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Results based on filters ( 431 jobs found )

Manager, Case Management RN- Integrated Care

CareSource
Located in Ohio
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data-type="string"> Description : Manager, Case Management RN- Integrated ...
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About the job:
Care remote type Mobile locations Arkansas Mobile time type Full time posted on Posted 3 Days Ago job requisition id R13505 **Job Summary:** The Manager, Case Management - Integrated Care is responsible for overseeing the Integrated Care Duals Product Teams in coordinating the care, service and health benefits for selected member populations. **Essential Functions:** + Monitors and promotes safe and effective utilization of healthcare resources through clinical variance and benefits management + Actively manages the...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
Licensed Professional Clinical Counselor
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Based Care Manager

CareSource
Located in Ohio
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data-type="string"> Description : Community Based Care Manager remote type ...
Details
Summary
About the job:
Mobile locations Mississippi Mobile time type Full time posted on Posted Today job requisition id R13532 TrueCare is a Mississippi non-profit, 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 engagement representatives and customer care. Our sole mission is to improve the health of Mississippians...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
N/A
From:
De jobs
Certifications / Licenses:
Driver's License
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Health Partner Network Manager

CareSource
Located in Ohio
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data-type="string"> Description : Health Partner Network Manager remote type ...
Details
Summary
About the job:
Mobile locations Ohio Mobile time type Full time posted on Posted 4 Days Ago job requisition id R13456 **Job Summary:** The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. **Essential Functions:** + Create, execute and administer value based reimbursement (VBR) strategies as directed + Conduct annual effectiveness review of contracting strategies; ensure corporate compliance...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Based Care Managers

CareSource
Located in Ohio
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data-type="string"> Description : Community Based Care Managers remote type ...
Details
Summary
About the job:
Mobile locations Mississippi Mobile time type Full time posted on Posted Today job requisition id R13531 TrueCare is a Mississippi non-profit, 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 engagement representatives and customer care. Our sole mission is to improve the health of...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Driver's License
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Health Worker

CareSource
Located in Ohio
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data-type="string"> Description : Community Health Worker remote type Mobile ...
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Summary
About the job:
locations Arkansas Mobile time type Full time posted on Posted 5 Days Ago job requisition id R13516 **Job Summary:** The Community Health Worker participates as a member of the inter-disciplinary care team (ICT) to coordinate care for members. **Essential Functions:** + Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to; hospital, provider office, community agency, member’s home, telephonic or electronic...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Community Health Workers
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
Community Health Worker Certification
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Market Development Partner-2

CareSource
Located in Ohio
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data-type="string"> Description : Market Development Partner-2 remote type ...
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Summary
About the job:
Remote locations Ohio WFH time type Full time posted on Posted Today job requisition id R13569 **Job 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. The MDP develops and executes...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Training and Development Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

AI Architect III

CareSource
Located in Ohio
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remote type Remote Job Summary: The AI Architect III leads the design and ...
Details
Summary
About the job:
integration of scalable, secure, and sustainable Generative AI solutions within CareSource’s enterprise technology ecosystem. This role partners across architecture, engineering, and security to ensure that AI implementations align with enterprise strategy, platform principles, and data governance. Essential Functions: - Define and oversee the architecture for Generative AI platforms, including LLMs, vector databases, and inference pipelines - Collaborate with enterprise and solution architects to align AI design...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CareSource
Certifications / Licenses:

Microsoft Certified: Azure AI Engineer Associate
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Intake Scheduling Specialist - Bengali Speaking Preferred

CareSource
Brooklyn, NY
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remote type Onsite Job Summary: The Intake Scheduling Specialist processes ...
Details
Summary
About the job:
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. Essential Functions: - Process incoming referrals by reviewing...
Location:
Brooklyn, NY
Job Type:
Full-Time
Permanent
Occupation:
Medical Secretaries and Administrative Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Enterprise Quality Statistician

CareSource
Located in Ohio
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remote type Remote Job Summary: The Enterprise Quality Statistician leads, ...
Details
Summary
About the job:
implements, and conducts analysis for quality and performance improvement and population health processes through the integration of quality improvement science and advanced statistical methodologies. Essential Functions: - Serve as the statistical expert for quality and performance evaluation, study designs, and analytical methodology - Support the Senior Director, Quality Analytics to conduct assessments using qualitative and quantitative methodologies and continuous improvement tools to identify issues and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CareSource
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Hybrid RN Case Manager - Queens

CareSource
New York
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remote type Mobile Job Summary: The Nurse Care Manager is responsible for ...
Details
Summary
About the job:
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. Essential Functions: - Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status. - Authorizes covered services and coordinates care regardless of payer. - Collaborates and communicates with member/family/caregivers, primary care...
Location:
New York
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
CareSource
Certifications / Licenses:
Driver's License
Certified in Long Term Care
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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