CareSource
CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. The company’s managed care business model was founded in 1989 and today CareSource is one of the nation’s largest Medicaid managed care plans. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality health care coverage for Medicaid consumers. In addition to Medicaid coverage, CareSource has a diverse offering of insurance plans on the Health Insurance Marketplace. The company also offers Medicare Advantage plans that help consumers close the gap of coverage as they age. CareSource serves 2 million members across five states supported by a growing workforce of 4,500.
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: 1 - 10 of 92 |
RN Care Manager - - Multistate License
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...
12h
| Job Type | Full Time |
Pharmacist Formulary Strategy & Management
Job Summary: The Pharmacist - Formulary Strategy and Management researches and develops moderate to complex industry-leading medical and pharmaceutical formularies, criteria, and drug policies that are cost effective and drive best clinical...
12h
| Job Type | Full Time |
Clinical Care Reviewer II - Multistate License - Post Acute Care RN
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 ...
12h
| Job Type | Full Time |
Regional Disease Management & Clinical Documentation Program Lead
Job Summary: The Regional Disease Management (DM) and Clinical Documentation Program Lead is responsible for supporting the development, management, and delivery of DM programs, materials, and Care Management clinical documentation company-...
12h
| Job Type | Full Time |
Project Manager I - Integration
Job Summary: The Project Manager I is responsible for managing small complexity projects within programs or small complexity standalone projects. Essential Functions: Responsible for successful delivery of project Ensure project milestone d...
12h
| Job Type | Full Time |
Community Based Care Manager - Mobile - Medina/Wayne County
Cleveland, Ohio
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...
18h
| Job Type | Full Time |
Community Based Care Manager - Mobile - Specialized Recovery Services - Summit County
Cleveland, Ohio
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...
18h
| Job Type | Full Time |
Medical Records Coordinator II (Must live in Indiana)
Job Summary: The Medical Records Coordinator II is responsible for all forms and aspects of retrospective medical record retrieval including, but not limited to, claims data analysis, outreach data research, direct EMR retrieval, Requests o...
18h
| Job Type | Full Time |
Community Based Care Manager - Mobile - Cuyahago County
Cleveland, Ohio
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...
18h
| Job Type | Full Time |
Health Plan Data Analyst II (SQL required)
Job Summary: The Health Plan Data Analyst II is responsible for extracting, analyzing, reporting, tracking and monitoring provider data across business functions, systems and interfaces. Provider directory data experience preferred. This is...
18h
| Job Type | Full Time |