CCM - BH - LMHC, LICSW

CareSource

. Provide monitoring, follow-up, and clinical care management to dually eligible enrollees with complex medical, behavioral, and social care needs .

Posted 11/11/2026full-timeWorcester • Massachusetts • United StatesMid-LevelSenior💰 $75,200 - $120,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical care management for dually eligible enrollees, with a strong focus on developing care plans, conducting assessments, and coordinating with healthcare providers. Proficient in engaging with community resources and advocating for member needs while ensuring adherence to regulatory standards.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Care CoordinationMedicare and Medicaid KnowledgeCase Management CertificationInterdisciplinary Team Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCrisis and Risk AssessmentsCare Plan DevelopmentUtilization ManagementPreventive Health Strategies

Soft Skills

Strong Communication SkillsAttention to DetailIndependent WorkAdvocacy SkillsRelationship Building

Tools & Technologies

Microsoft Office SuiteOutlookWordExcel

Certifications & Qualifications

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

Industry Keywords

Dually Eligible BeneficiariesCommunity ResourcesNCQA StandardsLong-Term Services and SupportsHealth Event Follow-Up

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 homes and community settings to establish complex care management relationships
Liaise between healthcare providers, community resources, and enrollees
Perform Comprehensive, MDS-HC or successor Functional, and Crisis and Risk Assessments
Develop and implement care plans with enrollees and provide updates as status changes
Lead interdisciplinary care teams and collaborate with internal and external peers
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 and significant health events to promote continuity and prevent readmissions
Coordinate care with physicians, specialists, providers, community organizations, state agencies, and other stakeholders
Advocate for enrollee needs and preferences
Evaluate member satisfaction and monitor concerns
Conduct regular member, provider, and community-based visits, with travel potentially exceeding 50% of work time
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

Master's degree in social work or mental health counseling
Independent clinical license required
Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LICSW/LISCW), or Licensed Mental Health Counselor (LMHC) required
Ability to independently serve people with complex medical, behavioral, and social needs
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 skills
Ability to manage multiple cases and priorities while maintaining attention to detail
Ability to work independently and as part of an interdisciplinary team
Valid driver's license, vehicle, and verifiable insurance
Successful driver's license record check
Annual Influenza vaccination required during Influenza season (October 1–March 31)
Must reside in the assigned territory and within commutable distance to the Commonwealth of Massachusetts
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

Bonus tied to company and individual performance
Comprehensive total rewards package
Reasonable accommodations for qualified individuals
Flexible hours, including possible evenings and/or weekends
Influenza vaccination support with 30 days to complete vaccination for employees hired during flu season