Hybrid Behavioral Health; BH Clinical Care Manager - Holyoke​/Chicopee

Job Summary

The Integrated Care Clinical Manager – BH – Massachusetts at Care Source/Commonwealth Care Alliance (CCA) is a community‑based BH clinician responsible for monitoring, follow‑up and clinical care management for dually eligible enrollees with complex medical, behavioral and social care needs. The role focuses on integrating health services and community resources to coordinate care, improve health outcomes and enhance quality of life.

• Engage enrollees in their homes and community settings to establish a comprehensive care relationship, respecting cultural and linguistic needs.
• Act as liaison among healthcare providers, community resources and enrollees to ensure seamless communication and care transitions.
• Perform required assessments on a timely basis, including Comprehensive Assessment, MDS‑HC (or successor), Functional Assessments, and Crisis and Risk Assessments.
• Engage enrollees in care‑plan development and implementation, providing routine updates as the enrollee’s status changes.
• Lead the interdisciplinary care team (ICT) and collaborate with internal and external peers to create holistic plans addressing medical and non‑medical needs.
• Oversee utilization of long‑term services and supports, ensuring systems are in place for enrollees to remain in the location of their choice.
• Assist members in accessing community resources such as housing, transportation, food assistance and social services.
• Educate members about benefits and available services under Medicare and Medicaid.
• Provide education to members and families about managing chronic conditions, medication adherence and preventive care, and promote healthy lifestyle choices.
• Assist enrollees in preventive health strategies, including gap closure, and follow up after hospitalizations or significant health events to ensure continuity of care and reduce readmissions.
• Work closely with primary care physicians, specialists and other providers to coordinate care and share relevant information.
• Coordinate with community‑based organizations, state agencies and other service providers to avoid duplication of services.
• Advocate for enrollees’ needs and preferences within the health‑care system.
• Evaluate member satisfaction through communication and monitoring of concerns.
• Travel regularly to conduct member, provider and community visits as required.
• Report abuse, neglect or exploitation of older adults and adults with disabilities as a mandated reporter when required by state law.
• Adhere to NCQA and Care Management standards and perform any other job‑related duties as requested.

Must have a Master's degree in social work or mental health counseling and an independent license. Prior experience in care coordination, case management or working with dual‑eligible populations is preferred, especially with Medicaid and/or Medicare managed care.

• Intermediate proficiency with Microsoft Office (Outlook, Word, Excel).
• Understanding of Medicare and Medicaid programs and community resources available to dual‑eligible beneficiaries.
• Strong interpersonal, communication, customer service and conflict resolution skills.
• Ability to manage multiple cases and priorities while maintaining attention to detail.
• Adherence to a code of ethics aligned with professional practice.
• Awareness of and sensitivity to diverse backgrounds and needs.
• Decision‑making and problem‑solving abilities.
• Effective written and verbal communication skills.

Licensed Clinical Social Worker (LCSW), Licensed Independent Clinical Social Worker (LISCW) or Licensed Mental Health Counselor (LMHC) is required. Case Management Certification is highly preferred. A valid driver’s license, vehicle and verifiable insurance are also required.

This is a mobile position with regular travel to homes, offices or other public settings. Travel may exceed 50% of the time. Ability to stand or sit for long periods and use general office equipment (telephone, photocopier, fax, computer) is required. Flexible hours, including possible evenings and weekends, are necessary. Must reside within commuting distance to the Commonwealth of Massachusetts.

Salary range: $90,000 – $120,000. Additional bonus may be available tied to company and individual performance.

Care Source is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.