Community Based – Duals Integrated Care

CareSource

. Manage and coordinate care for dual-eligible Medicare and Medicaid beneficiaries .

Posted 10/5/2026full-timeIronton • Ohio • United StatesMid-LevelSenior💰 $62,700 - $100,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination for dual-eligible Medicare and Medicaid beneficiaries, with a strong focus on developing individualized care plans and collaborating with interdisciplinary teams. Proficient in assessing member needs and advocating for their healthcare decisions while ensuring adherence to regulatory standards.

Highest-signal resume keywords

Registered Nurse LicenseCase Management CertificationCare Coordination ExperienceDischarge PlanningMedicare And Medicaid Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationNeeds AssessmentIndividualized Care PlansData AnalysisHealth Status MonitoringRecord KeepingProblem SolvingDecision MakingCommunity Resource NavigationMedication Adherence Education

Soft Skills

Interpersonal SkillsCommunication SkillsAttention To DetailEmpathyCultural Sensitivity

Tools & Technologies

Microsoft OfficeOutlookWordExcel

Certifications & Qualifications

Registered Nurse LicenseCase Management Certification

Industry Keywords

Dual-Eligible PopulationMedicaid Managed CareNCQA StandardsCMSA StandardsCommunity Health Management

About the role

Key responsibilities & impact

Manage and coordinate care for dual-eligible Medicare and Medicaid beneficiaries
Engage members in community-based settings and establish care coordination relationships
Serve as liaison among healthcare providers, community resources, and beneficiaries
Conduct comprehensive physical, mental, and social needs assessments
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 benefits, chronic conditions, medication adherence, preventive care, 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, community organizations, state agencies, and other service providers
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 preferences and empower members in healthcare decisions
Evaluate member satisfaction and monitor concerns
Conduct regular member, provider, and community visits, with travel potentially exceeding 50% of working time
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
Current, unrestricted clinical license in the state of practice as a Registered Nurse, Social Worker, or Clinical Counselor required
Licensure may be required in multiple states as applicable
Valid driver's license, vehicle, and verifiable insurance required
Successful driver's license record check required
Annual influenza vaccination required during influenza season
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 with attention to detail
Adherence to professional code of ethics
Awareness and sensitivity to diverse backgrounds and needs
Decision-making and problem-solving skills
Case Management Certification highly preferred
Prior care coordination, case management, dual-eligible population, and Medicaid/Medicare managed care experience preferred

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 disabilities, medical conditions, and sincerely held religious beliefs
Annual influenza vaccination provided/required as part of continued employment