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Supervisor Integrated Care Management

AMERINC
Newtown, PA Full Time
POSTED ON 4/5/2025
AVAILABLE BEFORE 6/5/2025

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, PA, 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:

Under the supervision of the Manager, Corporate Population Health Programs, the Supervisor is responsible for the daily oversight of the Complex Care Management and/or Care Coordination unit providing clinical direction, organization, and monitoring of all care coordination services.  Responsible for direct supervisory oversight of staff conducting care coordination/management screening and/or other supportive functions.  Demonstrates ability to act as a resource in addressing clinical and technical issues.  Demonstrates and maintains a current knowledge of State and Federal requirements, licensing and regulating agency requirements, e.g., NCQA standards.  Provides unit and departmental leadership. Responsible for reporting oversight. Assists in carrying out the plans and daily operations of the Complex Care Management unit and/or Care Coordination unit and other duties as assigned.

Competencies:

  1. Excellent oral and written communication skills.
  2. Must have prior Supervisory experience 
  3. Attention to detail and ability to meet deadlines
  4. Ability to define problems, collect information and recommend solutions.
  5. Excellent collaboration skills.
  6. Ability to plan and organize and manage multiple priorities
  7. Ability to promote member/ member family autonomy.
  8. Ability to advocate for member/ member family needs.
  9. Excellent decision-making, assessment and follow-up skills.
  10. Self-directed.
  11. Ability to interface with all levels of management.
  12. Strong clinical and organizational skills.

    Education/Experience:
  • Registered Nurse with BSN or LMSW/LCSW with Behavioral Health background. 
  • An unrestricted RN/LMSW or LCSW license to practice nursing in the Plan’s state and any other state in which he/she works.
  • 3 to 5 years Clinical practice experience and must be able to practice care management within the scope of the licensure based on the standards of the discipline.
  • Must have 2 years supervisory experience.

Other Skills: 

  • Proficiency with Microsoft. Office Suite (Word, Excel, PowerPoint). Access is a plus. 
  • Consistent word processing speed and accuracy of 50 or more words per minute.

Diversity, Equity, and Inclusion

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

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.

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