Care Manager II, Special Needs

2 weeks ago


Philadelphia, Pennsylvania, United States AmeriHealth Caritas Full time
Job Overview:
We are seeking a dedicated individual with a BSN and a valid, unrestricted RN license in Pennsylvania. The ideal candidate will have the ability to travel as necessary within the designated area and possess over three years of experience in telephonic case management.

About Us:
At AmeriHealth Caritas, we are committed to enhancing the health and well-being of individuals and communities. As a leading organization in health care solutions, we empower our associates to make a meaningful impact on the lives of countless individuals through our comprehensive range of services and programs.

Key Responsibilities:
The Care Manager II plays a crucial role in supporting members in achieving their health goals through effective care coordination and case management. Responsibilities include:
1. Engaging with members and healthcare providers to assess needs and establish personalized health objectives.
2. Facilitating and coordinating care while ensuring quality and cost-effective resource utilization.
3. Acting as a primary contact and advocate for members within the care coordination framework.
4. Conducting thorough assessments to identify barriers to care and implementing appropriate interventions.
5. Developing and sharing individualized care plans that outline both short-term and long-term goals.
6. Documenting progress and coordinating services with all relevant parties, including family members and healthcare providers.

Qualifications:
The successful candidate will possess:
- A Bachelor’s Degree in Nursing.
- A current and unrestricted RN license in Pennsylvania.
- A minimum of three years of experience in case management, particularly in a managed care environment.
- Clinical experience as a Registered Nurse, preferably in emergency or home care settings.
- Experience in behavioral health management, including support for individuals facing mental health and substance use challenges.
- Proficiency in Microsoft Office applications and electronic medical record systems.
- A valid driver’s license and appropriate insurance coverage.

Diversity, Equity, and Inclusion:
At AmeriHealth Caritas, we value diversity and strive to create an inclusive environment where all associates can thrive. We are dedicated to ensuring that every individual has the opportunity to reach their full potential, and we actively work to dismantle barriers to equity within our workplace.

Benefits:
We offer a comprehensive benefits package that includes:
- Flexible work arrangements, including remote and hybrid options.
- Competitive compensation and paid time off.
- Health insurance coverage starting on your first day of employment.
- 401(k) plan and tuition reimbursement opportunities.

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