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 170 |
Senior Vice President, Product and Sales
Job Summary: Senior Vice President, Product and Sales, is a strategic executive leader responsible for driving growth and financial outcomes for the Company's Marketplace, Medicare Advantage (MA), and CareSource Military & Veterans (CSMV) p...
23h
| Job Type | Full Time |
Transitions Coordinator - Post Acute
Job Summary: The Transitions Coordinator- Post Acute is responsible for monitoring and managing the functions related to member level of care transitions to and from long-term care, respite nursing facility services, and the enrollment or d...
1d
| Job Type | Full Time |
Intake Specialist II - Post Acute
Job Summary: The Intake Specialist II - Post Acute is responsible for coordinating level of care transition and post-acute UM activities to ensure compliance with timely processing of authorization, level of care, and disenrollment requests...
1d
| Job Type | Full Time |
Team Lead, Integrated Care - Post Acute
Dayton, Ohio
Job Summary: The Team Lead, Integrated Care - Post Acute is responsible for providing direct oversight of Post-Acute Clinical employees and overseeing day-to-day workflow within the team. Essential Functions: Provide direct oversight of pos...
1d
| Job Type | Full Time |
Clinical Care Reviewer - RN - Post Acute Care - OH LICENSED
Dayton, Ohio
Job Summary: Clinical Care Reviewer II - Post-Acute is responsible for conducting medical necessity reviews to determine the appropriateness of authorization for post-acute health care services including Skilled Nursing Facilities (SNF), Nu...
1d
| Job Type | Full Time |
Job Summary: The Director, Utilization Management leads and manages all functions within medical management and level one case management programs to ensure consistent, efficient delivery of services throughout the healthcare continuum and ...
1d
| Job Type | Full Time |
Medicare Sales Representative - Base Salary + Commission Opportunities (Must reside in Georgia)
Atlanta, Georgia
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 opportun...
2d
| Job Type | Full Time |
Ely, Nevada
Job Summary: Priority will be given to those located in Elko, then Lyon and Nye Counties. The Manager, Rural Health is responsible for overseeing the Tribal and Rural Health Programs aimed at enhancing healthcare accessibility, quality, and...
2d
| Job Type | Full Time |
Pharmacy Lock-In Program RN - MSL (Nevada Based Ideal)
Las Vegas, Nevada
Job Summary: The Pharmacy Lock-In Program RN is responsible for appropriately identifying members from multiple referral points for inclusion in the Lock-In Programs. Essential Functions: Verify eligibility, previous enrollment history, dem...
2d
| Job Type | Full Time |
Health Partner Engagement Specialist II-Account Managment- Healthcare Sales--Northern Nevada
Las Vegas, Nevada
Job Summary: The Health Partner Engagement Specialist II collaborates with key Health Partners in the development of specific strategies for enhanced engagements. Health Partner engagement shall be measured by confidence in CareSource and a...
2d
| Job Type | Full Time |