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Role Overview:

The Care Coordinator (RN/SW) assists members who are appropriate for care coordination and case management services in achieving their optimal level of health. The Care Coordinator (RN/SW) must have relevant experience and education to work with Enrollees with complex health, behavioral health, long-term services and supports, and/or psychosocial needs.

Work Arrangement:

+ Remote within Michigan. This field-based position requires qualified candidates to reside in or near Macomb County to meet the expectation of conducting in-person meetings with members

Responsibilities:

+ Provides access to a single point of contact for all questions or inquiries

+ Conducts assessments with Enrollees and/ or their caregiver

+ Develops an Individualized Care Plan that is periodically reviewed and updated

+ Provides disease self-management and coaching

+ Conducts medication review, including reconciliation during transitions of care setting

+ Provides periodic monitoring of health, functional, and mental status along with pain and fall screening

+ Ensures the provision of services in the least restrictive setting and transition support across and between specialties and care settings

+ Connects Enrollees to services that promote community living and help to delay or avoid nursing facility placement

+ Coordinates with social service agencies (e.g., local departments of health, social services, and community-based organizations) and the referral of Enrollees to state, local, and/or other community resources

+ Collaborates with nursing facilities to promote the adoption of evidence-based interventions to reduce avoidable hospitalization, management of chronic conditions, medication optimization, fall and pressure ulcer prevention, and the coordination of services beyond the scope of the nursing facility benefit

Education/Experience:

+ Bachelor's degree in a health-related field required

+ Certification as a Case Manager or a Community Health Worker preferred

+ Minimum of 1 year of social services and/or clinical experience working with complex populations, including those with physical health, behavioral health, long-term services and supports, and/or psychosocial needs

+ Minimum of 3 years of Case Management experience preferred

Licensure** **:

+ A current and unrestricted RN licensure in MI or a current and unrestricted SW licensure in MI with 3 years of professional practice experience required

+ Valid driver’s license with car insurance required

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, PA, 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.

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.

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.