Open jobs in the United States

Save this search

Added 29 mins ago
2027 Summer Internship Program - Internal Audit
CareSource Management Services LLC
Remote, United States
Added 29 mins ago
2027 Summer Internship Program - Configuration and Automation
CareSource Management Services LLC
Remote, United States
Added 29 mins ago
Intake Specialist II
CareSource Management Services LLC
Remote, United States
Added 1 hour ago
Pharmacy Data Analyst II
CareSource Management Services LLC
Remote, United States
Added 2 hours ago
Clinical Care Reviewer II - MA RN License required - Direct UM experience strongly preferred!
CareSource Management Services LLC
Remote, United States
Added 5 hours ago
Manager, Case Management - Integrated Care - Must Live in Ohio
CareSource Management Services LLC
United States
Added 16 hours ago
Manager, Actuary (Medicaid)
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Vendor Management Analyst
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Member Experience and Insights
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Data Analyst
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Cybersecurity
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Configuration and Automation
CareSource Management Services LLC
Remote, United States
Added 1 day ago
2027 Summer Internship Program - Accounting
CareSource Management Services LLC
Remote, United States
Added 1 day ago
Voice of the Customer Insights Analyst
CareSource Management Services LLC
Remote, United States
Added 1 day ago
Provider Relations Account Manager
CareSource Management Services LLC
United States
Added 1 day ago
Operations Specialist (Hybrid/Brooklyn, NY)
CareSource Management Services LLC
Brooklyn, NY
Added 1 day ago
Life Services Member Engagement Specialist I
CareSource Management Services LLC
Remote, United States
Added 1 day ago
Broker Concierge Sales and Service Associate II
CareSource Management Services LLC
Remote, United States
Added 4 days ago
Pharmacy Technician II - Rx Solutions Center
CareSource Management Services LLC
Dayton, OH
Added 4 days ago
Member Svc. Rep. - Bi-lingual preferred!
CareSource Management Services LLC
Bronx, NY
Added 4 days ago
Scrum Product Owner (Health Plan/MCO experience)
CareSource Management Services LLC
Remote, United States
Added 5 days ago
Product Lifecycle Platform Administration Manager
CareSource Management Services LLC
Remote, United States
Added 6 days ago
2027 Summer Internship Program - Operations Business Analyst
CareSource Management Services LLC
Remote, United States
Added 6 days ago
Manager, Integrated Care Waiver Operations - Must Live in Ohio
CareSource Management Services LLC
United States
Added 6 days ago
Hybrid Registered Nurse Care Manager - MLTC - Brooklyn - Russian speaking preferred
CareSource Management Services LLC
Brooklyn, NY

CareSource Management Services LLC

Intake Specialist II

Remote, United States

Apply About employer

Applications open in a new tab.

Job details

Pay: $41,200.00 - $66,000.00CareSource 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.
Posting language: English
Posted: Nov 9, 2026

Original job description

Job Summary:

Intake Specialist II is a provider oriented role that is responsible for the intake of all authorization requests received via various methods into the Utilization Management department. The Intake Specialist role handles incoming requests from providers, assists with reviewing authorization details, requirements or updates. The Intake Specialist II role processes all requests into our systems for medical review as well as contacting the provider/member if additional and or clinical information is required.

Essential Functions:

Convert information obtained from providers/members, (received via fax, phone, provider portal or mail) into electronic records while verifying member eligibility, provider network status, and benefit coverage
Review requests and send fax back for ineligible members, duplicate requests and items not covered by medical benefit
Facilitate the authorization of benefits for participating and out-of-network providers including completion of appropriate forms that are distributed to physicians’ offices, provider relations and the generation of approval letters
Place prior authorizations when approval is appropriate per SOP into the medical management systems
Initiate process for routing prior authorizations requiring medical necessity review by clinical care reviewer
Communicate with providers regarding prior authorization requests and troubleshoot issues from providers
Provide authorization information to provider, facility and/or member.
Assist Clinical team as directed to ensure requests for authorization that require clinical review are received and processed timely
Maintain awareness of current workload aging and respond with appropriate sense of urgency
Expectation to meet department standards and goals
Collaborate across company departments to assist with issues, overrides, and questions
Maintain knowledge and understanding of all processes and procedures for multiple markets
Sufficiently cross-trained in multiple markets and products
Adhere to all departmental and company policies and procedures
Perform any other job related instructions, as requested

Education and Experience:

High School Diploma or equivalent required
Minimum of eighteen (18) months of clinical and/or insurance experience, or related healthcare education or certification (i.e. STNA, MA, etc.) is required
Managed care experience preferred

Competencies, Knowledge and Skills:

Computer proficiency with knowledge and experience with Microsoft Office in a Windows based environment
Ability to analyze information
Communication skills
Ability to work independently and within a team environment
Attention to detail
Proper grammar usage
Critical listening and thinking skills
Professional phone etiquette
Customer service oriented
Decision making/problem solving
Change resiliency
Knowledge of behavioral health systems
Ability to accurately communicate summary information in a written format

Licensure and Certification:

Medical Terminology Certificate is preferred

Working Conditions:

General office environment; may be required to sit/stand for long periods of time
Position requires the flexibility to work weekends and/or holidays, as needed

Compensation Range:

$41,200.00 - $66,000.00CareSource 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.

Compensation Type (hourly/salary):

Hourly Organization Level Competencies

Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Brand=CareSource

Apply About employer

Report this job