Community Based Care Manager, RN

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $62.7k - $100.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👫 Community Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Collaborate with interdisciplinary care teams, providers, community organizations, and faith-based organizations • Conduct strength-based, trauma-informed health and psychosocial assessments using motivational interviewing and a health-equity lens • Facilitate interdisciplinary care team meetings • Engage members in hospitals, provider offices, community agencies, homes, and through telephonic or electronic communication • Develop and update individualized, person-centered care plans • Identify barriers and implement clinical interventions based on standards and best practices • Coordinate care, services, transitions, post-discharge needs, and appropriate levels of care • Educate members and natural supports about treatment options, community resources, and insurance benefits • Document activities and evaluate member progress, response, satisfaction, and concerns • Monitor healthcare resource utilization and manage clinical variance and benefits • Verify member eligibility, enrollment history, demographics, and health status • Oversee psychosocial and behavioral assessments and care-plan execution • Inform providers about Care Management services and benefits • Identify and address gaps in care and access • Coordinate with community-based organizations, state agencies, and service providers • Provide clinical oversight to unlicensed team members • Improve member-facing processes and share improvements with leadership • Travel regularly for member, provider, and community-based visits; travel may exceed 50% • Adhere to NCQA and CMSA standards and perform other requested duties

🎯 Requirements

• Nursing degree from an accredited nursing program required • Current unrestricted Registered Nurse license in the state of practice required • Minimum three years of nursing experience • Three years of Medicaid and/or Medicare managed care experience preferred • Advanced degree associated with clinical licensure preferred • Case Management Certification highly preferred • Valid driver’s license, vehicle, and verifiable insurance required • Successful driver’s license record check and verified insurance required • Influenza vaccination required during influenza season • Strong understanding of Quality, HEDIS, disease management, medication reconciliation, and adherence • Intermediate proficiency with Microsoft Outlook, Word, and Excel • Knowledge of healthcare laws, regulations, case management practices, and CMSA standards • Ability to interpret and implement current research findings • Critical listening, thinking, decision-making, problem-solving, organizational, and time-management skills • Must reside in the assigned territory

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Reasonable accommodations for qualified individuals • Influenza vaccination provided/required as a condition of continued employment • Flexible hours, including possible evenings and weekends • Mobile work with travel to varied settings