Care Manager II

AmeriHealth Caritas; Newark (DE); On-site; USD 65,000 - 85,000; Full time

Job summary

AmeriHealth Caritas is hiring a Pediatric Case Manager in Kent County to oversee care coordination for pediatric patients. The role requires creating care plans, collaborating with community resources, and ensuring members receive appropriate services. Eligible candidates must hold a Delaware LSW or RN license and have experience in case management and pediatrics. A $5,000 sign-on bonus is offered.

Benefits

Flexible work solutions including remote options

Competitive pay

Paid time off including holidays

Health insurance coverage from Day 1

401(k) Tuition reimbursement

Qualifications

• 3-5 years of case management experience preferred.
• 1-3 years of pediatric experience preferred.
• A valid driver's license and car insurance required.

Responsibilities

• Conduct telephonic and in-home comprehensive assessments.
• Coordinate care for pediatric patients.
• Engage members and caregivers to set individual goals.

Skills

Care coordination

Medication management

Communication

Assessments

Advocacy

Health disparities intervention

Education

Delaware LSW license or RN license

Job description

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

AmeriHealth Caritas Delaware is seeking a Pediatric Case Manager to support Kent County. The Care Manager will be responsible for the care coordination of our pediatric patients. The Care Manager will help coordinate care-plans and collaborate with community resources to help ensure our members receive services to their unique circumstances. The Care Manager/Coordinator (RN/SW) is responsible for engaging the member, member care giver and providers to assess plan and establish individual member goals. Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources.The position will function as a single point of contact and be an advocate for members in the care coordination program. In addition the Care Manager/Coordinator will oversee these same care management activities within assigned practices to ensure the ACDE delivers high quality care management services in accordance with Plan, NCQA, Federal/State standards and requirements.

• Conduct telephonic and in home comprehensive assessments to determine appropriate level of care and supportive needs.
• Provide medication management to include regular medication reconciliation and medication adherence.
• Identify health disparities and utilize care coordinator interventions to help overcome them.
• Up to 50% travel within Kent county will be required for the role.

Experience & Education

• A current unrestricted Delaware LSW licensure and three (3) years professional practice experience or an active Delaware RN license.
• A minimum of 3 to 5 years case management experience preferred.
• A minimum of 1 to 3 years of pediatric experience preferred.

• A valid drivers license and car insurance required

A $5,000 sign-on bonus is being offered for this role.

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 healthcare 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, 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.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

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

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.