Amerihealth Caritas
From Amerihealth Caritas's careers page
Status: listed on the employer's own careers page when we last checked (daily). Confirm on their site before applying.
We’re looking for the next generation of healthcare leaders.
The Care Manager assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager is responsible for engaging the member, member's caregiver and providers to assess, plan, and establish individual member goals. Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources. The position will function as a single point of contact and be an advocate for members in the care management program.
Work Arrangement
Monday through Friday from 8:30 AM EST to 5:00 PM EST; 4 days must be worked in our DC office located at 1201 Maine Ave SW and 1 day can be worked remotely
This is an in-office position. Associates are responsible for commuter cost however, company has a commuter benefit program.
Must reside in the DC metro area. Office is in close proximity to two metro stations.
Must engage directly with identified members through face-to-face visits in the community as needed
Assess members through face-to-face or telephone calls to determine care coordination and care management needs for all referred members
Completes a comprehensive person-centered assessment that includes physical health history, mental health history, social determinants of health, and supportive needs
Coordinates physical, behavioral health, and social services
Provides medication management, including regular medication reconciliation and support of medication adherence
Identifies problems/barriers for care coordination and appropriate care management interventions
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 goals and assigns priority with associated time frames for completion. As appropriate, shares goals with the member and family
Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress
Schedules follow up calls as necessary, makes appropriate referrals. Implements actions to address member issues. Documents progress towards meeting goals and resolving problems
Coordinates care and services with the Care Coordinator, Community Health Navigator, member, member's caregiver as appropriate, PCP Specialist, complex adulat and pediatric populations and Facility/Vendor Providers
Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of Columbia. Associate’s Degree in Nursing.
Required for LICSW candidates: Current and unrestricted Licensed Independent Clinical Social Worker (LICSW) licensure in the District of Columbia and a Master’s Degree in Social Work
Minimum of 3 years of independent clinical practice experience as an RN or LICSW working with complex medical and behavioral health diagnoses in acute care, home care, or community health settings
Minimum of 1 year of case management experience supporting complex adult and pediatric Medicaid populations within a managed care organization preferred
Licensure
Active and unencumbered Registered Nurse (RN) licensure in the District of Columbia
Active and unencumbered Licensed Independent Clinical Social Worker (LICSW) licensure in the District of Columbia
Proficiency in MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record/documentation systems
The targeted hiring range for this role is expected to be between $83,400 and 113,600. The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.
AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.
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. We'd like to hear from you if you want to make a difference.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 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.
Our Comprehensive Benefits Package
Flexible work solutions include 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.
Scores your resume against this job the way resume scanners do: the job's hard and soft skills, searchability, recruiter tips and formatting.
Create a free account to see your score. Your resume stays in this browser until then, and we never store it.
Already a member? Sign in