• Medicare Care Coordinator Associate

    AmeriHealth Caritas (Philadelphia, PA)


    **Role Overview:** The Associate Care Coordinator assists moderate-risk enrollees in achieving their optimal level of health through appropriate care coordination and care management services. The Associate Care Coordinator must have relevant experience and education to work telephonically with Enrollees, complete surveys/assessments, and develop and update a care plan for moderate-risk members.

    Work Arrangement:

    + Remote – The associate can work remotely anywhere in Pennsylvania (PA).;

    Responsibilities:

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

    + Conducts surveys and assessments with Enrollees and/or their caregivers.

    + Periodically reviews and updates an Individualized Care Plan.

    + Conducts medication review

    + Provides periodic monitoring of health, functional, and mental status.

    + 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.

    + Provide care coordination services to moderate-risk/moderate acuity members.;

    Education & Experience:

    + A bachelor’s degree or higher in a health or social services-related field, or an associate prepared RN or LPN who has also obtained a bachelor’s degree in another field of study.

    + 3 to 5 years of case management preferred.

    + 1 to 3 years of social services and/or care management/coordination experience working with clients in a home/community setting, including those receiving physical health, behavioral health, and social services.

    + A Medical Assistant, Home Health Aide, or Nursing Assistant is strongly preferred.;

    + Experience in a remote/telephonic environment preferred

    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.