Healthcare Leader

7 days ago


Florence, Colorado, United States AmeriHealth Caritas Full time

We are seeking a dedicated and compassionate Care Manager II Registered Nurse (BSN) to join our team in South Carolina. This is an exciting opportunity to make a meaningful difference in the lives of vulnerable members and their families.

The successful candidate will have a strong background in pediatric home care or acute care, with a focus on improving health outcomes for children and families in foster care. As a registered nurse, you will be empowered to lead the charge in developing and implementing effective care plans that meet the unique needs of each member.

Your key responsibilities will include:

  • Supporting members during transitions of care through assessment, coordination of care, education, referrals, and evaluation of the effectiveness of the plan
  • Reviewing medication lists and educating members on pharmacy needs, as well as counseling on side effects and mitigation strategies for specific treatment protocols
  • Evaluating, monitoring, and updating care plans through regular follow-up contacts based on member/caregiver progress, needs, and preferences
  • Establishing points of contact to collaborate with community, medical, and/or behavioral health teams
  • Maintaining timely, complete, and accurate documentation of member interactions in electronic care management platforms
  • Monitoring appropriate utilization and coordinating services with other payer sources, making referrals, identifying, and escalating quality of care issues

To excel in this role, you will need a Bachelor of Science in Nursing (BSN) and an unrestricted RN license in good standing in South Carolina or a compact state. A minimum of 3 years of professional experience in pediatric home care or acute care is required, with prior experience in the Foster Care System, Department of Social Services, or Department of Juvenile Justice as an RN being preferred.

A competitive salary of $85,000 per year reflects the importance of this role and the value we place on your expertise and dedication. In addition to your salary, you can expect a comprehensive benefits package, including flexible work options, paid time off, and opportunities for professional growth and development.



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