Manager - MBB

5 days ago

Apply Now

Receive Emails with Similar Jobs

CareSource

WebsiteLinkedInAll Job Openings

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

• The Manager, Care Management provides operational management and oversight for providing CareSource members with the right care. • Oversee a team of clinical and nonclinical staff to achieve quality service. • Manages and evaluates team member performance; provides coaching and development. • Ensures completion of staff quality audit reviews and maintains customer satisfaction. • Evaluates services provided and recommends enhancements for programs and staff development. • Maintains professional relationships with provider community and identifies opportunities for improvement. • Assist in new market development and implementation of department initiatives.

🎯 Requirements

• Bachelor’s degree or equivalent years of relevant work experience is required. • A minimum of five (5) years of managed healthcare experience is required. • A minimum of two (2) years of supervisory experience is required. • Managed care experience is preferred. • Active, unrestricted State Licensed Practical Nurse (LPN), Registered Nurse (RN) license, Social Work license, or Counselor license is preferred. • Healthcare or Management certification is preferred. • Influenza vaccination is a requirement of this position.

🏖️ Benefits

• You may qualify for a bonus tied to company and individual performance. • Comprehensive total rewards package including compensation.