Care Manager

About This Role The Care Manager II (RN/SW) plays a crucial role in assisting members with care management and coordination services to achieve optimal health through self-management. This position is ideal for experienced professionals who can engage members, caregivers, and providers to assess and establish individual health goals. Highlights Location: Philadelphia, PA Schedule: Full-time, Monday-Friday 8:30am-5:00pm Eastern Time Zone What You'll Do Assess members through face-to-face encounters and by telephone to determine care coordination and care management needs. Complete comprehensive person-centered assessments, including physical health history, mental health history, and social determinants of health. Coordinate physical, behavioral health, and social services. Provide medication management, including regular medication reconciliation and support of medication adherence. Identify problems/barriers for care coordination and appropriate care management interventions. Create a plan of care to assist members in reducing/resolving problems and achieving optimal health. Schedule follow-up calls as necessary and make appropriate referrals. Document progress towards meeting goals and resolving problems within the EMR system. Coordinate care and services with the Community Health Navigator, member caregivers, PCP, specialists, and facility/vendor providers. Provide transitional care management and participate in regularly scheduled meetings as needed. Requirements Education: Current, unrestricted RN license in good standing or unrestricted LMSW/LCSW license with experience in managing medical complexities. Experience: Minimum of 3 to 5 years experience with the physical health population required. Experience working with individuals with Medicaid and Medicare populations preferred. Case management experience, preferably within a managed care organization, is desired. Licenses & Certifications: Current, unrestricted RN license in good standing or unrestricted LMSW/LCSW license. Benefits Flexible work solutions including remote options and 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) and tuition reimbursement. About AmeriHealth Caritas AmeriHealth Caritas is a leading healthcare provider committed to delivering exceptional patient care. They focus on helping individuals achieve their best health through comprehensive care management and coordination services. #J-18808-Ljbffr