Care Manager – Transitions of Care

CareSource

Care Manager coordinating culturally competent services to improve member health outcomes. Collaborating with interdisciplinary teams to enhance quality of care and support for individuals.

Posted 4/24/2026full-timeOhio • 🇺🇸 United StatesMid-LevelSenior💰 $62,700 - $100,400 per yearWebsite

About the role

Key responsibilities & impact

The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally competent delivery of care, services and supports.
Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members.
Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments.
Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member.
Educate the member/natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made.
Monitor and promote effective utilization of healthcare resources.
Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation.

Requirements

What you’ll need

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.
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence.
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
Ability to communicate effectively with a diverse group of individuals.
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices.
Adhere to code of ethics that aligns with professional practice.
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice.
Strong advocate for members at all levels of care.
Ability to interpret and implement current research findings.
Awareness of community & state support resources.

Benefits

Comp & perks

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

nursingcase managementcare coordinationdischarge planninghealth assessmentsperson-centered planningtrauma-informed caremotivational interviewingHEDISmedication reconciliation

Soft Skills

communicationadvocacycollaborationcultural competencestrength-based assessmenteffective utilization of resourcestimely documentationinterpersonal skillsproblem-solvingresearch interpretation

Certifications

nursing degreeclinical licensureCase Management Society of America (CMSA) standards