Integrated Care Clinical Manager

CareSource

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

Posted 10/9/2026full-timePittsfield • 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, integrating health services and community resources to enhance health outcomes. Proficient in conducting assessments, developing care plans, and leading interdisciplinary teams while adhering to ethical standards and compliance requirements.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Care CoordinationMedicaid and Medicare ExperienceCase Management CertificationInterdisciplinary Team Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCrisis and Risk AssessmentsCare Plan DevelopmentUtilization ManagementCommunity Resource Integration

Soft Skills

Strong Interpersonal SkillsEffective CommunicationDecision-Making SkillsProblem-Solving SkillsAttention to Detail

Tools & Technologies

Microsoft Office SuiteOutlookWordExcel

Certifications & Qualifications

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

Industry Keywords

Dual-Eligible PopulationsHealth OutcomesPreventive CareNCQA StandardsCommunity-Based Training

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
Integrate health services and community resources to coordinate enrollee care and improve health outcomes and quality of life
Engage enrollees in homes and community settings to establish complex care management relationships
Serve as liaison 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 statuses change
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, Medicaid, benefits, chronic conditions, medication adherence, and preventive care
Promote healthy lifestyles, self-management, and preventive health strategies including 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 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 (LISCW), or Licensed Mental Health Counselor (LMHC) 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 and communication skills
Ability to manage multiple cases and priorities while maintaining attention to detail
Adherence to a professional code of ethics
Awareness of 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
Strong written and verbal communication skills
Strong interpersonal, customer relations, and customer service skills
Case Management Certification highly preferred
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 the Commonwealth of Massachusetts
Ability to travel greater than 50% of the time
Ability to work flexible hours, including possible evenings and weekends

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Influenza vaccination requirement and vaccination record support during influenza season
Reasonable accommodations for qualified individuals
Flexible hours, including possible evenings and/or weekends as needed
Mobile work arrangement with regular travel to homes, offices, and other public settings