Demo

Flexible Remote Worker

Amerihealth Caritas
Allendale, SC Remote Full Time
POSTED ON 1/25/2025
AVAILABLE BEFORE 2/21/2025

Job Description

We are seeking the next generation of healthcare leaders to join our team at AmeriHealth Caritas.

As one of the nation's leading health care solutions providers, we offer a unique opportunity to impact the lives of millions through our national footprint of products, services, and award-winning programs.

The Field-Based Remote Behavioral Health Case Worker plays a critical role in managing and coordinating care for Members with behavioral health conditions and complex needs.

Main Responsibilities

  • Develops a plan of care through shared decision-making with the Member/caregiver and in collaboration with providers and other care team members.
  • Reviews medication lists and coordinates pharmacy needs with community pharmacists.
  • Establishes points of contact with community, medical, and behavioral health teams.
  • Maintains accurate documentation of Member interactions in electronic care management platforms.
  • Monitors utilization and coordinates services with other payer sources.
  • Develops knowledge of ACFC electronic care management platforms, care management programs, and regulatory requirements.
  • Conducts face-to-face visits with Members at their residences or community locations.

Requirements

  • Bachelor's Degree in Human Services or related field.
  • Proficiency in MS Office, internet applications, and electronic medical record and documentation programs.
  • Ability to work remotely and travel to access Members' homes and community locations within assigned regions.

Benefits

  • Diverse and inclusive work environment.
  • Flexible work solutions, including remote options and hybrid schedules.
  • Competitive pay and benefits package.
  • Tuition reimbursement and professional development opportunities.

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