Medical Case Manager

1 day ago


Washington, Washington, D.C., United States Enlightened, Inc. Full time
Transform Lives as a Medical Case Manager with Enlightened

We are seeking a dedicated and compassionate Medical Case Manager to join our AmeriHealth Caritas DC Clinical Support team in Washington, DC.

Earning an estimated $73,000 - $90,000 per year, this role offers a rewarding career path for those passionate about delivering high-quality care coordination services.

About the Role:

This Medical Case Manager position requires engagement with members, caregivers, and healthcare providers to assess, plan, and establish individualized goals. The ideal candidate will work collaboratively to coordinate care across various settings, ensuring seamless transitions and optimized outcomes for patients.

  • Conduct thorough assessments to determine care coordination needs, taking into account physical health, psycho-social factors, environmental considerations, and social determinants of health.
  • IDentify problems or barriers and implement targeted interventions to support member well-being.
  • Cultivate strong relationships with healthcare teams, community resources, and other stakeholders to facilitate effective care management.
Requirements:

To be successful in this role, you should have:

  • A valid state RN license or current LICSW licensure.
  • A bachelor's degree in a health-related field (or higher) and relevant experience working with Medicaid populations.
  • Certification as a case manager is preferred but not required.
  • At least three years of nursing or social work experience, preferably in a hospital or community health setting.
  • Ability to work effectively with adult and pediatric populations presenting complex medical and behavioral health challenges.
About Us:

As part of the AmeriHealth Caritas DC Clinical Support team at Enlightened, you will be an integral part of our mission to provide high-quality, person-centered care to vulnerable populations. We offer a comprehensive benefits package, including medical/dental/vision insurance, flexible spending accounts, 401(k), paid holidays and time off, and professional development opportunities.



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