What are the responsibilities and job description for the Supervisor, Complex Care Management, RN position at AmeriHealth Caritas?
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver 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.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
Supervises the Care Coordination team that provides clinical assessments and clinical management for complex members. Works with the Clinical Program Manager to develop policies and procedures. Oversees the call volume and service standards for the team. Oversees hiring, training, education, and evaluation of staff.
Provides supervision of the following activities: Initial patient assessments on multiple disease states, home care coordination, coordination and documentation in the patient record, and clinical review of all information needed to complete the Schedule First Order Nurse function according to operational policy and procedures.
Supervise nursing staff assisting pediatric and adult members and ensures staff can provide and coordinate clinical related information, evaluate patient clinical needs for specific therapies that treat chronic diseases, terminal illnesses, genetic disorders, bleeding disorders, and others, as evidenced by answering maternal related questions; researching information; completing productivity, completing requests, advising internal and external customer groups on drugs or drug therapies and disease states, nursing practice and company operations.
Education/ Experience:
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, 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.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver 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.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
Supervises the Care Coordination team that provides clinical assessments and clinical management for complex members. Works with the Clinical Program Manager to develop policies and procedures. Oversees the call volume and service standards for the team. Oversees hiring, training, education, and evaluation of staff.
Provides supervision of the following activities: Initial patient assessments on multiple disease states, home care coordination, coordination and documentation in the patient record, and clinical review of all information needed to complete the Schedule First Order Nurse function according to operational policy and procedures.
Supervise nursing staff assisting pediatric and adult members and ensures staff can provide and coordinate clinical related information, evaluate patient clinical needs for specific therapies that treat chronic diseases, terminal illnesses, genetic disorders, bleeding disorders, and others, as evidenced by answering maternal related questions; researching information; completing productivity, completing requests, advising internal and external customer groups on drugs or drug therapies and disease states, nursing practice and company operations.
Education/ Experience:
- Qualified candidates must reside in Michigan.
- Unrestricted RN licensure in Michigan.
- 3 years of progressive experience in an acute care setting or equivalent experience.
- Clinical experience in specialty areas such as; pediatric and adult high risk populations, behavioral health, discharge planning and transition of care.
- 2 years of care coordination/case management experience.
- 1 years of experience educating staff.
- 3-5 supervisory experience preferred.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, 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.
