RN Care Manager II, Member Support
6 days ago
Your career starts now. 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. 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 would like to hear 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 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. Completes comprehensive assessment of environmental, Psycho-social and support needs. 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. Shares goals with the member and family as appropriate. 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 member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers. Education & Experience: * Must reside in Pennsylvania. * Qualified candidates will reside in Philadelphia, Montgomery, Lower Bucks, or Delaware counties as there is a potential to meet with members in person. * Bachelor's Degree in Nursing or healthcare related field. * Current and unrestricted Registered Nurse licensure in Pennsylvania. * 3+ years of experience as a case manager preferred. * Minimum of 3 years of professional clinical practice experience as a RN required. 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, Teams), internet applications, and electronic medical record and documentation programs. * Eligible for Certification in Case Management within 12 months of accepting position. Successful attainment of Case Management certification required. * Valid driver's license and car insurance. Diversity, Equity, and Inclusion At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. 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. We keep our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package 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. #PH
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RN Care Manager II, Member Support
3 days ago
Philadelphia, PA, United States AmeriHealth Caritas Full timeJob Brief Bachelor's degree and unencumbered PA RN. Qualified candidates will reside in Philadelphia, Montgomery, Lower Bucks, or Delaware counties as there is a potential to meet with members in person. 3+ years of telephonic case management exp. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth...
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RN Care Manager II, Member Support
2 weeks ago
Philadelphia, PA, United States Amerihealth Caritas Health Plan Full timeRN Care Manager II, Special Needs, BSN (must reside within 30 minutes Philadelphia County, PA)Your career starts now. 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...
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RN Care Manager II, Member Support
1 week ago
Philadelphia, PA, United States AmeriHealth Caritas Full timeJob Brief Bachelor's degree and unencumbered PA RN. Qualified candidates will reside in Philadelphia, Montgomery, Lower Bucks, or Delaware counties as there is a potential to meet with members in person. 3+ years of telephonic case management exp. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas,...
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RN Care Manager II, Member Support
3 weeks ago
Philadelphia, United States AmeriHealth Caritas Full timeRN Care Manager II, Member Support Location: Philadelphia, PA Primary Job Function: Medical Management ID**: 34425 Job Brief Bachelor's degree and unencumbered PA RN. Qualified candidates will reside in Philadelphia, Montgomery, Lower Bucks, or Delaware counties as there is a potential to meet with members in person. 3+ years of telephonic case...
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RN Care Manager II, Member Support
2 months ago
philadelphia, United States Amerihealth Caritas Health Plan Full timeRN Care Manager II, Member SupportYour career starts now. 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...
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RN Care Manager II, Member Support
2 weeks ago
Philadelphia, United States Amerihealth Caritas Health Plan Full timeRN Care Manager II, Special Needs, BSN (must reside within 30 minutes Philadelphia County, PA)Your career starts now. 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...
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RN Care Manager II, Member Support
2 months ago
Philadelphia, United States AmeriHealth Caritas Full timeJob Brief Bachelor's degree and unencumbered PA RN. Qualified candidates will reside in Philadelphia, Montgomery, Lower Bucks, or Delaware counties as there is a potential to meet with members in person. 3+ years of telephonic case management exp. Your career starts now. We are looking for the next generation of health care leaders. At...
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Care Manager II, Pediatric Shift Care, RN
3 days ago
Philadelphia, PA, United States AmeriHealth Caritas Full timeJob Brief Must reside in PA. Current and unrestricted PA RN license. 3+ years of clinical exp w medically fragile pediatric patients in an acute care, home care, or special needs clinic. Case management experience desired. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate...
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Healthcare Leader
4 weeks ago
Philadelphia, Pennsylvania, United States Amerihealth Caritas Health Plan Full timeCare Management OpportunityWe are seeking a highly skilled RN Care Manager II to join our team at AmeriHealth Caritas Health Plan. As a RN Care Manager II, you will play a critical role in assisting members in achieving their optimal level of health by coordinating care and services.Key Responsibilities:• Conduct comprehensive assessments of members' needs...
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Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full timeWe are seeking a dedicated and compassionate RN Care Manager II to join our team at AmeriHealth Caritas. This role plays a vital part in supporting members' healthcare needs through telephonic case management and care coordination.About the Role:The RN Care Manager II will collaborate with members and healthcare providers to create tailored care plans aimed...
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RN Care Manager
5 days ago
Philadelphia, PA, United States Strive Health Full timeRN Care Manager - (Evergreen)What We Strive For At Strive Health, we're driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care...
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Care Manager II, Pediatric Shift Care, RN
1 week ago
Philadelphia, United States AmeriHealth Caritas Full timeJob Brief Must reside in PA. Current and unrestricted PA RN license. 3+ years of clinical exp w medically fragile pediatric patients in an acute care, home care, or special needs clinic. Case management experience desired. Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are...
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Care Management Support Coordinator II
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Latham, NY, United States Fidelis Care Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. This role will be in the Albany, NY area and is a field based...
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Premium Support Product Specialist II
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Philadelphia, PA, United States TransPerfect Full timeWho We Are:TransPerfect was founded with a mission to help the world's businesses navigate the global marketplace. Today, we have grown to be an industry leader organization by helping clients globalize their business no matter what service they might need. TransPerfect provides a full array of language and business support services, including translation,...
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RN Care Manager
4 months ago
Philadelphia, PA, United States Strive Health Full timeRN Care Manager - (Evergreen)What We Strive For Strive Health is built for purpose - to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive's model is driven by a high-touch care team that integrates with local...
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RN Care Manager
2 months ago
Philadelphia, PA, United States Strive Health Full timeRN Care Manager - (Evergreen)What We Strive For Strive Health is built for purpose - to transform a broken kidney care system. We are fundamentally changing the lives of people with kidney disease through early identification, engagement and comprehensive coordinated care. Strive's model is driven by a high-touch care team that integrates with local...
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Care Manager RN
3 weeks ago
Beaverton, OR, United States Providence RN Full timeDescription The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...
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Philadelphia, United States Temple University Hospital Full timeRN POOL/OP TIER II-Amb Care Clinic Nursing-8HP- FCCCResponsible and accountable for care of outpatients during scheduled physician visit or during a telephone encounter. The RN assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician or advance practice clinician (APC). The RN is knowledgeable about...
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Care Manager RN
3 weeks ago
Clackamas, OR, United States Providence RN Full timeDescription The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...
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philadelphia, United States Temple University Hospital Full timeRN POOL/OP TIER II-Amb Care Clinic Nursing-8HP- FCCCResponsible and accountable for care of outpatients during scheduled physician visit or during a telephone encounter. The RN assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician or advance practice clinician (APC). The RN is knowledgeable about...
