Care Manager; Intellectual & Developmental Disabilities

For over 30 years, Alder has been a trusted guide for more than 5,000 families across Greater Boston, helping them navigate complex life journeys with compassion, clarity, and expert care. Historically rooted in aging life care management, Alder is expanding its premier, private-pay advocacy and care coordination model to support individuals with intellectual and developmental disabilities (I/DD) and their families across the lifespan.

Our Care Managers are seasoned clinicians who provide both strategic direction and hands‑on support. Deeply rooted in the community, we leverage a broad professional network to connect families with trusted resources, coordinate care, and facilitate meaningful conversations. At the heart of our work is a simple goal: to help families approach life’s transitions with absolute confidence.

Alder is seeking a dedicated, clinically licensed, and systems‑savvy Care Manager to pioneer and grow our dedicated I/DD practice. This role is specifically designed for an experienced clinical professional, such as a state agency nurse, clinical social worker, or rehabilitative therapist, who is ready to transition away from high‑volume public caseloads and return to high‑touch, deeply personalized, person‑centered care.

In this role, you will act as a strategic partner for individuals with developmental disabilities, autism spectrum disorders, and complex medical or mental health needs. You will manage a low‑volume caseload, giving you the time, autonomy, and resources to build meaningful relationships with families and deliver the kind of thoughtful, person‑centered care management that is often difficult to achieve in larger systems.

• Holistic Care Management: Develop, implement, and oversee comprehensive, person‑centered plans tailored to the unique goals, clinical needs, and long‑term milestones of the individual.
• Systems Navigation & Advocacy: Guide families through the complex ecosystem of public benefits, state agency eligibility processes, private resources, and insurance options, maximizing available funding streams.
• Clinical Oversight & Coordination: Leverage your professional background to interpret complex medical or behavioral records, identify high‑quality clinical providers, and ensure seamless continuity of care.
• Transition & Lifespan Support: Provide expert guidance during critical milestones, including school‑to‑adult transitions, residential placement planning, employment changes, and future‑care planning.
• Interdisciplinary
  
  Collaboration:
  
  Act as the central liaison between families, medical professionals, educational entities, therapeutic teams, and community service vendors to ensure clear communication.
• Clinical Accompaniment: Attend medical, therapeutic, and planning meetings alongside families to actively advocate for the individual’s clinical and human needs, ensuring follow‑through from all parties.
• Precise Documentation: Maintain accurate, timely, and thorough documentation of all care planning, clinical advocacy efforts, and family interactions.

• Licensure & Credentials: Must possess at least one of the following active Massachusetts credentials:
  • LCSW or LICSW
  • LMHC
  • Registered Nurse (RN)
  • Occupational Therapist (OT) or Physical Therapist (PT)
• Experience: Minimum of 3 to 5 years of direct clinical or case management experience working with individuals with intellectual and developmental disabilities, preferably within a state agency ecosystem, regional clinical team, or specialized provider network.
• Systems Expertise: Strong working knowledge of Massachusetts public and private benefit programs, including Mass Health, SSI/SSDI, Section 8, guardianship or its alternatives, and complex care funding streams.
• Clinical &…