Care Manager II
Company: Amerihealth
Location: Manchester
Posted on: November 22, 2021
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Job Description:
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 Philadelphia, 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:The Care Manager
(RN/SW) assists members appropriate for care coordination and case
management services in achieving their optimal level of health. The
Care Manager (RN/SW) is responsible for engaging the member and
providers to assess, plan and establish individual member goals.
Will facilitate and coordinate care for the members while assuring
quality and use of cost-effective resources. The position will
function as a single point of contact and be an advocate for
members in the care coordination program. Assess members to
determine care coordination and case management needs for all
referred members. Completes comprehensive assessment of
environmental, Psycho-social and support needs. Identifies
problems/barriers for care coordination and appropriate care
management interventions. Creates a plan of care to assist members
in reducing/resolving problems and or barriers so that members may
achieve their optimal level of health. Identifies both short and
long term goals and associated time frames for completion. Shares
goals with the member and family as appropriate. Identifies and
implements the appropriate level of intervention based upon the
member's needs and clinical progress. Schedules follow up calls as
necessary, makes appropriate referrals. Implements actions to
address member issues. Documents progress towards meeting goals and
resolving problems. Coordinates care and services with the Account
manager, Complex RN Case Manager, and member, family members as
appropriate, PCP, Specialist, and Facility/Vendor
Providers.Education/ Experience:
Keywords: Amerihealth, Manchester , Care Manager II, Executive , Manchester, New Hampshire
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