Community Based Care Coordinator – Duals Integrated Care

CareSource

. Engage members in community-based settings and establish effective care coordination relationships .

Posted 10/2/2026full-timeDetroit • Michigan • United StatesMid-LevelSenior💰 $62,700 - $100,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination, case management, and community resource navigation, with a strong focus on supporting dual-eligible beneficiaries. Proficient in developing individualized care plans and collaborating with interdisciplinary teams to enhance member health outcomes.

Highest-signal resume keywords

Registered Nurse LicenseCase Management CertificationCare Coordination ExperienceMedicaid and Medicare KnowledgeInterpersonal and Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationCase ManagementDischarge PlanningHealth AssessmentsData AnalysisIndividualized Care PlansCommunity Resource NavigationHealth MonitoringMedication Adherence EducationPreventive Care Education

Soft Skills

Interpersonal SkillsCommunication SkillsDecision-Making SkillsProblem-Solving SkillsAttention to Detail

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Registered Nurse LicenseCase Management Certification

Industry Keywords

MedicaidMedicareDual-Eligible BeneficiariesCommunity HealthHealth Care PlansNCQA StandardsCMSA Standards

About the role

Key responsibilities & impact

Engage members in community-based settings and establish effective care coordination relationships
Serve as a liaison between healthcare providers, community resources, and dual-eligible beneficiaries
Conduct comprehensive assessments of physical, mental, and social needs
Develop and implement individualized medical, social, and behavioral health care plans
Lead and collaborate with interdisciplinary care teams
Help members access housing, transportation, food assistance, and social services
Educate members and families about Medicare, Medicaid, chronic conditions, medication adherence, and preventive care
Promote healthy lifestyle choices and self-management
Monitor health status and care plan adherence and adjust plans as needed
Follow up after hospitalizations and significant health events to support continuity and prevent readmissions
Coordinate with physicians, specialists, providers, community organizations, state agencies, and other stakeholders
Participate in care team meetings and address barriers to care
Maintain accurate records of member interactions, care plans, and outcomes
Collect and analyze data to evaluate care coordination effectiveness
Advocate for beneficiary needs and empower members in healthcare decisions
Evaluate member satisfaction and address concerns
Travel regularly for member, provider, and community-based visits
Report abuse, neglect, or exploitation of older adults as a mandated reporter
Perform assigned on-call responsibilities
Adhere to NCQA and CMSA standards
Perform other related duties as requested

Requirements

What you’ll need

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 a health care profession required
Experience in discharge planning, case management, care coordination, and/or home/community health management
Prior experience in care coordination, case management, or working with dual-eligible populations preferred
Medicaid and/or Medicare managed care experience preferred
Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel
Understanding of Medicare and Medicaid programs and community resources
Strong interpersonal and communication skills
Ability to manage multiple cases and priorities while maintaining attention to detail
Adherence to a professional code of ethics
Awareness and sensitivity to diverse backgrounds and needs
Decision-making and problem-solving skills
Current, unrestricted clinical license in the state of practice as a Registered Nurse, Social Worker, or Clinical Counselor required
Licensure in multiple states may be required based on assigned work
Case Management Certification highly preferred
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Annual Influenza vaccination required during Influenza season
Must reside in the assigned territory

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
Reasonable accommodations for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs
Annual Influenza vaccination provided/required as a condition of continued employment