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$195.2k - $341.6k
...education, training, data sharing, performance evaluations and orientation to the plan Conduct clinical reviews for designated CareSource members as requested Provide physician review for clinical appeals cases Participate in the evaluation and investigations...SuggestedHourly payWork at officeWeekend workAfternoon shift$61.5k - $98.4k
...General office environment; may be required to sit or stand for extended periods of time Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and...SuggestedHourly payWork at office$94.1k - $164.8k
...utilization data to identify variances in patterns, and provide feedback and education to MCP staff and providers as appropriate Represent CareSource as the primary clinical liaison to members, providers and state agencies Support regulatory and accreditation functions (e.g.,...SuggestedInternshipWork at officeWeekend workAfternoon shift$62.7k - $100.4k
...; may require sitting or standing for extended periods. Compensation Range $62,700.00 - $100,400.00. Equal Opportunity Statement CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals...SuggestedWork experience placementWork at office$94.1k - $164.8k
...be required to sit or stand for extended periods of time. Compensation Range $94,100.00 - $164,800.00. Equal Opportunity Employer CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports...SuggestedWork at officeFlexible hours$135.6k - $237.4k
...Assistant General Counsel(s) as appropriate. Serves as lead attorney for a defined portfolio of legal matters, projects, markets, CareSource affiliates/subsidiaries, or specialized area within a practice group, exercising independent judgment on complex legal issues....SuggestedHourly payWork at office$61.55k
...Exempt. Position Summary As an RN Case Manager, you will support long-term clients age 60 and older enrolled in the MyCare Ohio CareSource waiver programs through clinical assessment, care coordination, advocacy, and ongoing case management. This opportunity combines...SuggestedFull timeWork from homeRelocation package$94.1k - $164.8k
...compensation may be supplemented with bonuses tied to company and individual performance. A comprehensive total rewards package is offered. CareSource takes into consideration a combination of a candidate’s education, training, and experience, as well as the position’s scope and...SuggestedContract workWork experience placementWork at officeRemote workFlexible hours- ...for Private Pay and Medicaid (including Mycare Medicaid plans) Use of insurance portals, navinet, optum, provider gateway, mns, caresource, and availity Assisting families and residents with Medicaid application process and follow through Resident trust accounting,...SuggestedWork at officeLocal area
- CareSource in Kentucky is seeking an experienced SIU Investigator to lead high‑complexity healthcare fraud investigations, analyzing data to identify trends and patterns. You will serve as a subject matter expert and collaborate with data analytics to drive investigative...Suggested
$62.7k - $100.4k
CareSource is seeking a Market Quality Improvement Specialist II in Nevada. This role involves collaborating with leadership to identify and implement process improvements using quality methodologies. Candidates should have at least three years of healthcare experience...Suggested- ...Two or more years of post‑certification BCBA experience Active Georgia Medicaid and CMO credentialing (Amerigroup, Peach State, CareSource) — or active willingness to credential Experience with ABA EMR platforms (CentralReach, Rethink, Catalyst, ABA Matrix) Bilingual...SuggestedFull timePart timeWork from homeMonday to FridayWeekend workAfternoon shift
$83k - $132.8k
...healthcare industry. Travel: Candidate may work remotely from anywhere in the US. Compensation Range: $83,000.00 - $132,800.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and...SuggestedHourly payFull timeRemote work$83k - $132.8k
...for leadership development and succession planning. Identify and understand the business and the assigned department's role within CareSource and their strategic goals. Monitor internal and external changes in law, policies, and practices to define and confront risk to...SuggestedWork experience placementWork at office$62.7k - $100.4k
...appropriate; document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation. Continuously assess for areas to improve the process to make the member’s experience...SuggestedWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift- ...Planner™) and is funded by leading Midwest investors, such as Allos Ventures, First Trust Capital Partners, Elevate Ventures, and CareSource. Key Responsibilities Design and own the support infrastructure, processes, and standards that will scale with the business...Full timeWork at office
$40.4k - $64.7k
...office environment; may be required to sit or stand for extended periods of time Compensation Range: $40,400.00 - $64,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and...Hourly payFull timeWork at office$62.7k - $100.4k
...locations, including homes, offices, or other public settings, to perform work duties. Compensation Range $62,700.00 - $100,400.00. CareSource may also offer a bonus tied to company and individual performance. CareSource is an Equal Opportunity Employer. CareSource...Work at officeHome office- ...Health & Family Engagement Oversee the KIND Cares Initiative, and serve as the primary liaison with healthcare partners, including CareSource and other community health organizations. Coordinate access to healthcare services including medical, dental, vision,...Full timeWork at officeLocal area
$62.7k - $100.4k
...appropriate* Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation* Continuously assess for areas to improve the process to make the members’ experience...Hourly payWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$61.5k - $98.4k
...identifying additional diagnostic tests and interventions needed to close open conditions Coordinates collaboration with internal CareSource teams and external vendors for Risk Adjustment interventions and education Perform any other job-related instructions, as...Hourly payFull timeWork experience placementWork at office$42.66k - $68.4k
...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 provider services through provider...Hourly payWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shiftinstED Virtual Medical Control (VMC) Nurse Practitioner - POOL(Part Time - $91.67 per hour/Remo[...]
$91.67 per hour
...work day and evening shifts on weekdays, weekends and holidays. Travel is not typically required. Compensation Compensation Range: $83,000.00 - $132,800.00. Compensation Type: Hourly. EEO Statement CareSource is an Equal Opportunity Employer. #J-18808-Ljbffr CareSourceHourly payTemporary workPart timeWork at officeRemote workWeekend workDay shiftAfternoon shiftWeekday work$62.7k - $100.4k
...members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 March 31) as a...Hourly payWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$47.4k - $76k
...Medicare Sales Representative II Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an...Work at officeLocal areaRelocation packageFlexible hoursAfternoon shift$94.1k - $164.8k
...comprehensive total rewards package focused on employee well-being. Company Description This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to...Full timeTemporary workCareSource
Remote1 day ago$135.6k - $237.4k
...environment; may be required to sit or stand for extended periods of time Compensation Range $135,600.00 - $237,400.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity...Full timeWork experience placementWork at officeCareSource
Remote10 hours ago- ...In-depth knowledge of Indiana Health Coverage Programs (IHCP) Experience with Hoosier Healthwise, Healthy Indiana Plan (HIP), CareSource, Anthem Indiana, Managed Health Services (MHS), UnitedHealthcare Community Plan Indiana Familiarity with Indiana Family and Social...
$83k - $132.8k
...offer a substantial and comprehensive total rewards package Company Description This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to...Full timeWork experience placementCareSource
Remote10 days ago$82k - $132k
...sit or stand for extended periods of time Travel is not typically required Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity...Hourly payWork at office
