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Care Manager II, BSN/LICSW
1 month ago
4K sign on bonus. 4 days/week in our DC office req'd. 3 yrs clinical practice exp w adults/peds w complex medical and behavioral health diagnosis.
We’re looking for the next generation of health care 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 health care 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. Together we can build healthier communities. 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.
NOTE: AmeriHealth Caritas utilizes a hybrid work environment with associates working 1 day from home and 4 days a week onsite at our offices located at 445 12th St. 00 sign on bonus.
The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with complex medical needs appropriate for care coordination and case management services in achieving their optimal level of health through self-management. The Care Manager II (RN/LICSW) is responsible for engaging the member, member 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 coordination program.
Assess members to determine care coordination and case management needs for all referred members. Works with both adults and children with complex medical 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. Documents progress towards meeting goals and resolving problems.
Coordinates care and services with the Care Coordinator, Community Health Navigator, and member, member caregiver as appropriate, PCP, Specialist, and Facility/Vendor Providers.
AmeriHealth Caritas utilizes a hybrid work environment with associates working 1 day at home and 4 days a week onsite at our offices located at 445 12th St. Current and unrestricted Registered Nurse licensure in the District of Columbia and a Bachelor's Degree in Nursing.
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 clinical practice experience as a RN or LICSW working with adults and/or pediatrics with complex medical and behavioral health diagnoses within an acute care, homecare or community health setting.
Minimum of 1 years of case management experience supporting Medicaid members within a managed care organization preferred.
Must be willing to meet face to face with members in their homes, providers' offices, or in a hospital setting on a monthly basis.
Bilingual English/Spanish or English/Amharic preferred.
Diversity, Equity, and Inclusion
Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
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 of employment, 401(k) Tuition reimbursement and more.
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.
