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CCM – 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-timeEverett • Massachusetts • United StatesMid-LevelSenior💰 $75,200 - $120,500 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management for dually eligible enrollees, including conducting assessments, developing care plans, and coordinating with healthcare providers. Strong understanding of Medicare and Medicaid programs, along with the ability to engage diverse populations and manage complex care needs.
Highest-signal resume keywords
Master's Degree In Social Work Or Mental Health CounselingIndependent Clinical License (LCSW, LICSW/LISCW, LMHC)Care Coordination ExperienceMedicaid And Medicare Managed Care ExperienceCase Management Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Comprehensive AssessmentsCare Plan DevelopmentCrisis AssessmentRisk AssessmentUtilization ManagementInterdisciplinary Team LeadershipCommunity Resource LiaisonChronic Condition ManagementPreventive Care EducationMember Satisfaction Evaluation
Soft Skills
Interpersonal SkillsCommunication SkillsCustomer RelationsProblem-Solving SkillsAttention To Detail
Tools & Technologies
Microsoft Office (Outlook, Word, Excel)
Certifications & Qualifications
Independent Clinical LicenseCase Management Certification
Industry Keywords
Dual-Eligible PopulationsMedicareMedicaidCare Management StandardsCultural CompetenceCommunity-Based TrainingHealth Care CoordinationSocial ServicesPreventive Health StrategiesEthical Standards
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
- Consider members' cultural and linguistic needs
- Liaise among healthcare providers, community resources, and enrollees to support communication and care transitions
- Perform Comprehensive, MDS-HC or successor Functional, Crisis, and Risk Assessments
- Develop and implement care plans with enrollees and provide status updates
- Lead interdisciplinary care teams and collaborate with internal and external peers
- Oversee utilization of long-term services and supports
- Assist members with housing, transportation, food assistance, and social services
- Educate members about Medicare and Medicaid benefits and available services
- Educate members and families about chronic-condition management, medication adherence, and preventive care
- Promote healthy lifestyles and self-management strategies
- Support preventive-health strategies and gap closure
- Follow up after hospitalizations and significant health events to support continuity and prevent readmissions
- Coordinate care with primary care physicians, specialists, healthcare 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
- Report abuse, neglect, or exploitation as a mandated reporter under state law
- 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
- Independent clinical license required: LCSW, LICSW/LISCW, or LMHC
- 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 interpersonal, communication, customer relations, and customer service skills
- Ability to manage multiple cases and priorities while maintaining attention to detail
- Ability to function independently and effectively as part of an interdisciplinary team
- Adherence to a professional code of ethics
- Awareness and sensitivity to diverse backgrounds and population needs
- Decision-making and problem-solving skills
- Valid driver's license, vehicle, and verifiable insurance
- Successful driver's license record check
- Annual influenza vaccination during influenza season as a condition of continued employment
- Must reside in the assigned territory and within commutable distance to Massachusetts
- Willingness and ability to travel more than 50% of the time
- Flexibility to work evenings and/or weekends as needed
- Prior experience in care coordination, case management, or with dual-eligible populations 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 may be available
- Comprehensive total rewards package
- Annual influenza vaccination requirement with employer verification
- Reasonable accommodations for disabilities, medical conditions, and sincerely held religious beliefs
- Flexible hours, including possible evenings and/or weekends
- Mobile work arrangement with regular travel to different work locations