient in Microsoft Office and industry related software programs.
- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Ability to maintain client and staff confidentiality.
- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care.
- Knowledge of Healthcare and Managed Care preferred.
Additional Job Details (if applicable)
Working Model Required
- M-F Eastern Business Hours required 830a-5pm ET
- This is a full-time benefits eligible role
- Onsite Practice-based remote work and enrollee in-person home and community visits
- Weekly multiple variable days in the field needed
- Reliable transportation and valid drivers license required
- Must be local ideally in Eastern MA. Community capable with autonomy to build own schedule to accommodate members needs.
- The Clinical Care Manager must be flexible for training field work and business needs this can very per week in person as well as telephonic or virtual assessments are possible.
- Field work may be increased as the program launches
- Remote working days require stable quiet secure compliant working station
Our goal will be to geographically align Clinical Care Managers (3) this depends on residence and can vary based on business needs member enrollment and team staffing.
The population will primarily include enrollees residing in Essex Middlesex Suffolk Norfolk Plymouth Bristol Dukes and Nantucket counties. The Clinical Care Managers responsibilities and caseload may be adjusted based on enrollee enrollment trends.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$58656.00 - $142448.80/AnnualGrade
98TEMPEEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
Manager
Key Skills
- Nurse Management
- Patient Care
- Hospital Experience
- Employee Evaluation
- Acute Care
- Healthcare Management
- Management Experience
- Primary Care Experience
- Conflict Management
- Nursing
- Leadership Experience
- Supervising Experience
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
