Integrated Care Clinical Manager – Behavioral Health

CareSource

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

Posted 10/12/2026full-timeTaunton • 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, with a strong understanding of Medicare and Medicaid programs. Capable of developing and implementing comprehensive care plans while effectively liaising between healthcare providers and community resources.

Highest-signal resume keywords

Licensed Clinical Social Worker (LCSW)Care CoordinationMedicaid and Medicare ExperienceInterdisciplinary Team LeadershipComplex Case Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Crisis and Risk AssessmentComprehensive Care PlanningFunctional AssessmentPreventive Health StrategiesMedication Adherence EducationCommunity Resource LiaisonUtilization of Long-Term ServicesData Management with Microsoft OfficeMember Satisfaction EvaluationEthical Decision-Making

Soft Skills

Strong Interpersonal SkillsEffective CommunicationCustomer RelationsAttention to DetailProblem-Solving

Tools & Technologies

Microsoft Office SuiteCommunity-Based Training

Certifications & Qualifications

Independent Clinical LicenseLicensed Independent Clinical Social Worker (LISCW)Licensed Mental Health Counselor (LMHC)

Industry Keywords

Dually Eligible PopulationsCare Management StandardsNCQA ComplianceSocial Services AccessChronic Condition Management

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 their homes and community settings to establish complex care management relationships
Liaise between healthcare providers, community resources, and enrollees to support communication and care transitions
Perform Comprehensive, MDS-HC or successor Functional, and Crisis and Risk Assessments
Develop and implement care plans with enrollees and provide updates as their status changes
Lead interdisciplinary care teams and create holistic plans addressing medical and non-medical needs
Oversee utilization of long-term services and supports
Help members access 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 lifestyle choices and self-management strategies
Assist with preventive health strategies and gap closure
Follow up after hospitalizations and significant health events to support continuity of care 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 with travel often exceeding 50%
Report abuse, neglect, or exploitation as a mandated reporter
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 available to 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 adhere to a professional code of ethics
Awareness of and sensitivity to diverse backgrounds and needs
Decision-making and problem-solving skills
Ability to function independently and as part of an interdisciplinary team
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Annual influenza vaccination required during influenza season
Must reside in the assigned territory and within commutable distance to the Commonwealth of Massachusetts

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Reasonable accommodations for qualified individuals
Influenza vaccination requirement with employer verification during influenza season
Flexible hours, including possible evenings and/or weekends