**Care Manager II (Maternity Registered Nurse)**
Location: Manchester, NH
Primary Job Function: Medical Management
The Care Manager will be supporting our Brightstart program.
Candidates should have a experience working with maternity
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
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 .
The Care Manager (Maternity Registrer Nurse) assists members
appropriate for care coordination and case management services with
our Brightstart program in achieving their optimal level of health.
The Care Manager (RN) 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.
**The Care Manager will be required to travel for face to face
member visits within the State of New Hampshire, when deemed safe
and necessary during current pandemic.**
+ Unrestricted NH RN licensure and three (3) years clinical
practice experience in med-surg (adults) and/or home care;
pediatrics and behavioral health experience a plus.
+ 3 to 5 years of Case Management experience preferred,
telephonic case management experience preferred.
+ A bachelors (or higher) degree in a health related field and
licensure as a health professional (where such licensure is
available) is preferred
+ Certification as a case manager (as documented and accepted on
URAC's website@ www.urac.org)
+ Valid driver's license with car insurance
+ 3-5 years of Case Management experience preferred
EOE Minorities/Females/Protected Veterans/Disabled