CareSource
The CareSource mission of making a lasting difference in members’ lives by improving their health and well-being was the catalyst for developing several programs that target the social determinants of health. The CareSource Life Services® program is designed to enhance the economic outcome of Medicaid members by addressing their unique needs through life coaching, access to resources and job opportunities. Life Services is widely recognized in the managed care industry for partnering with community agencies on behalf of members in order to reduce dependency on governmental services.
In the battle against the opioid epidemic, CareSource has launched a multifaceted approach to decrease opioids and increase access to treatment. This effort includes an award-winning prescriber outreach program in addition to pharmacy edits and pharmacy lock-in which have resulted in a significant reduction in opioid prescriptions. CareSource supports members seeking treatment with an integrated Medication Assisted Treatment (MAT) program that is grounded in a strong and expanding provider network and committed to providing access to quality care.
CareSource’s holistic model of care called Care4U® breaks down the hurdles of clinical treatment and social qualities that can lead to reduced health outcomes. Our members are more than a name on computer screen or a number in a statistic. Our regional, community-based multi-disciplinary care management teams comb through the data and social aspects that could affect physical, mental, and psychosocial health and integrates insights into how to improve the health and overall well-being of our members and the populations we serve.
At CareSource, our mission is one we take to heart. In fact, we call our mission our “heartbeat.” It is the essence of our company, and our unwavering dedication to it is a hallmark of our success.
Search among CareSource jobs
| Jobs: 31 - 40 of 137 |
Physical Health Outpatient RN Clinical Care Reviewer II - MUST have UM experience
Ely, Nevada
Job Summary: **MUST HAVE UM EXPERIENCE *** 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. D...
9d
Las Vegas, Nevada
Job Summary: The Manager, Member Services serves as the primary point person ensuring that business operations - including Enrollment, Call Center, Grievance and Appeals, and others, are working effectively to provide a high quality custome...
9d
Director, Clinical Operations -Care Management(Must Live In Nevada)
Las Vegas, Nevada
Job Summary: The Director, Clinical Operations - Care Management directs and oversees the key functions of a team that works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated...
9d
RN Community Based Care Manager
Atlanta, Georgia
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 a...
9d
Community Based Care Manager - RN or SW - Nevada
Las Vegas, Nevada
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 a...
9d
Pharmacist I - RX Solutions Center - Hybrid/WFH - Ohio Licensed
Job Summary: Pharmacist I - Rx Solutions Center (RSC) is responsible for supporting the department and organizational strategies, goals and vision. Utilizing pharmaceutical and clinical expertise to improve the health and well-being of our ...
9d
Team Lead, Customer Care - Member
Las Vegas, Nevada
Job Summary: The Team Lead, Customer Care is responsible for leading and directing their team to ensure goals, regulatory, compliance, and department standards are met. Essential Functions: Conduct regularly scheduled coaching conversations...
9d
Enterprise Accreditation Specialist III -
Job Summary: The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This pe...
9d
Operations Specialist II (Facets Dual Processing)
Dayton, Ohio
Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: Represent claims on cross-functional project work teams Submit, monitor...
9d
Financial Systems and Reporting Analyst III
Dayton, Ohio
Job Summary: The Financial Systems and Reporting Analyst III is responsible for supporting implementation and maintenance of financial system solutions including master data management, security, data reconciliation and financial reporting ...
9d