What are the responsibilities and job description for the REMOTE Health Worker position at Amerihealth Caritas?
Job Title: Field-Based Remote Behavioral Health Case Worker
About Us:
AmeriHealth Caritas is passionate about helping people get care, stay well and build healthy communities.
We are a nation's leader in health care solutions, offering integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Job Summary:
The Field-Based Remote Behavioral Health Case Worker is responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs.
Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their optimal level of health.
Key Responsibilities:
- Review the medication list and help members coordinate pharmacy needs with a community pharmacist to ensure medication reconciliation is completed when any changes occur.
- Establishes 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.
- Monitor appropriate utilization and coordinate services with other payer sources, make appropriate referrals, and identify and escalate quality of care issues.
- Develop a working knowledge of ACFC electronic care management platforms, care management programs, policies, standard operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and NCQA requirements.
- Conduct Face-to-face visits at the Member's residence, provider's office, hospitals, other acute locations, or community locations for education and/or assessment.
Requirements:
- Required Bachelor's Degree in Human Services (i.e., social work, psychology, sociology, early childhood education, child development, criminal justice) or related field.
- Proficiency using MS Office (Word, Excel, Outlook), internet applications, and electronic medical record and documentation programs.
Benefits:
- 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
