Integrated Care Clinical Manager – BH

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-timeQuincy • Massachusetts • United StatesMid-LevelSenior💰 $80,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management for dually eligible populations, including comprehensive assessments, care plan development, and interdisciplinary team leadership. Proficient in navigating Medicare and Medicaid systems while advocating for member needs and promoting preventive health strategies.

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 AssessmentsRisk AssessmentsCare Plan DevelopmentUtilization ManagementMedication Adherence EducationPreventive Care EducationData ManagementTravel CoordinationCommunity Resource Navigation

Soft Skills

Interpersonal SkillsCommunication SkillsCustomer Service SkillsDecision-Making SkillsProblem-Solving Skills

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

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

Industry Keywords

Dually EligibleCare Management StandardsNCQA StandardsSocial ServicesChronic 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 Functional, Crisis, and Risk Assessments
Develop and implement care plans with enrollees and provide routine updates
Lead interdisciplinary care teams and create holistic care plans addressing medical and non-medical needs
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 lifestyle choices and self-management strategies
Support 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 extensive travel
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 and independent license required
Ability to independently serve people with complex medical, behavioral, and social needs
Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW), or Licensed Mental Health Counselor (LMHC) required
Prior experience in care coordination, case management, or working with dual-eligible populations preferred
Medicaid and/or Medicare managed care experience preferred
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 function independently and effectively as part of an interdisciplinary team
Adherence to a professional code of ethics
Awareness of and sensitivity to diverse backgrounds and population needs
Decision-making and problem-solving skills
Case Management Certification highly preferred
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 same assigned territory; must live within commutable distance to the Commonwealth of Massachusetts
Ability to travel greater than 50% of the time
Flexible availability, including possible evenings and weekends

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 and vaccination record verification
Flexible hours, including possible evenings and/or weekends as needed