Community Based Care Manager – RN

CareSource

Community Based Care Manager coordinating care for members with an inter-disciplinary team in Ohio. Engaging members and their support systems to improve health outcomes through personalized approaches.

Posted 4/30/2026full-timeCincinnati • Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $62,700 - $100,400 per yearWebsite

About the role

Key responsibilities & impact

Collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations
Facilitates communication, coordinates care and service of the member through assessments
Develops and regularly updates a person-centered individualized care plan (ICP)
Identifies and manages barriers to achievement of care plan goals
Assists with empowering the member to manage and improve their health
Educates the member/ natural supports about treatment options, community resources, insurance benefits
Facilitates coordination, communication and collaboration with the member the ICT
Verify eligibility, previous enrollment history, demographics and current health status of each member
Completes psychosocial and behavioral assessments
Oversees timely psychosocial and behavioral assessments and the care planning
Documents care coordination activities and member response in a timely manner.

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
Licensure as a Registered Nurse, Professional Clinical Counselor or Social Worker is required
A minimum of three (3) years of experience in nursing or social work or counseling or health care profession 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
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Must have valid driver’s license, vehicle and verifiable insurance.

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible working hours
Paid time off
Professional development opportunities
Influenza vaccination requirement for continued employment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

nursingsocial workcounselingcare coordinationpsychosocial assessmentsbehavioral assessmentsindividualized care planMedicaid managed careMedicare managed caredisease management

Soft Skills

communicationcollaborationcoordinationempowermenteducationproblem-solvinginterpersonal skillsorganizational skillstimelinessadaptability

Certifications

Registered NurseProfessional Clinical CounselorSocial Worker