Care Manager II (Foster Care)

IntelliResume; Florence (SC); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Remote options

Hybrid schedules

Health insurance Day 1

401(k) retirement plan

Tuition reimbursement

Job summary

AmeriHealth Caritas in Florence, SC is seeking a Care Manager II to coordinate care for Members with complex health needs. You will assess, plan, implement, and evaluate care, serving as the primary liaison for the care team and community partners.

This full-time role requires an accompanying RN license in South Carolina and a BSN, with at least 3 years in case management or related fields. Remote options and hybrid schedules are available, with competitive pay and benefits.

Qualifications

• BSN required and SC RN license
• Minimum 3 years in health care or related field
• Case management experience preferred, Foster Care experience preferred

Responsibilities

• Assess and coordinate care during transitions of care.
• Review medication lists and educate on pharmacy needs.
• Evaluate and update care plans based on Member progress.
• Establish contact points with community and health teams.
• Document Member interactions in care management platforms.
• Monitor utilization and coordinate services with payer sources.
• Develop knowledge of care management programs and regulatory requirements.
• Identify cases for care management rounds and follow up with providers.
• Support a positive workplace and collaborate with diverse populations.
• Conduct face-to-face visits for education and assessment as needed.

Skills

Care coordination

Assessment

Communication

Critical thinking

Education

Bachelor of Science in Nursing (BSN)

Tools

Care management platforms

Job description

About This Role

The Care Manager II is responsible for managing and coordinating care for Members with various health conditions, serving as the primary contact for the care team.

This role is ideal for experienced professionals who excel in assessment, communication, and critical thinking.

Highlights

• Location: Florence, SC
• Department/Unit: Medical Management and Quality
• Schedule: Full-time

What You'll Do

• Support Members during transitions of care through assessment and coordination.
• Review medication lists and educate Members on pharmacy needs.
• Evaluate, monitor, and update care plans based on Member progress.
• Establish contact points to collaborate with community and health teams.
• Maintain accurate documentation of Member interactions in care management platforms.
• Monitor utilization and coordinate services with payer sources.
• Develop knowledge of care management programs and regulatory requirements.
• Identify cases for care management rounds and follow up with providers.
• Support a positive workplace environment and collaborate with diverse populations.
• Conduct face-to-face visits for education and assessment as needed.

Requirements

Education

• Bachelor of Science in Nursing (BSN) required.

Experience

• Minimum of 3 years of professional experience in a related field required.
• At least 3 years of case management experience preferred.
• Prior experience in the Foster Care System or related departments preferred.

Licenses & Certifications

• Current and unrestricted Registered Nurse (RN) license in South Carolina required.

Benefits

• Flexible work solutions including remote options and hybrid schedules.
• Competitive pay and paid time off.
• Health insurance coverage starting Day 1.
• 401(k) retirement savings plan and tuition reimbursement.

About AmeriHealth Caritas

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience, headquartered in Newtown Square, Pennsylvania. They deliver comprehensive, outcomes-driven care to those in need, offering a range of healthcare solutions and services. Discover more about them at http://www.amerihealthcaritas.com.