RN Medicaid Clinical Care Specialist - Remote
Location: Boston
Posted on: June 23, 2025
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Job Description:
New Healthcare Finance Organization is Looking to hire an RN
Clinical Care Specialist! Fully Remote RN Case Management
Experience Needed This Jobot Job is hosted by: Joshua Tacke Are you
a fit? Easy Apply now by clicking the "Apply Now" button and
sending us your resume. Salary: $125,000 - $130,000 per year A bit
about us: We are a new, dynamic, private equity backed healthcare
organization dedicated to providing high-quality care to our
community. You will be working with our operations team to
facilitate complex care management / care coordination for our
Medicaid patients at our hospital clients nationwide - you will be
the clinical subject matter expert assisting our team. Are you a
self starting, mission driven RN or LCSW with case management /
managed care / care coordination experience? Contact me today!
https://apply.jobot.com/jobs/rn-medicaid-clinical-care-specialist-remote/1722506758/?utm_source=CareerBuilder
/> 347.424.4699 Why join us? National Healthcare Finance Org
Remote / Hybrid out of Wakefield MA office Great benefits 401K with
match Collaborative culture with friendly team Relocation
assistance available Unlimited Growth Opportunities Family
environment where everyone will know your name Job Details ROLE AND
RESPONSIBILITIES ? Assessing the medical needs of the patient to
understand their full clinical picture ? Review health insurance
benefit plans to determine if coverage options meet the needs of
the patient. ? Coordinate patient care options with Hospital
partner and providers post discharge including but not limited to
pediatric hospitals, home health, pharmacy, durable medical
treatment. ? Facilitating aspects of the treatment plan, such as
care coordination and discussions with the patient and family of
the patient. ? Recording all case information including
interactions with internal and external teams. ? Building strong
relationships with the medical team throughout the case management
process. ? Communicating with other healthcare providers,
specialists, and community services to ensure coordinated care and
seamless transitions. ? Responding to clinically complex situations
that may arise with patients within 1-2 business days. ?
Representing the patient's needs and advocating for access to
necessary services and resources. ? Attend as needed meetings with
healthcare team members to discuss patient medical needs and
obstacles in receiving care. ? Consistently demonstrate the ability
to successfully operate in problem-solving mode whenever challenges
or concerns arise. Job Requirements Bachelors in Nursing or Social
Work with clean and active MA license. 3 years of case management,
managed care, care coordination type experience. Ability to work
remotely Interested in hearing more? Easy Apply now by clicking the
"Apply Now" button. Jobot is an Equal Opportunity Employer. We
provide an inclusive work environment that celebrates diversity and
all qualified candidates receive consideration for employment
without regard to race, color, religion, age, sex, national origin,
disability status, genetics, protected veteran status, sexual
orientation, gender identity or expression, or any other
characteristic protected by federal, state or local laws. Sometimes
Jobot is required to perform background checks with your
authorization. Jobot will consider qualified candidates with
criminal histories in a manner consistent with any applicable
federal, state, or local law regarding criminal backgrounds,
including but not limited to the Los Angeles Fair Chance Initiative
for Hiring and the San Francisco Fair Chance Ordinance.
Keywords: , Nantucket , RN Medicaid Clinical Care Specialist - Remote, Healthcare , Boston, Massachusetts
