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caresource jobs.

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Delegated Oversight Clinical Manager

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Serve as the subject matter expert in interpreting requirements and ensuring overall areas for delegation are functional and in compliance with CareSource agreements xml namespace prefix...
| 8 days ago | | Save
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Director Network Development

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Responsible for hospital provider and ancillary provider contracting service and provider data integrity to facilitate optimal member access successful business growth initiatives and sound plan finan...
from LinkUp | 7 days ago | | Save
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CSR I

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Job Summary Customer Service Representative I will assist Medicaid and Medicare members providers with benefit claims and other inquiries The CSR I provides quality service by immediately responding t...
from LinkUp | 7 days ago | | Save
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Medical Director MyCare Ohio

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
In conjunction with internal departments conduct peer clinical reviews for designated CareSource members Assist in facilitating provider recruitment activities education training and orientation as needed...
| 19 days ago | | Save
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LPN Transitional Care Nur

Caresource Management Services Co. All jobs » | Dayton, OH, United States
namespace prefix o ns urn schemas microsoft com office office Essential Functions Collaborate with attending physicians and facility discharge planners to develop a safe discharge plan for CareSource members...
| 19 days ago | | Save
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Encounter Data Lead

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description The encounter data lead is responsible for all routine submissions by CareSource to state and federal agencies of claims and case management data This includes adhering to the various...
| 19 days ago | | Save
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Provider (HP) Engagement Specialist

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
Description Collaborate with key Health Partners in the development of specific strategies for enhanced engagement Health Partner engagement shall be measured by confidence in CareSource...
| 19 days ago | | Save
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Executive Administrative Assistant

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Expedites written communications for the executive in a timely manner to include drafting typing and mailing distribution of a variety of documents eg letters memoranda Board packets minut...
| 7 days ago | | Save
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Manager Actuarial Science

Caresource Management Services Co. All jobs » | Dayton, OH, United States
of Incurred But Not Reported IBNR reserve estimates for all CareSource lines of business on a monthly basis Communicate IBNR results to external actuaries engaged as part of audit or other events and defend...
| 19 days ago | | Save
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Medical Director - Behavioral Health

Caresource Management Services Co. All jobs » | Dayton, OH, United States
clinical training and education to nurses and staff as appropriate to improve medical and Quality of Care review processes Develop and implement targeted health improvement management initiatives for CareSource...
| 19 days ago | | Save
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Team Leader PCC

Caresource Management Services Co. All jobs » | Dayton, OH, United States
discharge planning activities for CareSource members and monitoring the appropriate delivery of healthcare services in a cost effective manner xml namespace prefix o ns urn schemas microsoft com office office...
| 19 days ago | | Save
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IT Internal Auditor

Caresource Management Services Co. All jobs » | Dayton, OH, United States
coaching and guidance to internal audit staff and or CareSource external auditors in conducting audits and other audit related issues Draft the scope and objectives for individual audit and prepare audit...
| 19 days ago | | Save
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Dir Care Management MyCare & LTSS Services

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
Description Job Summary Responsible to develop direct and oversee MyCare case management programs within the CareSource suite of services Assures the quality and consistency of MYCARE care management...
| 19 days ago | | Save
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Associate General Counsel II

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Job Summary This position exists to assist the General Counsel of CareSource The individual will provide legal advice on a wide range of corporate matters The individual will work closely...
| 19 days ago | | Save
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Navigator- North Region

Caresource Management Services Co. All jobs » | Cleveland, OH, United States
adherence reminders transportation and childcare arrangements for our members Ensure that medication adherence issues for our members are addressed by ongoing reporting of issues to the CareSource Case...
| 19 days ago | | Save
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Navigator- South Region

Caresource Management Services Co. All jobs » | Columbus, OH, United States
adherence reminders transportation and childcare arrangements for our members Ensure that medication adherence issues for our members are addressed by ongoing reporting of issues to the CareSource Case...
| 19 days ago | | Save
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Team Lead, Accreditation

Caresource Management Services Co. All jobs » | Dayton, OH, United States
departments annually including maintenance updates to current program Provides accurate and appropriate information to CareSource staff regarding accreditation status and relevant processes Identifies...
| 19 days ago | | Save
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Associate Case Manager

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Use decision support software in order to perform telephonic clinical health information services for CareSource managed health plans and external clients Coordinate the care services...
| 19 days ago | | Save
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Social Worker

Caresource Management Services Co. All jobs » | Dayton, OH, United States
resources available in each county as assigned for use by Case Management CareSource Staff Ensure resources are accurate and up to date Arrange for social service agency speakers to make presentations...
| 19 days ago | | Save
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Team Lead, Consumer Sales & Service

Caresource Management Services Co. All jobs » | Dayton, OH, United States
Description Job Summary The Consumer Sales and Service Team Leader manages the day to day activities to ensure service and performance objectives are achieved for the CareSource exchange lines...
| 19 days ago | | Save
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