Care Manager, RN (MA /Field Based)

About the role

FreedomCare is a healthcare company dedicated to revolutionizing the home care industry since 2016. We support patients by ensuring they can choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S. We pride ourselves on our values: Here For You, Own It, Do the Right Thing, Be Positive. Join our team and make a positive impact on the lives of others! We are looking for a Care Manager, RN for our Massachusetts team! This is a field‑based RN position that requires regular travel throughout an assigned Massachusetts territory to conduct in‑home visits and support member care. Coverage areas may include the North Shore, Boston Proper, South Shore & Cape Area, Worcester, and Western Massachusetts. Department & Position Overview: FreedomCare’s Massachusetts operations support the MassHealth Adult Foster Care (AFC) program, which helps eligible adults with medical, physical, cognitive, or behavioral health needs receive daily assistance in a home setting from a qualified caregiver with professional care team support. The Care Manager, RN is responsible for conducting initial in‑home assessments, orientations for new patients and caregivers, and providing ongoing care management and support. This role combines clinical assessment, care coordination, patient and caregiver education, and quality assurance to ensure safe, effective, and person‑centered care.

Responsibilities

• Conduct initial in‑person clinical assessments and coordinate timely service activation, ensuring all required documentation, approvals, and standard procedures are completed.
• Develop, implement, and manage individualized plans of care, making and documenting revisions as the patient’s needs or condition change.
• Educate patients, caregivers, and internal teams regarding care needs, safety considerations, service requirements, caregiver responsibilities, and next steps.
• Coordinate patient care through timely communication and documentation with physicians, clinical disciplines, internal partners, and appropriate community resources.
• Provide ongoing education and coaching to support effective use of established best practices, promote caregiver competency, and connect patients and families with appropriate resources.
• Review caregiver documentation regularly and respond appropriately to identified changes in the patient’s condition, environment, or service needs.
• Identify changes in condition, safety concerns, service gaps, incidents, or other urgent issues and escalate them in accordance with established clinical protocols.
• Complete and document assessments, visits, clinical observations, care‑plan updates, incidents, communications, and follow‑up actions accurately, thoroughly, and within required timeframes.
• Support authorization, renewal, start‑of‑care, and continued‑service processes, as applicable.
• Maintain compliance with all applicable regulatory