Company · 397 open roles
Careers at Caresource
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397 positions at Caresource
Hybrid RN Care Manager - Queens
Caresource·Queens, NY
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essent…
Intake Nurse (Hybrid/Mobile)(Bilingual)(Bronx, Manhattan, Westchester County)
Caresource·Bronx NY Office
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities within the community and the assessment of eligib…
Hybrid Nurse Care Manager - Nassau County - Hindi/Punjabi/Urdu Speaking Preferred!
Caresource·Queens, NY
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essent…
Licensed Practical Nurse -LPN (Springfield, MA)
Caresource·Springfield MA Office
Position Summary Provides support in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient’s complaint, health history, and measurement of vital signs, preparing the patient for examination, and implementing p…
Hybrid RN Clinical Care Manager - East Longmeadow - 5K Sign On Bonus
Caresource·Longmeadow, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, …
Primary Medical Care Assistant (Springfield, MA)
Caresource·Springfield MA Office
Job Summary: The Primary Care Medical Assistant provides care to patients in a clinic setting by managing patient flow through the clinic, obtaining pertinent clinical information including the patient's complaint, health history, and measurement of vital signs, preparing the pat…
Hybrid RN Case Manager - South Shore / Southeast MA - $5K SIGN ON BONUS!
Caresource·Quincy, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Hybrid RN Care Manager - Greater Boston - $10K SIGN ON BONUS!
Caresource·Boston, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Hybrid RN Care Manager - Metro West / Central MA - $5K SIGN ON BONUS!
Caresource·Worcester, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Nurse Practitioner / Physician Assistant (Care Delivery Advanced Practice Clinician)(Springfield Office / Mobile)
Caresource·Massachusetts Mobile
Job Summary: The Care Delivery Advanced Practice Clinician (APC) provides comprehensive primary care and clinical care coordination to a panel of patients, including individuals with significant medical, behavioral, and social complexities that require intensive care coordination…
Hybrid Registered Nurse (RN) Care Manager - Manhattan - MLTC
Caresource·Bronx, NY
Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member's health needs while promoting quality cost effective outcomes. Essent…
Hybrid Registered Nurse (RN) - Care Delivery (Boston Area)
Caresource·Massachusetts Mobile
Job Summary: Care Delivery RN collaborates with members of an interdisciplinary team to provide primary care, in home specialty care, and care coordination to a specific panel of high risk and complex patients, including individuals with significant medical, behavioral, and soci…
Intake Nurse (RN) - Bilingual (Spanish, Russian, or Chinese)(Brooklyn/Mobile)
Caresource·Brooklyn, NY
Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities within the community and the assessment of eligib…
Community Based - Duals Integrated Care -Ohio Based
Caresource·Ohio Mobile
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resour…
Care Coordinator, North Shore MA
Caresource·Massachusetts Mobile
Job Summary: The Care Coordinator - Massachusetts at CareSource/Commonwealth Care Alliance is the primary point of contact for a stratified panel of members whose role is to assist enrollees in navigating their health care providing care planning and coordination of services, en…
Hybrid Paralegal II - ESH Quality Appeals & Grievances (Bronx Office & Work From Home)
Caresource·Bronx NY Office
Job Summary: The Paralegal II - Quality Appeals & Grievances provides legal, analytical, and operational support to the Quality Appeals and Grievances function. The role conducts research, reviews appeal and grievance determinations, analyzes external review outcomes, prepares r…
Community Marketing Representative II- Must Reside in Franklin County or Contiguous County
Caresource·Ohio Mobile
Job Summary: The Community Marketing Representative II is responsible to support the enrollment and retention strategy in collaboration with management to ensure all membership goals are successfully achieved. Essential Functions: • Utilize an educational approach to community…
SIU Investigator III (Must live in Arkansas)
Caresource·Arkansas WFH
Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends…
Hybrid RN Clinical Care Manager - Methuen
Caresource·Lowell, MA
Job Summary: The Integrated Care Clinical Manager - Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position…
Community Based Care Manager-
Caresource·Michigan Mobile
Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible beneficiaries, those who qualify for both Medicare and Medicaid. This position focuses on integrating health services and community resour…
Manager, Customer Care Medicare Strategy
Caresource·Ohio WFH
Job Summary: The Manager, Customer Care Medicare Strategy leads the execution, measurement, and continuous improvement of Customer Care (Call Center and Grievance & Appeals) initiatives that strengthen the Medicare member experience and performance on Medicare Star Ratings, incl…
Scrum Product Owner
Caresource·Dayton, OH
Job Description: Develop the strategic vision for and manage IT products and projects. Work closely with the Scrum team to maintain focus on goals, alignment with business needs and urgent matters, and adherence to strategic vision, budget, schedule, and scope. Motivate the Scrum…
Clinical Care Reviewer II - Behavioral Health
Caresource·Massachusetts WFH
Job Summary: Clinical Care Reviewer II – Behavioral Health is responsible for processing medical necessity reviews for appropriateness of authorization for behavioral health care services, assisting with discharge planning activities (i.e. outpatient services, home health servic…
VP, Market Operations(Preferred Experience in Managed Care & Live In Ohio))
Caresource·Ohio WFH
Job Summary: Vice President, Market Operations - Ohio is responsible for developing the overall market program strategy and business objectives; lead the alignment and collaboration to establish CareSource as the industry leader in member and provider engagement, member and prov…
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