OHIO | Care Manager II, RN/LSW/LISW

About the position

The Care Manager II (RN/LSW) at AmeriHealth Caritas is responsible for providing support to complex members through care coordination and case management services. This role focuses on helping members achieve their optimal level of health by engaging with them, their caregivers, and healthcare providers to assess needs, establish goals, and implement care plans. The position requires a strong background in clinical practice and case management, particularly with Medicaid populations, and emphasizes the importance of a person-centered approach to healthcare.

Responsibilities
? Provide support to complex members for care coordination and case management services.
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? Engage with members, caregivers, and providers to assess and plan individual member goals.
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? Complete comprehensive person-centered assessments of physical, psycho-social, and environmental health.
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? Identify problems/barriers for care coordination and implement appropriate interventions.
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? Coordinate physical, behavioral health, and social services for members.
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? Manage medications, including regular reconciliation and adherence support.
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? Create and implement a plan of care to assist members in achieving health goals.
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? Identify short- and long-term goals with associated time frames for completion.
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? Document progress towards meeting goals and resolving issues.
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? Schedule follow-up calls and make appropriate referrals.

Requirements
? Current and unrestricted Registered Nurse licensure in Ohio or licensed Social Worker (LSW or LISW) in Ohio.
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? Bachelor's Degree (or higher) in a health-related field preferred.
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? Minimum of 3 years of clinical practice experience with Medicaid populations.
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? Minimum of 3 years of case management experience preferred in behavioral health.
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? Proficiency in MS Office (Word, Excel, Outlook, Teams) and electronic medical record programs.
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? Valid driver's license, car insurance, and reliable vehicle.

Nice-to-haves
? Experience working in a hospital or community health setting.
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? Familiarity with internet applications and documentation programs.

Benefits
? Health insurance coverage for you and your dependents on Day 1
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? Paid time off including holidays and volunteer events
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? Tuition reimbursement
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? 401(k)
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? Flexible work solutions including remote options and hybrid work schedules
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? Competitive pay

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