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CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

Community Based Care Coordinator 1

Case Management & AdvocacyConfirmed live in the last 24 hours
Full-timeArkansas, USA

About the Job

Requirements

  • A high school diploma or GED equivalent is required.
  • At least one year of experience working with developmentally or intellectually disabled or behavioral health clients, such as discharge planning, case management, care coordination, or home/community health management, is required.
  • Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel.
  • Knowledge of local, state, and federal healthcare laws and regulations, and company policies regarding case management practices.
  • Ability to interpret and implement current research findings.
  • Awareness of community and state support resources.
  • A valid driver’s license, vehicle, and verifiable insurance are required; employment is conditional on successful clearance of the driver’s license record check and verification of insurance.
  • Employment is conditional on successful clearance of a criminal background check.
  • Employment is conditional on successful clearance of a pre-employment drug screen, with annual drug screens thereafter.
  • Annual proof of influenza vaccination is required during influenza season (October 1–March 31); employees hired during that season have 30 days from hire to complete the vaccination and verify immunization.
  • The employee must reside in the assigned territory, although exceptions may be considered based on business need.
  • The employee must be able to travel as needed, potentially more than 50% of the time.
  • The employee must be able to work flexible hours, including possible evenings and weekends.

Responsibilities

  • Understand and implement person-centered thinking.
  • Facilitate the person-centered planning process.
  • Assist with person-centered care training to maximize development of the Person-Centered Service Plan.
  • Coordinate services and health benefits for members who meet criteria.
  • Consult with members, families, and legally responsible people about behavioral and physical health care needs.
  • Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered Service Plans.
  • Assist with ongoing communication with the internal complex clinical team.
  • Educate members about their conditions and medications and provide necessary instruction.
  • Monitor service delivery to ensure appropriate care and compliance with waivers.
  • Complete psychosocial healthcare questionnaires and behavioral assessments by gathering information from members, families, providers, and other stakeholders.
  • Monitor and evaluate Person-Centered Service Plans through ongoing contact with members, families, providers, and stakeholders, modifying plans as needed based on member choice.
  • Assist with care coordination activities that support member outcomes.
  • Maintain accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to accreditation and compliance guidelines.
  • Participate in provider meetings to inform providers about services and benefits available to members.
  • Engage members through information collection and assertive outreach, including home visits and telephone calls.
  • Educate members and caregivers about healthcare access and benefits, and provide health education and wellness materials.
  • Travel regularly for member, provider, and community-based visits to support effective program administration.
  • Document care coordination activities and member responses promptly according to standards of practice and CareSource documentation policies.
  • Identify ways to improve members’ experience with CareSource and share improvements with leadership for potential standardization.
  • Perform other job duties as requested.

About the Company

CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

CareSource provides health coverage to more than 2 million members, offering Marketplace plans as well as Medicare and Medicaid products. Its core service is delivering health insurance and related care to individuals and communities through a member-first approach, aiming to improve health and well-being over time. The company operates with a focus on affordable, accessible coverage and care coordination across states, guided by its mission to place people over profits rather than simply selling plans. Key differentiators include a long history (30+ years), a national footprint with 4,500+ employees, and an emphasis on serving members’ needs and languages while promoting equal opportunity employment. The overarching goal is to help members live healthier lives by providing comprehensive coverage and support.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dayton, OH
Founded
1989

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