What are the responsibilities and job description for the Care Manager position at AmeriHealth Caritas?
Your career starts now. We’re looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
The Care Manager provides support to complex members appropriate for care coordination and case management services in achieving their optimal level of health through self-management. The Care Manager II (RN/LSW) is responsible for engaging the member, member caregiver, and providers to assess, plan, and establish individual member goals.
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
The Care Manager provides support to complex members appropriate for care coordination and case management services in achieving their optimal level of health through self-management. The Care Manager II (RN/LSW) is responsible for engaging the member, member caregiver, and providers to assess, plan, and establish individual member goals.
- Assess members to determine care coordination and case management needs for all referred members.
- Completes comprehensive person-centered assessment of physical health, psycho-social health, and environmental health as social determinants of health and supportive needs.
- Identifies problems/barriers for care coordination and appropriate care management interventions.
- Coordinates physical, behavioral health, and social services.
- Provides medication management, including regular medication reconciliation and support of medication adherence.
- Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health.
- Identifies both short- and long-term goals and associated time frames for completion. Share goals with the member and caregiver as appropriate.
- Identifies and implements the appropriate level of intervention based on the member’s needs and clinical progress.
- Schedules follow-up calls as necessary and makes appropriate referrals. Implements actions to address member issues. Documents progress towards meeting goals and resolving problems.
- Coordinates care and services.
- Minimum of 3 years of professional practice working with adults and/or pediatric patients with behavioral and physical health disorders, maternal health, oncology, transition of care/discharge planning within an acute care, community health, or ambulatory care setting.
- Case management experience, preferably within a managed care organization, desired.
- Demonstrate ability to be self-directed, independent, adaptive, flexible to change, and able to collaborate as a member of a team in a fast-paced, ever-changing environment.
- Demonstrate awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population.
- Demonstrate strong organizational and time management skills with the ability to prioritize and follow through on multiple items in a timely manner.
- Demonstrate knowledge and experience in assessing Member’s situation, developing a care plan, and teaching self-management.
- Requirements for RN: Current, unrestricted Ohio RN license in good standing. Associate degree in nursing required. Bachelor’s degree preferred.
- Requirements for LSW/LMSW/LISW/LPC: Bachelor' or Master’ degree in social work and current, unrestricted Ohio LSW/LMSW/LISW/LPC license in good standing.
- Valid driver’s license and car insurance.
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
