Behavioral Health Caseworker

AmeriHealth Caritas; Columbia (SC); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading health care organization is seeking a Behavioral Health Caseworker to coordinate services for Members with behavioral health conditions. This remote role requires travel in the Columbia area. The Caseworker will assess needs, create care plans, and collaborate with community resources to ensure comprehensive support for Members. Join us to make a meaningful impact in the lives of individuals and help build healthier communities.

Benefits

Health insurance from Day 1

401(k)

Tuition reimbursement

Paid time off

Qualifications

• At least 2 years of experience with severe mental illness.
• Bachelor's in Human Services with 45 hours of Behavioral Health training.

Responsibilities

• Coordinate services and address social determinants of health.
• Support Members during behavioral health transitions.

Skills

Communication

Documentation

Assessment

Self-management skills

Education

Bachelor’s Degree in social work

Master’s Degree in social work

Tools

MS Office

Electronic medical records

Care management platforms

Job description

Join to apply for the Behavioral Health Caseworker role at AmeriHealth Caritas

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Join to apply for the Behavioral Health Caseworker role at AmeriHealth Caritas

This role is field based remote and will require travel in the Columbia area to service our members. Candidates must live in or very near Columbia, SC to qualify.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

The Behavioral Health Caseworker is responsible for coordinating services and addressing social determinants of health for Members with behavioral health conditions. Under the direction of the Population Health Manager and Supervisor, the Behavioral Health Caseworker ensures the provision of services in the least restrictive setting and transitions support across and between care settings; connects members to services that promote community living and helps to overcome any barriers to health; establishes points of contact to collaborate with community, medical, and behavioral health teams.

The Behavioral Health Caseworker meets with assigned Members in their homes or community settings. They will develop an understanding of each Member’s circumstances and needs, assess available services, and create a person-centered plan to address behavioral health needs. For physical health needs, the caseworker will consult with a registered nurse care manager.

The Behavioral Health Caseworker will:

• Support Members during behavioral health transitions through assessment and coordination of resources, providing referrals and linkage to community resources, and evaluating the person-centered plan.
• Review medication lists with members and coordinate pharmacy needs to support medication adherence.
• Monitor and update the person-centered plan through follow-up contacts, preferably in the Member’s home, based on progress, needs, and preferences.
• Establish points of contact to collaborate with community, medical, and behavioral health teams.
• Maintain accurate documentation of Member interactions in electronic care management platforms.
• Develop knowledge of care management platforms, programs, policies, procedures, Member benefits, community resources, and regulatory requirements.
• Support a positive, inclusive workplace environment, collaborating and sharing knowledge to serve a diverse Member population.
• Conduct face-to-face visits at Member residences, provider offices, hospitals, or community locations for education and assessment.
• Perform other duties as assigned.

Education/Experience:

• Bachelor’s Degree in social work, psychology, sociology, early childhood education, child development, criminal justice, or related field, or in another field with relevant experience.
• Required Bachelor's in Human Services with 45 hours of Behavioral Health training OR Master’s Degree in social work, nursing, rehabilitation, psychology, or related health/human services, with documented experience with the Member population.
• Refer to State Requirement Document and Market Contract for additional requirements.
• At least 2 years of professional experience working directly with individuals affected by severe mental illness (SMI), including conditions like Psychotic Disorders, Bipolar Disorders, Major Depression.
• 2 years of social services experience engaging with clients, assessing needs, connecting to services, and monitoring progress.
• Proficiency in MS Office, internet applications, electronic medical records, and care management platforms (e.g., Jiva).
• Strong documentation skills emphasizing accuracy and compliance.
• Experience assessing members, developing action plans, and teaching self-management skills.
• Willingness to travel to members’ homes and community locations, possessing reliable transportation, a valid driver’s license, and auto insurance.

Diversity, Equity, and Inclusion

We value and support a diverse, equitable, and inclusive workplace where everyone can be themselves. Our commitment to these principles is reflected in our actions and policies, fostering a vibrant, innovative environment that better serves our communities.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Includes competitive pay, paid time off, holidays, volunteer events, health insurance from Day 1, 401(k), tuition reimbursement, and more.