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CareSource · 8 hours ago

Care Management MA Duals

Worcester MA Office

Full-time

Onsite

Entry Level

2+ years exp

CareSource is a health management organization that is seeking a Care Coordinator for Massachusetts. This role serves as the primary point of contact for enrollees, assisting them in navigating their healthcare, coordinating services, and ensuring continuity of care through outreach and engagement.

Health CareMedicalNon Profit

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Serve as the first point of contact for enrollees, including assisting enrollees with understanding health plan processes, appeals and grievances and assist with removing barriers to getting needed services

Conducts routine outreach to members and providers to confirm service details, coordinates services with long term services and supports teams, , serves as a health plan subject matter expert and accurately documents care coordination activities

Provides in-person visits to enrollees at least annually, with member consent

Maintain open lines of communication with enrollees, as needed based on Enrollee preferences

Maintains accurate and timely documentation and internal systems to ensure visibility across teams and continuity of service

Coordinates provider and member scheduling efforts, supports high-volume outreach campaigns, and ensures task completion across multiple systems

Identify potential social support or community-based needs

Lead the interdisciplinary care team (ICT) for a stratified panel of members, collaborating with team members internal and external to the organization to create an enrollee centered care plan

Provide education on plan benefits and service options

Serves as a support resource for enrollees and providers, and escalate concerns by coordinating responses and ensuring issues are routed or addressed promptly

Collaborates with clinical care managers, behavioral health clinicians, community health workers, providers, and external partners as needed to ensure smooth communication and continuity across care activities

Gather and document service-related information during members interaction to support care coordination, service planning, or referral processes

Maintain accurate documentation and maintenance of the centralized enrollee records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed

Follow established standards of practice, internal policies, and procedures to ensure compliance with contractual obligations and applicable regulatory requirements

Ensure enrollees follow up with providers, including assistance with appointment scheduling and verification of transportation

Facilitate communication and information exchange with the member and their providers and community supports

Performs any other job related duties as requested

Qualification

Healthcare experienceCustomer serviceMedicaidMedicare knowledgeMicrosoft Office SuiteCommunication skillsOrganizational skillsProblem solvingTeamworkAdaptability

Required

High School or GED required

Two (2) years of experience in healthcare, customer service or a related industry required

Basic proficiency with Microsoft Office Suite to include Outlook, Word and Excel

Customer service focus with exceptional listening, written and verbal communication skills

Displays professional phone etiquette

Ability to multitask using a variety of computer applications

Strong organizational skills

Effective problem solving skills with attention to detail

Ability to work independently and within a team environment

Understanding and supportive of managed care concept

Adaptable to a constantly changing environment

Able to type (document) and talk (telephonically) simultaneously

Must have valid driver's license, vehicle and verifiable insurance

Influenza vaccination is a requirement of this position

This is a mobile position, meaning that regular travel to different work locations is essential

Must reside in the same territory they are assigned to work in

May be required to travel greater than 50% of time to perform work duties

Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer

Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

Preferred

Knowledge of Medicaid, Medicare and Managed Care

Benefits

Bonus tied to company and individual performance

Substantial and comprehensive total rewards package

Company

CareSource

Glassdoor3.8

CareSource provides managed care services to Medicaid beneficiaries.

Founded in 1989

Dayton, Ohio, USA

1001-5000 employees

https://www.caresource.com/

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (9)

2024 (39)

2023 (35)

2022 (22)

2021 (37)

2020 (28)