Community Care Manager Senior, BSN

7 days ago


Detroit, Michigan, United States AmeriHealth Caritas Full time
Job Title: Community Care Manager Senior, BSN

At AmeriHealth Caritas, we're seeking a highly skilled Community Care Manager Senior to join our team. As a key member of our Community Care Management Team, you will play a vital role in delivering comprehensive, outcomes-driven care to our members.

Responsibilities:
  • Collaborate with the Medical Management department to integrate Community Based Medical Management programs and align with our annual operating plan and strategic growth initiatives.
  • Assist in the daily operations of the department, including training and mentoring new and existing associates, participating in assigning and monitoring workflows, and policy development and enforcement.
  • Manage a portion of a standard case load per Plan needs and provide coverage for absent community care managers as directed by management.
  • Provide access to a single point of contact for member questions or inquiries in coordination with telephonic care manager and other members of CCMT.
  • Conduct in-home environmental and physical assessments for high-risk members to identify unmet needs and barriers to care.
  • Develop and implement Individualized Care Plans that are periodically reviewed and updated.
  • Provide disease self-management and coaching within scope of practice.
  • Conduct medication review, including reconciliation during transitions of care settings (RN only).
  • Ensure the provision of services in the least restrictive setting and transitions support across and between specialties and care settings.
Requirements:
  • Bachelor's Degree in Nursing required.
  • Current and unrestricted RN licensure in MI.
  • Current BLS.
  • 2+ years clinical practice experience as a Registered Nurse in Med-Surg or behavioral health.
  • 3+ years of Case Management experience preferred.
  • 1+ year of community care management or home care experience is preferred.

We offer a comprehensive benefits package, including flexible work solutions, competitive pay, paid time off, health insurance coverage, and more. If you're passionate about delivering exceptional care and making a difference in the lives of our members, we encourage you to apply.



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