What are the responsibilities and job description for the Care Manager II position at Amerihealth Caritas?
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About Us
AmeriHealth Caritas is a mission-driven organization with over 30 years of experience delivering 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 across our national footprint.
Job Summary
We're seeking a talented Care Manager (RN/LCSW) to assist members in achieving their optimal level of health through self-management. The successful candidate will engage members, caregivers, and providers to assess plan and establish individual member goals. They will facilitate and coordinate care while ensuring quality and cost-effective resources.
Responsibilities
- Assess members through face-to-face encounters or by telephone to determine care coordination and care management needs.
- Complete comprehensive person-centered assessments inclusive of physical health history, mental health history, social determinants of health, and supportive needs.
- Coordinate physical, behavioral health, and social services, including medication management.
- Identify problems/barriers for care coordination and implement appropriate care management interventions.
- Create a plan of care to assist members in reducing/resolving problems and achieving their optimal level of health.
- Identify and implement the appropriate level of intervention based on the member's needs and clinical progress.
- Schedule follow-up calls as necessary, make referrals, and document progress towards meeting goals.
Requirements
- Masters Degree in Social Work.
- Active state Clinical Social Work license.
- 3 years of professional practice experience.
- Valid driver's license with car insurance.
- Experience in Case/Care Management preferred.
Diversity, Equity, and Inclusion
AmeriHealth Caritas is committed to equity and inclusion, creating an environment where all associates feel valued, supported, and comfortable being themselves. We act with integrity and respect, speaking out against injustice and breaking down barriers to support a more inclusive workplace.
Benefits
We offer a comprehensive benefits package, including flexible work solutions, competitive pay, paid time off, health insurance coverage, 401(k), tuition reimbursement, and more.
