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Care Manager

AmeriHealth Caritas

Washington, DC

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JOB DETAILS
SALARY
$83,400–$113,600 Per Year
SKILLS
Acute Care, Administrative Skills, Behavioral Health, Biotech and Pharmaceutical, Case Management, Community Health, Community and Social Services, Compensation and Benefits, Documentation, Electronic Medical Records, Healthcare, Home Care, Identify Issues, Internet Application, Licensed Clinical Social Worker (LCSW), Managed Care, Medicaid, Medical Record System, Medications, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Nursing, Office Management, Organizational Skills, Pediatrics, Pharmacy, Problem Solving Skills, Product Management, Psychiatry and Mental Health, Reconciliation, Registered Nurse (RN), Set Goals, Social Work, Treatment Plan, Work From Home
LOCATION
Washington, DC
POSTED
30+ days ago
Role Overview


The In-Office Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/LICSW) is responsible for engaging the member, member's caregiver 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 management program.


Work Arrangement


+ Monday through Friday from 8:30 AM EST to 5:00 PM EST; 4 days must be worked in our DC office located at 1201 Maine Ave SW and 1 day can be worked remotely

+ This is an in-office position. Associates are responsible for commuter cost however, company has a commuter benefit program.

+ Must reside in the DC metro area. Office is in close proximity to two metro stations.

+ Must engage directly with identified members through face-to-face visits in the community as needed


Responsibilities


+ Assess members through face-to-face or telephone calls to determine care coordination and care management needs for all referred members

+ Completes a comprehensive person-centered assessment that includes physical health history, mental health history, social determinants of health, and supportive needs

+ Coordinates physical, behavioral health, and social services

+ Provides medication management, including regular medication reconciliation and support of medication adherence

+ 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 goals and assigns priority with associated time frames for completion. As appropriate, shares goals with the member and family

+ 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 Care Coordinator, Community Health Navigator, member, member's caregiver as appropriate, PCP Specialist, complex adulat and pediatric populations and Facility/Vendor Providers


Education and Experience


+ Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of Columbia. Associate’s Degree in Nursing.

+ Required for LICSW candidates: Current and unrestricted Licensed Independent Clinical Social Worker (LICSW) licensure in the District of Columbia and a Master’s Degree in Social Work

+ Minimum of 3 years of independent clinical practice experience as an RN or LICSW working with complex medical and behavioral health diagnoses in acute care, home care, or community health settings

+ Minimum of 1 year of case management experience supporting complex adult and pediatric Medicaid populations within a managed care organization preferred


Licensure


+ Active and unencumbered Registered Nurse (RN) licensure in the District of Columbia

+ Active and unencumbered Licensed Independent Clinical Social Worker (LICSW) licensure in the District of Columbia


Skills and Abilities


+ Proficiency in MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record/documentation systems is essential


The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.


AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.


The targeted hiring range for this role is expected to be between $83,400 and 113,600.


Your career starts now. We’re looking for the next generation of healthcare 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 healthcare 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. We'd like to hear from you if you want to make a difference.


Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with over 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 .


Our Comprehensive Benefits Package


Flexible work solutions include 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.
As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

About the Company

A

AmeriHealth Caritas

Leaders in health care solutions for those most in need

AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

Our mission, our goal

Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.amerihealthcaritas.com

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