Nurse Care Manager
Company: Complete Staffing Solutions
Location: Methuen
Posted on: February 21, 2026
|
|
|
Job Description:
Job Description Job Description Hiring for an ACO Nurse Care
Manager in Methuen, MA Monday thru Friday 40 hours/week (day shift)
Pay rate: $40-43/hr MUST be bilingual in Spanish/English Position
Summary: As an integral member of the care management team, the
Nurse Care Manager (CM) will have the opportunity to make a
profound impact on the lives of people living with complex and/ or
chronic conditions, many of whom also face multiple barriers in
their lives which makes it difficult for them to achieve the
self-care required to improve their health and well-being. This
position requires flexibility and may vary from day-to-day to meet
members where they are. Outreach methods may vary based on the
needs of the organization and may include telephonic or in person
in a variety of potential settings such as but not limited to, the
health center, community, home, or an inpatient facility. Job
Responsibilities and Performance Standards: Conduct Comprehensive
Assessments on all patients referred into the complex care
management program and formulate individualized care plans based on
the patient’s needs and preferences. Implement interventions and
revise care plans as needed based on ongoing patient assessment and
evaluation, including following any inpatient discharge or ED
visit. Facilitate patient outreach to assess the patient’s
progression toward their goals. Use motivational interviewing
strategies to optimize patient engagement. Engage members and
caregivers in active care planning with focus on medical,
behavioral, social, member-centered care needs. Coaches and guides
member/representative to meet bio/psycho/social goals. Contribute
to PCMH (Patient Centered Medical Home) care team meetings as
needed and is an active member of the PCMH team. Conduct medication
assessments and reconciliation as appropriate and refers to the
care team pharmacist as needed based on assessment. Provide care
coordination, which may include but not limited to facilitating
care transitions, supporting the completion of referrals, and/or
providing or confirming appropriate follow-up. Facilitate case
conferences as needed, including engaging community partners and
other community-based stakeholders who are engaging with patients.
May be required to meet patients while they are inpatient to
provide education and support about the discharge process and
transition members into care management. Assess the member’s
knowledge of their medical, behavioral health and/or social
conditions and provides education and self-management support
including symptom response plans based on the member’s needs and
preferences. Refer/connect patients with primary care, behavioral
health, flexible services, community partner, respite, and other
community based social services as indicated and appropriate. In
collaboration with Community Health Workers, create and maintain a
comprehensive inventory of local community resources through a
web-based application, improving accessibility for members and
providers, and linking members with the appropriate support
services. Participate in the integrated care team meetings and
rounds as required. Maintain accurate, timely documentation in
electronic systems including health center EHRs. Provide coverage
for team members who are out of office. Maintain patient caseload
based on internal standards. ? Other duties as assigned.
Qualifications and Experience: Active RN Nurse License in MA Case
Management Certification (CCM, ANCC RN-BC), preferred. 3-5 years of
nursing experience, preferably in-home health, ambulatory care,
community public health, case management, coordinating care across
multiple settings and with multiple providers. Demonstrated success
in working as part of a multi-disciplinary team including
communicating and working with Providers, Pharmacists, Social
Workers, Community Health Workers, and other health care teams.
Ability to flexibly utilize clinical expertise to solve complex
problems. Experience working with patients with chronic and
behavioral health needs. Must be flexible and adaptable to change.
Demonstrate the ability to work independently. Must demonstrate
excellent interpersonal communication skills. Additional qualities
that would be a good fit for our team include: Enthusiasm and
passion for helping patients, genuine spirit, kind, and empathetic
nature, and one who embraces a ‘go with the flow’ mentality.
Experience using appropriate technology, such as computers, for
work-based communication. Experience and proficiency with Microsoft
Office and online record keeping. Experience within the ACOs member
population preferred including Medicare/Medicaid. Experience
working with Federally Qualified Health Centers, strongly
preferred. Demonstrated experience working with diverse patient
populations and workforce. Valid driver’s license. Physical
Environment Physical surroundings are satisfactory with occasional
exposure to injury or unpleasant elements such as chemicals or
infectious hazards which require precautions. Social/Psychological
Conditions Occasional mental stress due to situation and workload
pressure. Physical Effort Frequently sits, stands, walks, bends,
reaches, and stoops throughout the workday. Frequently lifts, pull,
push and carry up to 20 lbs. Periodic eye strain. zip
Keywords: Complete Staffing Solutions, Warwick , Nurse Care Manager, Healthcare , Methuen, Rhode Island