Company · 251 open roles
Careers at Caresource
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251 positions at Caresource
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, …
Medical Director
Caresource·Remote
Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical case review for members. Essential Functions: • Provide prior authorization medical reviews, consultation and clinical review services • Participate …
Hybrid BH (LICSW or LMHC) Clinical Care Manager - Longmeadow
Caresource·Springfield, MA
Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical, behavioral and social care needs. This positio…
Care Coordinator - Fitchburg, Massachusetts
Caresource·Worcester, MA
Job Summary: The Care Coordinator - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) 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 servic…
Hybrid Registered Nurse (RN) Clinical Care Manager - Chicopee - 5K Sign On Bonus
Caresource·Chicopee, 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, …
Hybrid Registered Nurse (RN) - North Holyoke - 5K Sign On Bonus
Caresource·Holyoke, 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, …
Hybrid Registered Nurse (RN) Clinical Care Manager - Ipswitch - 5k 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 BH (LICSW, LMHC) Clinical Care Manager - Topsfield
Caresource·Massachusetts Mobile
Job Summary: • The Integrated Care Clinical Manager - BH - Massachusetts is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical, behavioral and social care needs. This posit…
Hybrid Behavioral Health (BH) Clinical Care Manager - Holyoke/Chicopee
Caresource·Chicopee, MA
Job Summary: The Integrated Care Clinical Manager - BH - Massachusetts at CareSource/Commonwealth Care Alliance (CCA) is a community based BH Clinician responsible for providing monitoring, follow-up and clinical care management to dually eligible enrollees with complex medical,…
RN Clinical Care Manager - Holyoke and surrounding areas - 5K Sign On Bonus
Caresource·Holyoke, 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, …
RN Clinical Care Manager - Massachusetts- Billerica- 5k 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 Clinical Registered Nurse (RN) Educator - MLTC
Caresource·Brooklyn, NY
Job Summary: The Clinical Nurse Educator is responsible for assisting in identifying learning and development needs for clinical staff. Assesses competencies, need for additional training and education, and develops and delivers educational programs to address issues. Essential…
Hybrid Registered Nurse (RN) Clinical Care Manager - Barnstable and surrounding areas - 5K Sign On Bonus
Caresource·Massachusetts Mobile
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, …
Hybrid - Registered Nurse (RN) Clinical Care Manager - Gloucester
Caresource·Massachusetts Mobile
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…
Regulatory Affairs Director - Hybrid (Bronx Office)
Caresource·Bronx, NY
Job Summary: The Regulatory Affairs Director is responsible for leading activities of the Regulatory Affairs Department, including contracts, compliance, surveys, audits, investigations, reporting, plan development and renewal, credentialing, Fraud, Waste & Abuse Special Investi…
Community Based Care Coordinator I
Caresource·Arkansas Mobile
Job Summary: The Community Based Care Coordinator I – Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded or unfunded), disease management and tr…
Community Based Care Manager
Caresource·Mississippi Mobile
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provi…
Clinical Care Reviewer II - RN - PST Hours
Caresource·Nevada WFH
Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization for health care services, assisting with discharge planning activities (i.e. DME, home health services) and care coordination for members, as well …
Supervisor, Clinical Care Management
Caresource·Springfield, MA
Job Summary: The Supervisor, Care Management provides front line management and support to Clinical Care Managers in the execution of care coordination tasks for members requiring RN and BH care managers. Essential Functions: • Functions as a “hands-on” supervisor, assisting i…
Provider Relations Account Manager - OH
Caresource·Ohio Mobile
Job Summary: The Provider Relations Account Manager - OH is responsible for working in a highly matrixed organization and influencing internal stakeholder relationships. This role will engage with providers to build, manage and maintain relationships, with a strong focus on oper…
Onboarding Specialist
Caresource·Massachusetts WFH
Job Summary: The Onboarding Specialist is the primary contact for members as they transition to a CCA/CareSource health plan. The Specialist contacts new members via telephonic outreach and identifies both the member's existing healthcare services that will continue and new serv…
Hybrid Registered Nurse Care Manager - Long Island
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…
Manager, LTSS Service Determination Operations
Caresource·Remote
Job Summary: The Manager, LTSS Service Determination Operations is responsible for leading the day-to-day operations of a market specific LTSS service determination function, ensuring accurate, timely, and compliant translation of assessments into appropriate long-term services …
Customer Care Specialist I (Contractors)
Caresource·Ohio WFH
TrueCare is a Mississippi non-profit, provider-sponsored health plan formed by a coalition of Mississippi hospitals and health systems throughout the state and supported by CareSource’s national leadership in quality and operational excellence. TrueCare offers locally based provi…