Complex Population, Service Determination Specialist II
CareSource Management Services is hiring for Complex Population, Service Determination Specialist II in Arkansas WFH. Remote, Mid level. First seen October 21, 2026; open as of November 12, 2026. Jobs taken straight from company career pages — no aggregator in between.
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- Company
- CareSource Management Services
- Where
- Arkansas WFH
- Arrangement
- Remote
- Level
- Mid
- First seen
- October 21, 2026
- Listed via
- Workday
What the posting says
Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and service health care reviews for appropriateness of authorization to include home and community-based supports. This role assists with discharge planning activities and care coordination for members enrolled with a CareSource Management Group line of business, as well as monitoring the delivery of healthcare services in a cost-effective manner. Essential Functions: - Compares PCSP to service request submitted by provider to ensure accuracy and need…
Read more and apply on CareSource Management Services' site
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