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RN Care Manager II, Special Needs, BSN
2 months ago
RN Care Manager II, Special Needs, BSN (Philadelphia County, PA)
We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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.
The Care Manager II assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care Manager II is responsible for engaging the member 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. 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 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 member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers.
Ability to travel within Philadelphia County, Pennsylvania to meet in person with members, as needed.
* Bachelor's Degree in Nursing or healthcare related field.
* Preferred settings include Emergency Department or home care.
* Behavioral health experience including managing care of individuals with mental health and substance use disorders, life stressors and crises, and stress related physical symptoms.
* Proficiency using MS Office (Word, Excel, Outlook), internet applications, and electronic medical record and documentation programs.
* Valid driver's license and car insurance.
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 starting day 1 of employment, 401(k), tuition reimbursement and more.
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