What are the responsibilities and job description for the Healthcare Leader position at Amerihealth Caritas?
AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in delivering comprehensive, outcomes-driven care to those who need it most.
We are seeking a talented and passionate individual to join our team as a Care Manager II. As the primary point of contact for the care team, you will be responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex and/or behavioral health conditions and other health needs.
The successful candidate will have a strong assessment and communication skillset, critical thinking, and clinical knowledge to identify issues, gaps in care and barriers to care. You will develop a plan of care through shared decision making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member's health status, compliance with treatment plans and promote self-management.
Key Responsibilities:
- Support Members during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the effectiveness of the plan.
- Review medication lists and educate Members with pharmacy needs, and counsel on side effects and mitigation strategies for specific treatment protocols.
- Evaluate, monitor, and update the care plan through regularly scheduled follow-up contacts based on the Member/caregiver progress, needs and preferences.
- Establish points of contact in order to collaborate with identified community, medical, and/or behavioral health teams.
- Maintain timely, complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable.