Pediatric RN Care Coordinator II, BSN

2 weeks ago


Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time

Pediatric RN Care Coordinator II, BSN

Location: Philadelphia, PA

Primary Job Function: Medical Management

Job Overview

We are seeking a dedicated and experienced Registered Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Pediatric RN Care Coordinator II. The ideal candidate will possess a current and unrestricted Pennsylvania RN license and have a minimum of three years of clinical experience working with medically fragile pediatric patients.

About Us

At AmeriHealth Caritas, we are committed to enhancing the health and well-being of the communities we serve. With over three decades of experience, we provide comprehensive health care solutions that positively impact the lives of millions. Our mission-driven organization values the contributions of our associates and strives to create a supportive environment where everyone can thrive.

Key Responsibilities:

  • Engage with members and their caregivers to assess their health care needs and establish personalized care plans.
  • Conduct thorough assessments that encompass physical health, mental health, and social determinants of health.
  • Coordinate care across various health services, ensuring seamless communication among providers.
  • Manage medication regimens, including regular reconciliation and adherence support.
  • Identify barriers to care and implement effective interventions to overcome these challenges.
  • Develop and prioritize individualized care plans with clear goals and timelines.
  • Schedule follow-up communications and make necessary referrals to ensure continuity of care.
  • Collaborate with multidisciplinary teams to enhance care delivery and member outcomes.
  • Provide transitional care management to facilitate smooth transitions between different care settings.

Qualifications:

  • Bachelor's Degree in Nursing.
  • Current and unrestricted Registered Nurse licensure in Pennsylvania.
  • A minimum of three years of clinical experience with medically fragile pediatric patients.
  • Experience in case management, preferably in a telephonic capacity within a managed care environment.
  • Proficiency in using Windows 11 and MS Office applications, along with electronic medical record systems.
  • Valid driver's license and car insurance, with a willingness to travel for in-person member visits as needed.

Diversity and Inclusion:

At AmeriHealth Caritas, we embrace diversity and are committed to creating an inclusive workplace where all associates feel valued and empowered. We believe that a diverse workforce enhances our ability to serve our communities effectively.

Benefits:

We offer a comprehensive benefits package that includes flexible work arrangements, competitive compensation, health insurance from day one, a 401(k) plan, tuition reimbursement, and generous paid time off.



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