Care Manager

AmeriHealth Caritas; Rockingham (NC); On-site; USD 45,000 - 48,000; Full time

Job summary

AmeriHealth Caritas recherche un(e) Care Manager (RN/LCSW) pour diriger la gestion des soins pour ses membres. Dans ce rôle, vous serez responsable de l'évaluation des besoins des membres, de la coordination des services de santé et de la création de plans de soins. Vous travaillerez à distance avec des déplacements régionaux, en garantissant des soins de qualité dans un environnement dynamique. Rejoignez une entreprise leader pour faire une réelle différence dans la vie des communautés.

Benefits

Options de travail flexible, y compris des horaires à distance et hybrides.

Assurance santé dès le premier jour.

Remboursement des frais de scolarité.

Temps de congé payé et jours fériés.

Qualifications

• Infirmier(e) diplômé(e) avec plus de 3 ans d'expérience professionnelle.
• Expérience en gestion des cas/de soins (3 à 5 ans préférable).

Responsibilities

• Évaluer les membres pour déterminer leurs besoins en matière de coordination et de gestion des soins.
• Coordonner les services de santé physique, comportementale et sociale.
• Créer et partager des plans de soins avec les membres et leurs familles.

Skills

Coordination des soins

Gestion des médicaments

Évaluation des besoins

Interventions personnalisées

Education

Diplôme d'infirmier(e) (RN)

Job description

1 day ago Be among the first 25 applicants

Role Overview:

The Care Manager (RN/LCSW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/LCSW) is responsible for engaging the member, member caregiver, and providers to assess, plan, and establish individual member goals. They will facilitate and coordinate care for the members while ensuring quality and cost-effective resource use. The position functions as a single point of contact and advocate for members in the care management program. Additionally, the Care Manager oversees care management activities within assigned Advanced Medical Home / Clinically Integrated Network (AMH Tier III/CIN) practices to ensure high-quality care management services in accordance with Plan, NCQA, Federal/State standards and requirements.

Work Arrangement:

• Must reside in the Raleigh NC region.
• This is a remote position with regional travel within the Raleigh, NC region.
• Up to 50% travel required.

Responsibilities:

• Assess members through face-to-face encounters or by telephone to determine care coordination and management needs.
• Complete comprehensive person-centered assessments including physical health, mental health, social determinants of health, and supportive needs.
• Coordinate physical, behavioral health, and social services.
• Provide medication management, including reconciliation and adherence support.
• Identify problems/barriers and implement appropriate interventions.
• Create and share care plans with members and families as appropriate.
• Implement interventions based on member needs and progress.
• Schedule follow-ups, make referrals, document progress.
• Coordinate care with care team members and providers.
• Provide transitional care management.
• Participate in scheduled meetings with AMH/CIN.

Education/Experience:

• Registered Nurse required.
• 3+ years of professional practice experience.
• 3 to 5 years of Case/Care Management preferred.

Licensure:

• Valid driver’s license with car insurance.

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

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well, and build healthy communities. As a leader in healthcare solutions, we offer opportunities to impact millions through our products, services, and programs. Join us to make a difference.

Headquartered in Newtown Square, PA, with over 30 years of experience, we deliver outcomes-driven care to those who need it most, including managed care, pharmacy, behavioral health, and administrative services.

Discover more at www.amerihealthcaritas.com.

Benefits:

• Flexible work options including remote and hybrid schedules.
• Competitive pay, paid time off, holidays, volunteer events.
• Health insurance from Day 1.
• 401(k), tuition reimbursement, and more.

Additional Details:

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care

Referrals increase your chances of interviewing at AmeriHealth Caritas by 2x.

Get notified about new Care Manager jobs in Rockingham, NC.

Wadesboro, NC $45,000 - $48,000 3 months ago