RN Care Manager II, Member Advocate

2 weeks ago


Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time
About the Role

We are seeking a highly skilled RN Care Manager II to join our team at AmeriHealth Caritas. As a key member of our care coordination program, you will play a vital role in ensuring our members receive the highest quality care and support.

Key Responsibilities
  • Assess members' care coordination and case management needs, developing individualized plans to achieve optimal health outcomes.
  • Collaborate with members, providers, and family members to coordinate care and services, ensuring seamless transitions and effective communication.
  • Identify and address barriers to care, implementing interventions to promote member engagement and empowerment.
  • Document progress and outcomes, utilizing data to inform care coordination and case management strategies.
Requirements
  • Bachelor's degree in Nursing or a related field.
  • 3+ years of telephonic case management experience, with a focus on behavioral health and substance use disorders.
  • Proficiency in MS Office, internet applications, and electronic medical record systems.
  • Valid driver's license and car insurance.
What We Offer

AmeriHealth Caritas is committed to creating a diverse, equitable, and inclusive workplace. We offer flexible work arrangements, competitive pay, paid time off, and a comprehensive benefits package, including health insurance and 401(k) matching.



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