Top 113 Caresource Jobs

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Care Navigator (Remote - Massachusetts)
CareSource —Massachusetts
- $41,200 - $66,000 a year
- Full-time
- Remote
- Basic math
- HIPAA
- Mid-level
Customer Care Specialist I (Must live in Ohio)
CareSource —Ohio
- $35,900 - $57,300 a year
- Full-time
- Computer literacy
- HIPAA
- Research
Team Lead, Program Integrity (Triage)
CareSource —Remote
- $72,200 - $115,500 a year
- Extended hours
- Nursing
- Microsoft Excel
- Microsoft Outlook
7d
Member Services Rep - Bronx, NY - Bi-lingual strongly preferred
CareSource —Bronx, NY
- $41,200 - $66,000 a year
- Full-time
- Computer literacy
- Writing skills
- Office
Clinical Psychologist
CareSource —Remote
- $94,100 - $164,800 a year
- Weekends as needed
- Microsoft Word
- Doctoral degree
- Mid-level
8d
Medical Director
CareSource —Remote
- $195,200 - $341,600 a year
- Weekends as needed
- Medicine
- 5 years
- BC/BE
Operations Regulatory Specialist II (Hybrid location)
CareSource —Remote
- $62,700 - $100,400 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Research
instED Virtual Medical Control Physician (Part Time - $120.83 per hour/Remote/Pacific or Mountain Time)
CareSource —Remote
- $120.83 an hour
- Part-time
- Remote
- Medicine
- English
- 3 years
Configuration Architect - GuidingCare
CareSource —Remote
- $94,100 - $164,800 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- 5 years
Enterprise Medical Director
CareSource —Remote
- $195,200 - $341,600 a year
- Weekends as needed
- Microsoft Word
- Medicine
- 5 years
Behavioral Health Medical Director
CareSource —Remote
- $195,200 - $341,600 a year
- Weekends as needed
- Microsoft Word
- Medicine
- Psychiatry
8d
Hybrid Operations Specialist - Rehab - Russian Speaking preferred
CareSource —Queens, NY
- $41,200 - $66,000 a year
- Full-time
- Writing skills
- HIPAA
- Office
Behavioral Health Medical Director
CareSource —Remote
- $195,200 - $341,600 a year
- Extended hours
- Microsoft Word
- Medicine
- Psychiatry
Health Plan Data Analyst III (Health Plan & Provider experience a must)
CareSource —Remote
- $72,200 - $115,500 a year
- Full-time
- Microsoft Excel
- 5 years
- Office
Vendor Medical Coding Analyst
CareSource —Remote
- $54,500 - $87,300 a year
- Full-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Excel
Manager, Field Sales (Ohio Residency is Required)
CareSource —Remote
- $94,100 - $164,800 a year
- Weekends as needed
- Up to 50% travel
- Marketing
- Customer service
Hybrid Clinical Registered Nurse (RN) Educator - MLTC
CareSource —Brooklyn, NY
- $72,200 - $115,500 a year
- Full-time
- Nursing
- RN License
- Public speaking
AI Developer (HealthCare Experience)
CareSource —Remote
- $94,100 - $164,800 a year
- Full-time
- Computer science
- Azure
- Computer Science
Operations Specialist - Must reside in New York
CareSource —Bronx, NY
- $41,200 - $66,000 a year
- Full-time
- Writing skills
- HIPAA
- Office
Senior Manager, Capacity Planning & Reporting
CareSource —Remote
- $94,100 - $164,800 a year
- Full-time
- Microsoft Excel
- 5 years
- Master's degree

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Care Navigator (Remote - Massachusetts)

CareSource -
Massachusetts

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Job Details

Full-time
$41,200 - $66,000 a year

Qualifications

Customer communication
Basic math
High school diploma or GED

Full Job Description

Job Summary:

The Care Navigator is responsible for conducting telephonic interactions, documenting service activities, and supporting administrative functions that enhance member satisfaction. Care Navigators also contribute to core operations including intake, triage, scheduling coordination, provider and member engagement, centralized documentation, and escalations.

Essential Functions:

Conducts outreach to members and providers to confirm service details, coordinate scheduling, address general inquiries, and ensure accurate documentation of care coordination activities.
Coordinate services by working with providers, community partners, and member/ caregivers to manage scheduling, service updates, and administrative changes, as needed
Serves as a support resource for member and provider requests, escalations, or concerns by coordinating responses and ensuring issues are routed or addressed promptly
Collaborates with the care team, providers, and other partners as needed to support member service requests and ensure smooth communication and continuity across care activities
Initiate outreach to members, vendors, providers, and/or vendors/suppliers to follow up on non-clinical matters assigned by the Care Team (e.g., including authorization status, DME status, appointment scheduling and prescription assistance)
Provide administrative support as assigned
Assist members and the Care Team with solving health plan related concerns, i.e. claims follow up or prior auth status, etc.
Help members schedule transportation to medical appointments; assist members with booking issues
Support targeted member outreach campaigns when there is an event that has the potential to broadly impact our membership’s wellness, such as agency closures, hazardous/catastrophic events (e.g., power outages, fires, inundations)
Coordinates interpreting and translation supporting services for the member (including ADA compliance)
Obtain documents/forms that allow Care Team to speak with members and/or representatives on the member’s behalf in accordance with HIPAA laws – e.g., Release of Information (ROI), Oral Disclosure of Protected Health Information
Assist leadership with the development, refinement and enhancement of programs, initiatives, processes, policies, workflows, and projects
Mentor for new Care Navigation Specialist – during and beyond their orientation period, if needed
Maintain accurate documentation and maintenance of member records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed
Follow established standards of practice, internal policies, and procedures to ensure compliance with contractual obligations and applicable regulatory requirements
Identify member and provider needs and facilitates referrals to appropriate internal teams such as care management or community-based support programs
Performs any other job related duties as requested.

Education and Experience:

High School or GED required
One (1) year of related experience in a health-related service field required

Competencies, Knowledge and Skills:

Critical thinking and troubleshooting skills
Strong customer service and problem-solving skills
Ability to work in multiple systems, often simultaneously
Clear, concise, and effective oral and written communication
Strong time management and demonstrated ability to work independently
Flexibility to adapt to business needs
Motivated team player
Excellent organizational skills
High attention to detail and accuracy
Basic arithmetic skills required
Proficiency in Microsoft Office Suite

Licensure and Certification:

None required

Working Conditions:

General office environment; may be required to 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, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Hourly

Organization Level Competencies

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

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 fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Apply Now

Refine Your Search

caresource jobs

Care Navigator (Remote - Massachusetts)

Customer Care Specialist I (Must live in Ohio)

Team Lead, Program Integrity (Triage)

Member Services Rep - Bronx, NY - Bi-lingual strongly preferred

Clinical Psychologist

Medical Director

Operations Regulatory Specialist II (Hybrid location)

instED Virtual Medical Control Physician (Part Time - $120.83 per hour/Remote/Pacific or Mountain Time)

Configuration Architect - GuidingCare

Enterprise Medical Director

Behavioral Health Medical Director

Hybrid Operations Specialist - Rehab - Russian Speaking preferred

Behavioral Health Medical Director

Health Plan Data Analyst III (Health Plan & Provider experience a must)

Vendor Medical Coding Analyst

Manager, Field Sales (Ohio Residency is Required)

Hybrid Clinical Registered Nurse (RN) Educator - MLTC

AI Developer (HealthCare Experience)

Operations Specialist - Must reside in New York

Senior Manager, Capacity Planning & Reporting

I want to receive the latest job alert for caresource

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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 fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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