CareSource · 13 hours ago
Community Based Care Coordinator - Duals Integrated Care-2
Michigan Mobile
Full-time
Onsite
Mid Level
$63K/yr - $100K/yrCareSource is a healthcare organization that focuses on providing integrated care solutions. The Community Based Care Coordinator, Duals Integrated Care is responsible for managing care for dual-eligible beneficiaries, integrating health services and community resources to improve health outcomes and enhance quality of life.
Health CareMedicalNon Profit
Responsibilities
Engage with the member in a variety of community-based settings to establish an effective, care coordination relationship, while considering the cultural and linguistic needs of each member
Function as a liaison between healthcare providers, community resources, and dual-eligible beneficiaries to ensure seamless communication and care transitions
Conduct comprehensive assessments to identify the physical, mental, and socials needs of dual-eligible individuals
Develop and implement individualized care plans based on unique needs of each member, considering their medical, social, and behavioral health requirements
Lead and collaborate with interdisciplinary care team (ICT) to create holistic care plans that address medical and non-medical needs
Assist members in accessing community resources, including housing, transportation, food assistance, and social services
Educate members about their benefits and available services under both Medicare and Medicaid
Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care
Promote health lifestyle choices and self-management strategies
Regularly monitor member’s health status and care plan adherence, adjusting, as necessary
Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions
Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information
Coordinate with community-based organizations, other stakeholders/entities, state agencies, and other service providers to ensure coordination and avoid duplication of services
Participate in care team meetings to discuss member progress and address barriers to care
Maintain accurate and up-to-date records of members interactions, care plans, and outcomes
Collect and analyze data to evaluate the effectiveness of care coordination efforts and identify areas of improvement
Advocate for the needs and preferences of dual-eligible beneficiaries within the healthcare system
Empower members to take an active role in their healthcare decisions
Evaluate member satisfaction through open communication and monitoring of concerns or issues
Regular travel to conduct member, provider and community-based visits as needed and per the regulatory requirements of the program
Report abuse, neglect, or exploitation of older adults as a mandated reporter as required by State law
On-call responsibilities as assigned
Adherence to NCQA and CMSA standards
Performs any other job related duties as requested
Qualification
Required
Nursing degree from an accredited nursing program required or
Bachelor's degree in a health care field required
Equivalent years of relevant work experience may be accepted in lieu of required education
Previous experience in nursing, social work, counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management) experience required
Current, unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor required
Licensure may be required in multiple states as applicable based on State requirement of the work assigned
Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified
Preferred
Prior experience in care coordination, case management, or working with dual-eligible populations preferred
Medicaid and/or Medicare managed care experience preferred
Case Management Certification is highly preferred
Benefits
You may qualify for a bonus tied to company and individual performance
Substantial and comprehensive total rewards package
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
Founded in 1989
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
FHLB Cincinnati
2026-01-17Grant
Leadership Team
Erhardt Preitauer
President & Chief Executive Officer
Jason Bearden
Market President and CEO, Georgia
Recent News
2026-01-18
Dayton Daily News
2025-12-17
Company data provided by crunchbase