RN Case Manager for Dual Eligible Special Need Plan (D-SNP)

What You'll Bring:

- Associate's Degree Nursing required (Bachelor's Degree Nursing preferred).

- Active and unrestricted Registered Nurse (RN) Licensure for the state of Massachusetts required.

- 2+ years of case management and/or discharge planning required.

- Experience working with complex dually eligible populations required.
- Knowledge of Managed Care preferred.

- Understanding of diagnostic criteria for dual conditions and the ability to conceptualize modalities and placement criteria within the continuum of care preferred.

- Utilization Review experience preferred.

Additional Skills and Abilities:

- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- 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.

Schedule and Working Model:

- Full-time (40 hours) Monday through Friday, ~8:30am-5pm.

- Hybrid: Approximately 2 days per week in the field and 3 days per week at home, with flexibility as needed.