FIELD-BASED REMOTE | Behavioral Health Case Worker

7 days ago


Spartanburg, United States AmeriHealth Caritas Full time

MUST LIVE IN OR NEAR ORANGEBURG COUNTY, SOUTH CAROLINA TO QUALIFY FOR CONSIDERATION

 

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 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. 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 connect with you.

Headquartered in Newtown Square, Pennsylvania 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 Field- Based Remote Behavioral Health Case Worker is responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their optimal level of health. Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and barriers to care. The Field- Based Remote Behavioral Health Case Worker develops a plan of care through shared decision-making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status and compliance with treatment plans and promote self-management. The Field- Based Remote Behavioral Health Case Worker is also responsible for the following:

  1. Support Members during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the plan's effectiveness. 
  2. Review the medication list and help members coordinate pharmacy needs with a community pharmacist to ensure medication reconciliation is completed when any changes occur.
  3. Evaluate, monitor, and update the care plan through regularly scheduled follow-up contacts based on the Member/caregiver's progress, needs, and preferences.
  4. Establishes points of contact in order to collaborate with identified community, medical, and/or behavioral health teams.
  5. Maintain timely, complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable.
  6. Monitor appropriate utilization and coordinate services with other payer sources, make appropriate referrals, and identify and escalate quality of care issues.
  7. Develop a working knowledge of ACFC electronic care management platforms, care management programs, policies, standard operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and NCQA requirements.
  8. May identify cases to be presented at care management rounds and follow up with providers on recommendations to achieve optimal outcomes for Members.
  9. Support a positive workplace environment, collaborate, and share clinical knowledge and skills to support our culturally and demographically diverse Member population.
  10. Conduct Face-to-face visits at the Member’s residence, provider’s office, hospitals, other acute locations, or community locations for education and/or assessment.
  11. Other duties as assigned.

Education/Experience:

  • FIELD-BASED REMOTE to qualified residents living in or near Orangeburg County, South Carolina.
  • Required Bachelor's Degree in Human Services (i.e., social work, psychology, sociology, early childhood education, child development, criminal justice) or related field. Masters prepared will be given preferred consideration.
  • 2 years of proven professional experience working directly with SMI members (Serious Mental illnesses) aged six and up who may have one of the following conditions: Psychotic Disorders, Bipolar Disorders, Major Depression.
  • 2 years of social services experience, engaging with clients (e.g., individuals, families, communities), routinely assessing their needs, connecting them to services, and monitoring their progress.
  • Proficiency using MS Office (Word, Excel, Outlook), internet applications, and electronic medical record and documentation programs. Electronic Case Management Platform (i.e. Jiva)
  • Must be able to manage a large caseload of up 60 members and support during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the plan's effectiveness. 
  • Strong documentation and record-keeping skills are required, emphasizing accuracy and adherence to established methods.
  • Proven professional expertise in assessing members' situations, developing care plans, and teaching self-management. in assessing member's situation, developing a care plan, and teaching self-management. Skilled in working one-on-one with members, effectively communicating preventative health and management philosophies, and presenting health education materials to both individuals and small groups.

Required travel and willingness to access members' home and community locations within assigned regions. Must possess reliable transportation, a valid driver's license, current auto insurance, and willingness/ability to drive a personally owned vehicle. 

 

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

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.

#PH

Back Share
Apply Now

  • Spartanburg, United States Incredible Health Full time

    We are actively hiring for a Behavioral Health Nurse Specialist at Incredible Health in the Spartanburg, SC area. This role involves working with patients who require specialized care and support.Salary:The estimated salary for this position is between $62,400 and $91,000 per year, depending on experience and qualifications.About the Role:This Behavioral...


  • Spartanburg, United States ReGenesis Health Care Full time

    DescriptionLicensed Behavioral Health Counselor - School Based Exciting opportunity to join our Behavioral Health team as a Licensed Behavioral Health Counselor in a Cherokee County School. At ReGenesis Health Care, we strive to help students, families, and communities with their mental health needs. We are a non-profit FQHC, community-based network focusing...


  • Spartanburg, United States CenterWell Home Health Full time

    Become a part of our caring community and help us put health first The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker functions to evaluate and develop a plan of care personalized to fit the patient’s emotional and social needs. The Medical Social Worker provides direction and...


  • Spartanburg, United States Sunbelt Staffing Full time

    Job DescriptionJob DescriptionMinimum 1+ years school psychologist experience required.Fully Remote School Psychologist (Teletherapy) - South CarolinaLocation: Remote (South Caolina)Job Type: Full-time/Part-timePosition Overview: VocoVision is seeking a Virtual School Psychologist to join our team and provide remote services to students across South...


  • Spartanburg, United States Soliant Full time

    Minimum 1+ years special education experience required.We are seeking a dedicated and experienced Special Education Teacher to join our inclusive learning community in a remote capacity. This position offers an opportunity to make a meaningful impact on students' lives while working from home. Position Overview The Special Education Teacher will be...


  • Spartanburg, South Carolina, United States Riverside Community Care Full time

    Riverside Community Care is committed to making a difference in people's lives through rewarding work. We are seeking a skilled and empathetic Adolescent Outpatient Therapist to join our Behavioral Health Services division.Key Responsibilities:Conduct diagnostic evaluations for adolescents.Develop personalized service plans with consumers.Implement...


  • Spartanburg, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years school psychologist experience required.Virtual School Psychologist - K-5 CaseloadLocation: Spartanburg, SCPosition: Full-time, 2024-2025 School YearJob Description: Soliant Education is currently hiring a full-time Virtual School Psychologist for the 2024-2025 school year to support K-5 students in the...


  • Spartanburg, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years school psychologist experience required.Virtual School Psychologist - K-5 CaseloadLocation: Spartanburg, SCPosition: Full-time, 2024-2025 School YearJob Description: Soliant Education is currently hiring a full-time Virtual School Psychologist for the 2024-2025 school year to support K-5 students in the...


  • Spartanburg, United States Soliant Full time

    Minimum 1+ years school psychologist experience required.Virtual School Psychologist - K-5 Caseload Location: Spartanburg, SC Position: Full-time, 2024-2025 School Year Job Description: Soliant Education is currently hiring a full-time Virtual School Psychologist for the 2024-2025 school year to support K-5 students in the Spartanburg, SC area. This is a...


  • Spartanburg, South Carolina, United States Spartanburg Regional Healthcare System Full time

    The Spartanburg Regional Healthcare System is a leading healthcare provider in the Upstate of South Carolina, serving the behavioral health needs of the local community.As an outpatient psychiatrist, you will join a team of experienced professionals dedicated to delivering exceptional care. Our well-established referral base and EPIC EMR system ensure...


  • Spartanburg, South Carolina, United States Behavioral Health Group Full time

    About the Opportunity: Are you a compassionate and dedicated professional seeking a challenging and rewarding role? Look no further! As a Substance Abuse Treatment Coordinator at Behavioral Health Group, you will play a critical role in helping patients overcome substance use disorders and achieve a drug-free life. Your primary responsibilities will include...

  • Case Supervisor

    1 week ago


    Spartanburg, United States Project Hope Foundation Full time

    Job DescriptionJob DescriptionSalary: $60,000 - $80,000*Sign-On Bonus* Join Project Hope Foundation as a BCBA/BCaBA and Transform LivesLocation: SpartanburgPosition Type: Full-TimeCompensation: $60,000 - $85,000Sign-On Bonus: Receive $2,500 upon your start date and the remaining $2,500 after completing six months of continuous employment.Are you passionate...

  • Pediatrician

    2 weeks ago


    Spartanburg, United States ReGenesis Health Care Full time

    DescriptionPediatricianSpartanburgOverview: ReGenesis Health Care is seeking a board-certified/board-eligible General Pediatrician to join our growing community health center. ReGenesis Health Care is a non-profit, federally qualified health center (FQHC) committed to improving access to high-quality care that is patient-centered and affordable. We offer...

  • Social Worker

    6 months ago


    Spartanburg, United States Agape Care Group Full time

    Overview: Join Our Team as a Social WorkerAre you passionate about helping patients get the care they deserve? Do you want to make a meaningful impact in others’ lives?  We are looking for hospice medical social workers to join our team who are committed to creating meaningful experiences for your patients and their families. As a hospice medical social...


  • Spartanburg, South Carolina, United States Soliant Full time

    About the RoleWe are seeking a skilled and dedicated Remote Speech Therapist to join our team in the Caldwell school district. The ideal candidate will have a strong background in speech therapy, excellent communication skills, and experience working with students with various munication disorders.Key ResponsibilitiesEvaluate and diagnose munication...

  • Field Technician

    7 days ago


    SPARTANBURG, United States DISH Full time

    Field Technician at DISH summary: As a Field Technician at EchoStar, you will provide TV and Smart Home solutions to customers in their homes, ensuring an exceptional customer experience. You will receive comprehensive training, performance incentives, and benefits such as health insurance and tuition reimbursement while working in a team-oriented...


  • Spartanburg, United States Engel Machinery Full time

    Career Opportunities with Engel MachineryField Service Technician - Spartanburg, SCENGEL embodies a spirit of innovation, built on decades of experience. With a dynamic workplace, ENGEL is the injection molding industry leader in technological advancements, ensuring sustainable global growth. The ENGEL company history is a success story that we keep on...


  • Spartanburg, South Carolina, United States Magna International Full time

    **Job Summary:**We are seeking a Production Line Worker to join our team at Magna Energy Storage Systems. As a Production Line Worker, you will play a vital role in ensuring the quality and efficiency of our production line.The successful candidate will have experience working in an automotive manufacturing environment, with a strong understanding of...


  • Spartanburg, South Carolina, United States Oak Street Health Full time

    About UsOak Street Health is committed to delivering high-quality, patient-centered care to older adults. Our team is dedicated to creating an unmatched patient experience. Your RoleYou will be responsible for providing primary care services, collaborating with colleagues to meet health goals, and driving clinical excellence. What We OfferCompetitive...


  • Spartanburg, United States Morrison Healthcare Full time

    Job DescriptionJob Description Morrison Healthcare We are hiring immediately for full time CASHIER/FOOD SERVICE WORKER positions.Location: Spartanburg Regional Hospital - 101 East Wood Street, Spartanburg, SC 29303. Note: online applications accepted only.Schedule: Full time schedule. Monday through Friday, hours may vary. Additional weekend shifts may be...