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: 91 - 100 of 137 |
Integrated Care Intake Specialist II
Job Summary: The Integrated Care Intake Specialist II is responsible to complete all activities related to incoming alerts/referrals received from the Ohio Department of Medicaid (ODM) in a timely manner. The Integrated Care Intake Speciali...
9d
Grievance & Appeals Specialist II (Must live in Nevada/Hybrid Work)
Las Vegas, Nevada
Job Summary: The Grievance & Appeals Specialist II review both grievance and appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. This position set up cases, attend state hearings and man...
9d
Actuarial Analyst II (Medicaid Risk Adjustment)
Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, area, and corporate key initiatives. Essential Functions: Develops actionable ...
9d
Job Summary: The Enterprise Project Management Office (EPMO) Governance Lead assists with promoting project portfolio management and the project delivery governance life cycle, practices, roles and responsibility across the enterprise. Esse...
9d
The Manager, Data Engineering is responsible for providing strategic leadership, management, and direction in the engineering, architecture, development, and implementation of innovative data solutions within Azure Data Factory and Azure Da...
9d
Team Lead, Clinical Care Review - Post Acute
Dayton, Ohio
Job Summary: The Team Lead, Clinical Care Review is responsible for providing direct oversight of Clinical Care Review (CCR) employees and overseeing day-to-day workflow within the CCR team. Essential Functions: Provide direct oversight of ...
9d
Community Based Care Manager - RN - Greater Detroit Area
Detroit, Michigan
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
Mom & Baby Care Manager RN - Must reside in Nevada
Las Vegas, Nevada
Job Summary: The 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 populatio...
9d
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 cli...
9d
Atlanta, Georgia
Job Summary: This position supports TRICARE Prime Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veter...
9d