NewFood Service Driver and Inventory Manager CARITASFood Service Driver and Inventory ManagerRichmond, VA$18–$27 / hourFull timeServing as the primary driver for CARITAS Food Services, this role coordinates daily food donation pickups, transports products between locations, manages food inventories, assists with purchasing, and supports kitchen operations. While on CARITAS premises, performing CARITAS-related duties, or operating CARITAS equipment, employees are prohibited from being under the influence of drugs or alcohol and from possessing illegal drugs, marijuana, or excessive quantities of prescription or over-the-counter drugs.
NewHuman Resources Generalist - payroll and benefits focus CARITASHuman Resources Generalist - payroll and benefits focusRichmond, VA$44,705–$67,058 / yearFull timeBachelor's degree and at least 3-5 years of progressive professional experience or equivalent combination of education, experience, and training (preferred)Direct, hands on Payroll experience is required (prefer 3+ years)Benefits Administration and Management experience is required (prefer 3+ years)Proficiency with Microsoft and Google related office toolsOutstanding customer service skills and a high degree of professionalismKnowledge of principles and procedures related to multiple HR areas, such as: benefits, compensation, employee relations, compliance, recruitment, succession, HR Information SystemsExcellent oral and written communication in daily interactionsSound knowledge of and ability to perform multiple HR functionsAbility to manage multiple competing priorities and effectively prioritize assignments Must possess a valid Virginia state driver's license and have knowledge of all federal, state, and local compliance and safety regulations. We provide a range of services to support our community, including emergency shelter, The Healing Place for recovery from substance use disorder, a Recovery Residences program offering safe and affordable housing, a Works program supporting individuals with employment barriers, and a Furniture Bank that provides essential household items to families in need.
Care Manager II AmeriHealth CaritasCare Manager IILancaster, SCThe Care Manager II develops a plan of care through shared decision making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status, compliance with treatment plans and promote self-management. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their optimal level of health.
Community Educator AmeriHealth CaritasCommunity EducatorJacksonville, NCOur offerings include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. + Support member retention and assist auto enrollees with the selection of primary care physicians, explain program benefits and assist in follow-up to Member Services for members with concerns.
Behavioral Health Caseworker AmeriHealth CaritasBehavioral Health CaseworkerSpartanburg, SCThe Behavioral Health Case Worker develops a plan of care through shared decision-making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status and compliance with treatment plans and promote self-management. + 2 years of proven professional experience working directly with SMI members (Serious Mental illnesses) aged six and up who may have one of the following conditions: Psychotic Disorders, Bipolar Disorders, Major Depression.
Service Coordinator-CHC AmeriHealth CaritasService Coordinator-CHCLewistown, PAYou will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up. + Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.
Care Manager AmeriHealth CaritasCare ManagerWashington, DC$83,400–$113,600 / yearCoordinates 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. + 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.
Provider Practice Performance Advisor AmeriHealth CaritasProvider Practice Performance AdvisorSouthfield, MIstrong>Role Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.
Community Educator AmeriHealth CaritasCommunity EducatorFayetteville, NCOur offerings include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. + Support member retention and assist auto enrollees with the selection of primary care physicians, explain program benefits and assist in follow-up to Member Services for members with concerns.
Senior Community Health Educator AmeriHealth CaritasSenior Community Health EducatorGaylord, MIRole Overview: The Community Health Educator, Senior supports the development and execution of outreach strategies within an assigned territory to improve health outcomes, reduce healthcare costs, and increase member engagement. This role delivers health education, supports community-based programming, assists with Social Determinants of Health (SDOH) surveys, and documents outreach activities and outcomes in Jiva.
Director, Integrated Care Team (ICT) Care Coordination AmeriHealth CaritasDirector, Integrated Care Team (ICT) Care CoordinationSouthfield, MIRemoteRole Overview: The Director, ICT Care Coordination, is responsible for leading the strategic direction, operational execution, and performance of care coordination and population health programs within the assigned market to ensure the delivery of high-quality, compliant, and member-centered clinical and non-clinical services. Responsibilities: Partner with the Market Chief Medical Officer (CMO) and other market leaders to develop, execute, and monitor the plan's population health strategy while supporting equitable, whole-person care for members.
Service Coordinator AmeriHealth CaritasService CoordinatorHarrisburg, PA3+ years of social service (in lieu of a Bachelor’s degree) or related healthcare experience that required the following: + working with people who need personal care services, + conducting face to face visits in the home or nursing facility focused on needs assessments and monitoring delivery of services. You will contribute to the care coordination process by performing face-to-face assessments to identify, evaluate, coordinate, and manage participant's needs, including physical health, behavioral health, social services, and long-term services and support, as well as telephonic follow-up.
Director Provider Network Management AmeriHealth CaritasDirector Provider Network ManagementManchester, NHReporting directly to the Market President and serving as a key member of the Executive Leadership Team, this leader will drive provider network performance, affordability, quality outcomes, population health initiatives, and provider satisfaction while strengthening AmeriHealth Caritas' position as the preferred healthcare partner throughout New Hampshire. Lead complex negotiations with hospitals, health systems, physician groups, ancillary providers, and clinically integrated networks, including Value-Based Care (VBC) agreements and alternative payment models.
Care Manager AmeriHealth CaritasCare ManagerDublin, OHRemoteRole Overview: The Care Manager partners with members, caregivers, providers, and community resources to assess needs, develop individualized care plans, address barriers to care, and promote self-management with complex medical, behavioral health, and social needs by providing comprehensive care coordination and case management to help members achieve their optimal level of health and improve overall health outcomes. Licensure: Current, active, and unrestricted Ohio license in good standing as one of the following: Licensed Social Worker (LSW), Licensed Master Social Worker (LMSW), Licensed Independent Social Worker (LISW), or Licensed Professional Counselor (LPC).
Provider Practice Performance Advisor AmeriHealth CaritasProvider Practice Performance AdvisorSouthfield, MIRole Overview: The Performance Practice Advisor supports the Provider Network Management (PNM) team within a POD-based staffing care model, focusing on provider performance, value-based care (VBC) initiatives, and quality outcomes. This role analyzes provider performance data, identifies improvement opportunities, and partners with providers and internal teams to drive improvements in quality, cost, and overall care delivery.
Senior Community Health Educator AmeriHealth CaritasSenior Community Health EducatorGaylord, MIRole Overview: The Community Health Educator, Senior supports the development and execution of outreach strategies within an assigned territory to improve health outcomes, reduce healthcare costs, and increase member engagement. This role delivers health education, supports community-based programming, assists with Social Determinants of Health (SDOH) surveys, and documents outreach activities and outcomes in Jiva.
BrightStart Maternity Care Manager AmeriHealth CaritasBrightStart Maternity Care ManagerDublin, OHRemoteRole Overview: The BrightStart Care Manager partners with members, caregivers, providers, and community resources to assess needs, develop individualized care plans, address barriers to care, and promote self-management with complex medical, behavioral health, and social needs by providing comprehensive care coordination and case management to help members achieve their optimal level of health and improve overall health outcomes. Support members experiencing complex conditions, including behavioral health disorders, chronic conditions, maternal health needs, oncology diagnoses, and transition-of-care needs.
Care Manager II AmeriHealth CaritasCare Manager IIDublin, OHRemoteRole Overview: The Care Manager II partners with members, caregivers, providers, and community resources to assess needs, develop individualized care plans, address barriers to care, and promote self-management with complex medical, behavioral health, and social needs by providing comprehensive care coordination and case management to help members achieve their optimal level of health and improve overall health outcomes. Current, active, and unrestricted Ohio license in good standing as one of the following: Licensed Social Worker (LSW), Licensed Master Social Worker (LMSW), Licensed Independent Social Worker (LISW), or Licensed Professional Counselor (LPC).
Senior Clinical Quality Performance Specialist AmeriHealth CaritasSenior Clinical Quality Performance SpecialistManchester, NHRemoteManages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). Role Overview: The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions.
Community Educator AmeriHealth CaritasCommunity EducatorManchester, NHBased out of our Manchester Wellness Center and traveling statewide, this role promotes AmeriHealth Caritas programs through community events and site visits, identifies and guides potential Medicaid and uninsured individuals to appropriate services, and educates them on enrollment processes. Role Overview: AmeriHealth Caritas New Hampshire (ACNH) is seeking a passionate and community-driven Community Educator to join our outreach team and help connect vulnerable and diverse populations across the state to essential healthcare resources.