Community Care Manager

Your career starts now. We are looking for the next generation of health care leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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 would like to hear 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 

As part of the Community-based Care Management program, the Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager collaborates with all levels of Medical Management department staff for appropriate integration of Community Based Medical Management programs with other existing and planned initiatives, aligning with the annual operating plan and strategic growth initiatives.

• The Care Manager provides in-home environmental and physical assessments for high-risk members to identify unmet needs and barriers to care and to establish a care management plan of care.
• The Care manager may provide basic clinical care within scope of practice in collaboration with members medical management team.
• Establishes point of contacts in collaboration with member community medical/behavioral health teams.
• Works closely with and directs and supervises the work of Community Care Connectors as they deliver in-community care, support pathways to establish connections to appropriate services and provide coaching and education for chronic disease management. 
• May serve as a program subject matter expert and/or assist the Community Care Program Manager with operational responsibilities

 
Education

• Associate's degree in Nursing required, Bachelor's Degree preferred
• Current and unrestricted Registered Nurse licensure in Pennsylvania

Experience

• 3+ years of clinical experience at the bedside (as a Registered Nurse) working with medically fragile pediatric patients in an acute care, home care, or special needs clinic
• 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired
• Eligible to sit for Case Management certification after 12 months of employment. Must obtain this certification after 2 years of employment
• Demonstrated proficiency working within a Windows 11 environment to include MS Office (Excel, Word, Outlook) and electronic medical record and documentation programs
•  Valid driver’s license required
   

Work location and hours

• Ability to travel extensively within Lancaster County communities 
• Ability to work Monday-Friday from 8:30a to 5:00p EST

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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