Care Manager - Mom and Baby (RN)

6 days ago

🎸 Mississippi – Remote

Although this job is listed in Mississippi, this company may be open to hiring remote in other states.

💵 $55.4k - $88.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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CareSource

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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.

Medicaid • MyCare Ohio • Health Insurance Marketplace • Medicare Advantage • Health Insurance

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• Collaborates with members of an inter-disciplinary care team to improve quality and meet needs. • Engages member and their support system through assessments and deliver culturally competent care. • Develops and updates person-centered individualized care plans in collaboration with the care team. • Identifies barriers and implements interventions based on clinical standards. • Educates members about options and community resources to enable informed decision-making. • Assesses member satisfaction and progress on care plans. • Monitors effective utilization of healthcare resources. • Completes necessary assessments involving members, family, and providers. • Coordinates with community and state organizations to ensure service availability and avoid duplication. • Assists with training facility and community providers on care management services.

🎯 Requirements

• Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience is required. • Advanced degree associated with clinical licensure is preferred. • A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required. • Three (3) years Medicaid and/or Medicare managed care experience is preferred.

🏖️ Benefits

• Bonus tied to company and individual performance. • Comprehensive total rewards package.