RN Care Manager II, Special Needs, BSN
2 months 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 within 30 minutes of Philadelphia County, Pennsylvania to meet in person with members, as needed. * 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), 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
-
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...
-
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...
-
RN Care Manager II, Member Support
4 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...
-
Care Manager II, Pediatric Shift Care, RN
4 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...
-
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,...
-
RN II-Ambulatory
7 days ago
Jacksonville, FL, United States Nemours Foundation Full timeRN II-AmbulatoryNemours is seeking an RN II Gastroenterology for our Jacksonville clinic. Primary Function: The RN II provides and coordinates nursing care in partnership with the child and family and other community resources that is individualized to meet the child or family's unique needs and situation. The RN II considers individual, cultural, ethnic,...
-
Ambulatory RN II
2 weeks ago
Milton, VT, United States The University of Vermont Health Network Full timeJOB DESCRIPTION:Provides professional nursing care to patients in varying state of health and illness by assessment, planning, implementation, and evaluation of the nursing plan of care. - The Staff Nurse II functions as an essential member of nursing and multidisciplinary teams, providing direct patient care, instruction, and preparation for continuing care...
-
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...
-
RN II-Ambulatory-Urology
2 weeks ago
Jacksonville, FL, United States Nemours Foundation Full timeRN II-Ambulatory-UrologyNemours is seeking a Part- Time RN II for our Jacksonville, FL location. The RN II provides and coordinates nursing care in partnership with the child and family and other community resources that is individualized to meet the child or family's unique needs and situation. The RN II considers individual, cultural, ethnic, and...
-
Ambulatory RN II
2 weeks ago
Milton, VT, United States The University of Vermont Health Network Full timeJOB DESCRIPTION:Provides professional nursing care to patients in varying state of health and illness by assessment, planning, implementation, and evaluation of the nursing plan of care. The Staff Nurse II functions as an essential member of nursing and multidisciplinary teams, providing direct patient care, instruction, and preparation for continuing care...
-
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...
-
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...
-
RN II-Ambulatory-Continence clinic
2 weeks ago
Jacksonville, FL, United States Nemours Foundation Full timeRN II-Ambulatory-Continence clinicNemours is seeking a Part-Time RN II for our Jacksonville, FL location. The RN II provides and coordinates nursing care in partnership with the child and family and other community resources that is individualized to meet the child or family's unique needs and situation. The RN II considers individual, cultural, ethnic, and...
-
RN II-Ambulatory
1 week ago
Jacksonville, FL, United States Nemours Full timeNemours is seeking an RN II Gastroenterology for our Jacksonville clinic. Primary Function: The RN II provides and coordinates nursing care in partnership with the child and family and other community resources that is individualized to meet the child or family's unique needs and situation. The RN II considers individual, cultural, ethnic, and religious...
-
Registered Nurse
4 weeks ago
Philadelphia, United States Horizon House Full timeJob DescriptionJob DescriptionHorizon House, is a nationally recognized provider of services to adults with support needs due to developmental disabilities, behavioral health issues, and substance abuse.We are seeking a qualified Registered Nurse Manager (BSN) interested in joining our Developmental Services team at our Philadelphia , Pa. location.This is...
-
Nurse Manager II, RN, Family Beginnings, Full Time
22 hours ago
Columbia, SC, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for the 24 hour management of a specific patient care unit/s, service/s, or program/s in settings as designated by the Chief Nursing Officer and/or Director, Patient Care Services. The Nurse Manager directs and supervises the functions and activities of the assigned...
-
New York, NY, United States Hospital for Special Surgery Full timeJob DescriptionHow you move is why we’re here. ®Now more than ever.Get back to what you need and love to do.The possibilities are endless...Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth...
-
Philadelphia, PA, United States Temple University Hospital Full timeRN - CASE MANAGER - (Temple University Hospital/40 hours days)In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets...
-
Philadelphia, PA, United States Temple University Hospital Full timeRN - CASE MANAGER - (Temple University Hospital/40 hours days)In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets...
-
Columbia, SC, United States Prisma Health Full timeInspire health. Serve with compassion. Be the difference. Job Summary Responsible for the 24 hour management of a specific patient care unit/s, service/s, or program/s in settings as designated by the Chief Nursing Officer and/or Director, Patient Care Services. The Nurse Manager directs and supervises the functions and activities of the assigned...
