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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 Newtown Square, 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.

Role Overview:

Supervises the Care Coordination team that provides clinical assessments and clinical management for pregnant and postpartum members. Works with the Clinical Program Manager to develop policies and procedures. Oversees the call volume and service standards for the team. Oversees hiring, training, education, and evaluation of staff.

Responsibilities:

Provides supervision of the following activities:

+ Initial patient assessments on multiple disease states, home care coordination

+ Coordination and documentation in the patient record

+ Clinical review of all information needed to complete the Schedule First Order Nurse function according to operational policy and procedures

+ Supervise nursing staff assisting maternal members

+ Ensures staff can provide and coordinate clinical related information

+ Evaluate patient clinical needs for specific therapies that treat chronic diseases, terminal illnesses, genetic disorders, bleeding disorders, and others

+ As evidenced by: answering maternal related questions; researching information; completing productivity, completing requests, advising internal and external customer groups on drugs or drug therapies and disease states, nursing practice and company operations.

Experience:

+ 3 to 5 years progressive experience in an acute care setting or equivalent experience.2 to 5 years of care coordination/case management.1 to 5 years of experience Teaching/Educating Staff.Supervisory experience required.Clinical experience in specialty areas such as; high risk populations, behavioral health, discharge planning and transition of care

Education:

+ Associate's Degree in Nursing required, Bachelor’s Degree in Nursing preferred.

+ Master's Degree in Social Work required

+ Unrestricted, current RN or LSW Ohio license required.

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, 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.

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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.