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Healthcare Leader

1 month ago

Philadelphia, Pennsylvania, United States Amerihealth Caritas Health Plan Full time
Care Management Opportunity

We are seeking a highly skilled RN Care Manager II to join our team at AmeriHealth Caritas Health Plan. As a RN Care Manager II, you will play a critical role in assisting members in achieving their optimal level of health by coordinating care and services.

Key Responsibilities:
• Conduct comprehensive assessments of members' needs and develop individualized care plans
• Facilitate communication between members, providers, and other stakeholders to ensure seamless care coordination
• Identify and address barriers to care, such as environmental and psycho-social factors
• Collaborate with members, families, and healthcare providers to establish and achieve short- and long-term goals
• Document progress and outcomes to ensure continuous quality improvement

Requirements:
• Bachelor's Degree in Nursing or healthcare-related field
• Current and unrestricted Registered Nurse licensure in Pennsylvania
• 3+ years of experience as a case manager, preferably in emergency department or home care settings
• Behavioral health experience, including managing care of individuals with mental health and substance use disorders
• Proficiency in MS Office, internet applications, and electronic medical record and documentation programs
• Eligible for Certification in Case Management within 12 months of accepting position

AmeriHealth Caritas Health Plan offers a comprehensive benefits package, including competitive pay, paid time off, health insurance coverage, and opportunities for professional growth and development. If you are passionate about delivering high-quality care and making a meaningful difference in the lives of others, we encourage you to apply for this exciting opportunity.