Care Manager, Mom and Baby

CareSource

. Collaborate with interdisciplinary care teams, providers, community organizations, and faith-based organizations .

Posted 11/11/2026full-timeRemote • Mississippi • United StatesMid-LevelSenior💰 $56,430 - $90,360 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, case management, and interdisciplinary collaboration, with a strong focus on member engagement and individualized care planning. Proficient in assessing health and psychosocial needs while adhering to clinical standards and regulatory requirements.

Highest-signal resume keywords

Registered Nurse LicenseCase Management CertificationMedicaid And Medicare Managed Care ExperienceHealth Equity AssessmentsInterdisciplinary Care Team Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health AssessmentsCare PlanningMotivational InterviewingClinical OversightDocumentation And EvaluationQuality And HEDIS UnderstandingMedication ReconciliationCommunity Resource EducationTelephonic CommunicationProcess Improvement Identification

Soft Skills

Effective CommunicationMultitaskingCritical ThinkingProblem-SolvingOrganizational Skills

Tools & Technologies

Microsoft OfficeElectronic Communication Platforms

Certifications & Qualifications

Case Management Certification

Industry Keywords

NCQA StandardsCMSA StandardsHealthcare Laws And RegulationsCultural SensitivityCommunity Support Resources

About the role

Key responsibilities & impact

Collaborate with interdisciplinary care teams, providers, community organizations, and faith-based organizations
Engage members and natural supports through strength-based, trauma-informed assessments and motivational interviewing
Complete health, psychosocial, behavioral, and health-equity assessments
Facilitate interdisciplinary care team meetings
Establish professional member relationships through telephonic or electronic communication
Develop and update individualized, person-centered care plans
Identify and manage barriers to care-plan goals
Implement interventions based on clinical standards and best practices
Coordinate care and case management to support members’ health, wellness, safety, adaptation, and self-care
Educate members and natural supports about treatment options, community resources, and insurance benefits
Document and evaluate member responses and progress
Monitor member satisfaction and address concerns
Promote effective healthcare-resource utilization through clinical variance and benefits management
Verify member eligibility, enrollment history, demographics, and current health status
Coordinate psychosocial and behavioral assessments and care planning
Inform providers about Care Management services and member benefits
Assist with ICDS model-of-care orientation and training for facility and community providers
Identify and address gaps in care and access
Coordinate post-discharge care and transitions to appropriate levels of care
Coordinate with community organizations, state agencies, and service providers to avoid duplication
Adjust intervention intensity according to guidelines, member preferences, healthcare needs, and care-plan progress
Terminate care coordination services according to case-closure guidelines
Provide clinical oversight and direction to unlicensed team members as appropriate
Document care coordination activities according to professional standards and CareSource policies
Identify process improvements and share them with leadership
Adhere to NCQA and CMSA standards
Perform other job-related duties as requested

Requirements

What you’ll need

Associates of Science (A.S) degree from an accredited nursing program required, or Bachelor's degree in healthcare field required
Equivalent years of relevant work experience may be accepted in lieu of required education
Three (3) years experience in nursing, social work, counseling, or a healthcare profession required
Three (3) years Medicaid and/or Medicare managed care experience preferred
Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker, or Professional Clinical Counselor required
Licensure may be required in multiple states as applicable based on State requirements of the work assigned
Case Management Certification highly preferred
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation, and adherence
Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel
Ability to communicate effectively with a diverse group of individuals
Ability to multitask and work independently within a team environment
Knowledge of local, state, and federal healthcare laws and regulations and company case management policies
Adherence to professional code of ethics and CMSA case management standards
Strong understanding and sensitivity of cultures and demographic diversity
Ability to interpret and implement current research findings
Awareness of community and state support resources
Critical listening, thinking, decision-making, problem-solving, organizational, and time-management skills

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Flexible hours, including possible evenings and/or weekends
Travel is not typically required