Care Manager II – RN/LICSW

4 weeks ago


Washington, Washington, D.C., United States AmeriHealth Caritas Full time
About AmeriHealth Caritas

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering 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.

Job Summary

We are seeking a highly skilled Care Manager II (RN/LICSW) to join our team. The successful candidate will assist members with complex medical needs in achieving their optimal level of health through self-management. This role will involve engaging members, caregivers, and providers to assess, plan, and establish individual member goals.

Responsibilities
  1. Assess members to determine care coordination and case management needs.
  2. Work with adults and children with complex medical needs to complete comprehensive person-centered assessments.
  3. Identify problems/barriers for care coordination and implement appropriate care management interventions.
  4. Coordinate physical, behavioral health, and social services.
  5. Provide medication management, including regular medication reconciliation and support of medication adherence.
  6. Create a plan of care to assist members in reducing/resolving problems and achieving their optimal level of health.
Requirements
  • Active state RN or current unrestricted LICSW license.
  • Bachelor's degree in a health-related field preferred and licensure as a health professional (where such licensure is available).
  • Certification as a case manager preferred.
  • 3-5 years of nursing/social work experience, working with Medicaid populations, either in the hospital or community health setting.
  • 3-5 years' experience working with adult and/or pediatric populations with complex medical and behavioral health needs.
  • 3-5 years of case management experience preferred.
What We Offer

AmeriHealth Caritas offers a comprehensive benefits package, including flexible work solutions, competitive pay, paid time off, health insurance coverage, 401(k), tuition reimbursement, and more. The targeted hiring range for this role is expected to be between $78,600 and $107,100.



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