Integrated Care Case Management Leader (RN)

CareSource; Mobile (AL); On-site; USD 75,000 - 120,000; Full time

Job summary

CareSource is seeking a Manager, Case Management - Integrated Care to oversee the Integrated Care Duals Product Teams and coordinate care, services, and health benefits for selected member populations.

The role ensures compliant utilization, manages care management teams, maintains care plans, and collaborates with stakeholders to optimize member outcomes. Requires RN/LISW/LPCC licensure options and relevant Medicaid/Medicare experience.

Qualifications

• Bachelor's Degree or equivalent years of relevant work experience required.
• Minimum of five (5) years of clinical experience.
• Three (3) years Medicaid/Medicare managed care experience preferred.
• Two (2) years of management experience preferred.

Responsibilities

• Oversee Integrated Care Duals Product Teams and coordinate care, services and benefits.
• Monitor utilization and ensure compliance with state and accreditation requirements.
• Manage performance of Care Management teams and ensure safe service delivery.
• Maintain member care plans and measure outcomes with stakeholders and providers.
• Lead day-to-day Care Center operations, staff training and policy adherence.

Skills

Leadership

Clinical experience

Communication

Regulatory knowledge

Project management

Education

Bachelor's Degree in Nursing, healthcare field, business administration or related field

Tools

Microsoft Outlook

Excel

Word

Mobile devices usage

Job description

CareSource is seeking a Manager, Case Management - Integrated Care to oversee the Integrated Care Duals Product Teams and coordinate care, services, and health benefits for selected member populations.

The role ensures compliant utilization, manages care management teams, maintains care plans, and collaborates with stakeholders to optimize member outcomes. Requires RN/LISW/LPCC licensure options and relevant Medicaid/Medicare experience.