Revenue Cycle Coordinator III CareSourceRevenue Cycle Coordinator IIIDayton, OH$47,400–$76,000 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Revenue Cycle Coordinator III is responsible for providing oversight in the research and resolution of member related eligibility and billing complaints from internal customers and governing entities.
Hybrid RN Care Manager - Metro West / Central MA - $5K Sign ON Bonus! CareSourceHybrid RN Care Manager - Metro West / Central MA - $5K Sign ON Bonus!Worcester, MA$80,000–$120,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid Registered Nurse (Rn) Care Manager - Mltc - Brooklyn CareSourceHybrid Registered Nurse (Rn) Care Manager - Mltc - BrooklynBrooklyn, NY$100,000–$135,000 / yearJob 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. Develops efficient plans of care, authorizing only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based on members' needs.
Clinical Rehabilitation Manager - Hybrid (Occupational Therapist Or Physical Therapist) (Brooklyn, Bronx Or Queens Office) CareSourceClinical Rehabilitation Manager - Hybrid (Occupational Therapist Or Physical Therapist) (Brooklyn, Bronx Or Queens Office)Brooklyn, NY$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
Hybrid Registered Nurse (Rn) Care Manager - Brooklyn CareSourceHybrid Registered Nurse (Rn) Care Manager - BrooklynBrooklyn, NY$100,000–$135,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid BH (Licsw Or Lmhc) Care Manager - Lynn CareSourceHybrid BH (Licsw Or Lmhc) Care Manager - LynnLynn, MA$80,000–$120,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid BH (Licsw) Or (Lmhc) Clinical Manager - Seekonk, MA CareSourceHybrid BH (Licsw) Or (Lmhc) Clinical Manager - Seekonk, MAAttleboro, MA$80,000–$120,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid RN Case Manager - South Shore / Southeast MA - $5K Sign ON Bonus! CareSourceHybrid RN Case Manager - South Shore / Southeast MA - $5K Sign ON Bonus!Quincy, MA$80,000–$120,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Intake Nurse (Rn) - Bilingual (Spanish, Russian, Or Chinese) - UAS (Uniform Assessment System) CareSourceIntake Nurse (Rn) - Bilingual (Spanish, Russian, Or Chinese) - UAS (Uniform Assessment System)Brooklyn, NY$100,000–$135,000 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
Hybrid Clinical Registered Nurse (Rn) Educator - Mltc CareSourceHybrid Clinical Registered Nurse (Rn) Educator - MltcBrooklyn, NY$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Essential Functions: Assists in identifying learning and development needs of staff using various data collection methods: questionnaires, chart review, focus groups.
Hybrid RN Care Manager - Western, MA - $5K Sign ON Bonus! CareSourceHybrid RN Care Manager - Western, MA - $5K Sign ON Bonus!Springfield, MA$80,000–$120,000 / yearJob 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, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Intake Nurse (Rn) - Bilingual (Spanish, Russian, Or Chinese) - UAS (Uniform Assessment System) CareSourceIntake Nurse (Rn) - Bilingual (Spanish, Russian, Or Chinese) - UAS (Uniform Assessment System)Brooklyn, NY$100,000–$135,000 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Working Conditions: This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.
Hybrid Registered Nurse (Rn) Clinical Care Manager - Chicopee - 5K Sign On Bonus CareSourceHybrid Registered Nurse (Rn) Clinical Care Manager - Chicopee - 5K Sign On BonusChicopee, MA$80,000–$120,000 / yearJob 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, behavioral and social care needs. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid Primary Care Triage Registered Nurse (Rn) - Massachusetts Only CareSourceHybrid Primary Care Triage Registered Nurse (Rn) - Massachusetts OnlyBoston, MA$62,700–$100,400 / yearJob Summary: The Care Delivery Triage RN is responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team, and acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs. Utilizes nursing judgement and/or provider order in order to refer to internal and external auxiliary resources such as CCA clinical group CHW, Rehab, Nursing and APCs, home based lab services, instEd, pharmacies, etc.
Hybrid BH (Licsw Or Lmhc) Clinical Care Manager - Plymouth CareSourceHybrid BH (Licsw Or Lmhc) Clinical Care Manager - PlymouthSpringfield, MA$80,000–$120,000 / yearJob 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. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Intake Scheduling Specialist - Bengali Speaking Preferred CareSourceIntake Scheduling Specialist - Bengali Speaking PreferredBrooklyn, NY$41,200–$66,000 / yearJob Summary: The Intake Scheduling Specialist processes referrals; explains the program(s) and their benefits to potential enrollees and their families; addresses Medicaid issues of potential enrollees to Entitlement department and timely follows up on their resolution; schedules RNs visits, communicates to referral source about status of referrals; assures accuracy of data entry and demographic updates; provides office assistance to Intake/Outreach department and performs related duties as assigned. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Community Based Care Manager CareSourceCommunity Based Care ManagerMobile, MS$56,430–$90,360 / yearEssential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports.
Intake Scheduling Specialist - Bengali Speaking Preferred CareSourceIntake Scheduling Specialist - Bengali Speaking PreferredBrooklyn, NY$41,200–$66,000 / yearJob Summary: The Intake Scheduling Specialist processes referrals; explains the program(s) and their benefits to potential enrollees and their families; addresses Medicaid issues of potential enrollees to Entitlement department and timely follows up on their resolution; schedules RNs visits, communicates to referral source about status of referrals; assures accuracy of data entry and demographic updates; provides office assistance to Intake/Outreach department and performs related duties as assigned. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
Hybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLY CareSourceHybrid Primary Care Triage Registered Nurse (RN) - Massachusetts ONLYBoston, MA$62,700–$100,400 / yearJob Summary: The Care Delivery Triage RN is responsible for performing telephonic clinical triage and providing health information service and care coordination as a key part of the primary care team, and acts as the primary liaison with Care Partnership and external care team members when communicating clinical and care management needs. Utilizes nursing judgement and/or provider order in order to refer to internal and external auxiliary resources such as CCA clinical group CHW, Rehab, Nursing and APCs, home based lab services, instEd, pharmacies, etc.
Market Development Partner-2 CareSourceMarket Development Partner-2OH$62,700–$100,400 / yearJob Summary: The Market Development Partner (MDP) is responsible for cultivating and managing strategic relationships with key market stakeholders, including healthcare providers, community-based organizations, LTSS entities, and advocacy groups, driving growth by self-generating leads and supporting the enrollment of Medicare-eligible beneficiaries through established sales channels. Self-generate new membership leads and enrollments across assigned channels/territory through relationship building and education of key influencers (Health care Providers, Community-based organizations, and Advocacy Groups).