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caresource jobs.

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Network Development CareSource VI, NC, GA

Ewings Associates All jobs » | Jacksonville Beach, Florida, United States
Reference # : 16-00034 Title : Network Development CareSource VI, NC, GA Location : Jacksonville Beach, FL Position Type : Contract Experience Level : 3 Years Start Date / End Date : 09/01/2016 / 11...
3 days ago | | Save
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Pharmacy Tech

CareSource All jobs » | Dayton, Ohio, United States
Description Role and Responsibility: §  Responsible for suggesting generic or preferred formulary alternatives for requested non-preferred medications to CareSource providers §  Review non...
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Pharmacist

CareSource All jobs » | Dayton, Ohio, United States
Participates on CareSource communication teams and coordinates pharmacy communications with those teams (member, provider, formulary, epocrates, PBM, Web) Work with the Pharmacy Benefit Manager on formulary, UM...
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Maternal Child Regional Coordinator

CareSource All jobs » | Atlanta, Georgia, United States
processes to achieve program goals Ensure the new MCMHs are connected to CareSource maternal child case management program and that maternal child case manager is assigned Monitor performance and processes...
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Maternal Child Regional Coordinator

CareSource All jobs » | Savannah, Georgia, United States
processes to achieve program goals Ensure the new MCMHs are connected to CareSource maternal child case management program and that maternal child case manager is assigned Monitor performance and processes...
3 days ago | | Save
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Medical Director, Market

CareSource All jobs » | Louisville, Kentucky, United States
quality standards §   Collaborate with market/product leaders to help define market strategy §   Represent CareSource at state and regulatory venues §   Support market provider network development...
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Team Leader PCC

CareSource All jobs » | Atlanta, Georgia, United States
initiatives and programs including documentation required by the State and accrediting bodies §  Responsible for utilization review, discharge planning activities for CareSource members and monitoring...
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Manager, Utilization Management - Market

CareSource All jobs » | Atlanta, Georgia, United States
industry standards and practices Interact with providers and staff to manage benefits aligned with NCQA and state-based regulations and CareSource policies and vision Review and revise workflows to maximize...
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Medical Director, MyCare

CareSource All jobs » | Cleveland, Ohio, United States
accepted quality standards §   Collaborate with market/product leaders to help define market strategy §   Represent CareSource at state and regulatory venues §   Provide prior authorization medical reviews...
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RN Care Manager

CareSource All jobs » | Savannah, Georgia, United States
coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Starts each intervention with members wondering...
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RN Care Manager

CareSource All jobs » | Atlanta, Georgia, United States
coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Starts each intervention with members wondering...
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Internal Auditor

CareSource All jobs » | Dayton, Ohio, United States
with facilitating communicate of audit results to business owners through written reports and oral presentations §   Assist on CareSource external audits by government agencies, accounting firms, etc. §   Develop...
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VP Enterprise Project Management

CareSource All jobs » | Dayton, Ohio, United States
Description Role and Responsibility: Establish a trusted advisor relationship with all CareSource executives—assure the preparation and execution of the  CareSource long range plan and tactical...
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Community Health Worker

CareSource All jobs » | Macon, Georgia, United States
look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member...
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Community Health Worker

CareSource All jobs » | Louisville, Kentucky, United States
look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member...
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Community Health Worker

CareSource All jobs » | Pikeville, Kentucky, United States
look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member...
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Community Health Worker

CareSource All jobs » | null, Ohio, United States
, “What does the world look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee...
3 days ago | | Save
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Mgr, Maternal Child Health Outcomes

CareSource All jobs » | Atlanta, Georgia, United States
Description Role and Responsibility: Collaborate with other departments and business owners to improve quality of care to CareSource Maternal-Child members through implementation of quality...
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Community Health Worker

CareSource All jobs » | Lexington, Kentucky, United States
look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member...
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Community Health Worker

CareSource All jobs » | Bowling Green, Kentucky, United States
look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member...
3 days ago | | Save
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