$5,000.00 Sign On Bonus

Role Overview:

The Care Manager Early Intervention/Pediatrics (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager Early Intervention/Pediatrics (RN/LICSW) is responsible for engaging the member, member's caregiver and providers to assess plan and establish individual member goals. Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources. The position will function as a single point of contact and be an advocate for members in the care management program. In addition, the Care Manager Early Intervention/Pediatrics (RN/LICSW) will participate in meetings in collaboration with the DC Strong Start Early Intervention Program.

Work Arrangement:

• This role consists of a hybrid work schedule working 1 day remotely and 4 days a week at our AmeriHealth DC office located 1201 Maine Avenue, S.W., Suite 1000, 10th Floor, Washington, DC 20024. 
• Qualified candidates must reside in the DC metro area

Responsibilities:

• Assess members through face-to-face encounter or by telephone to determine care coordination and care management needs for all referred members.
• Completes comprehensive person-centered assessment inclusive of physical health history, mental health history, social determinants of health and supportive needs.
• Coordinates physical, behavioral health and social services;
• Provides medication management, including regular medication reconciliation and support of medication adherence.
• Identifies problems/barriers for care coordination and appropriate care management interventions.
• Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health.
• Identifies goals and assigns priority with associated time frames for completion. Shares goals with the member and family as appropriate.
• Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress.
• Schedules follow up calls as necessary, makes appropriate referrals. Implements actions to address member issues. Documents progress towards meeting goals and resolving problems.
• Coordinates care and services with the Care Coordinator, Community Health Navigator, and member, member's caregiver as appropriate, PCP, Specialist, DC OSSE Strong Start Program, and Facility/Vendor Providers.
• Participate in regularly scheduled meetings with the DC Strong Start Early Intervention Program.

Education/Experience

• Associate’s degree in nursing. Bachelor's Degree preferred.
• 3+ years of professional experience as a RN or LICSW working with pediatric populations with complex medical and behavioral health diagnoses within an acute care, homecare or community health setting.
• Must engage directly with identified members through face-to-face visits in the community as needed.
• Minimum of 1 year of case management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred.

Licensure:

• A valid driver’s license with car insurance is required.
• Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of Columbia.
• Required for LICSW candidates: Current and unrestricted Licensed Independent Clinical Social Worker (LICSW) licensure in the District of Columbia and a Master’s Degree in Social Work.
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Skills & Abilities:

• Proficiency in MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record/documentation systems is essential.

The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington DC area. 
Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training. AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more. The targeted hiring range for this role is expected to be between $78,600.00 and $107,100.00.

 Your career starts now. We’re looking for the next generation of healthcare 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 healthcare 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, Pennsylvania, 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.