Care Manager II
4 weeks ago
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 SummaryWe 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- Assess members to determine care coordination and case management needs
- Work with adults and children with complex medical needs
- Complete comprehensive person-centered assessments of physical health, psycho-social health, environmental, and social determinants of health and supportive needs
- Identify problems/barriers for care coordination and appropriate care management interventions
- Coordinate physical, behavioral health, and social services
- Provide medication management, including regular medication reconciliation and support of medication adherence
- Create a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health
- 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
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. We are committed to creating a diverse, inclusive, and equitable workplace where everyone can feel valued and supported.
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