Behavioral Health Care Manager II ( New Hampshire)
AmeriHealth Caritas - Manchester, NH
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Behavioral Health Care Manager II ( New Hampshire) Location: Manchester, NH Primary Job Function: Medical Management ID: 34489 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 . Responsibilities: The Behavioral Health Care Manager (RN/SW) assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Behavioral Health Care Manager (RN/SW) engages the members 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 be a single point of contact and advocate for care coordination program members. Assess members to determine care coordination and case management needs for all referred members. Completes comprehensive assessment of environmental, psycho-social, and support needs and identifies problems/barriers to care coordination and appropriate care management interventions. Creates a plan of care to assist members in reducing/resolving issues and barriers so that members may achieve their optimal level of health. Identifies short- and long-term goals and associated time frames for completion; shares goals with the member and family as appropriate. Identifies and implements the appropriate level of intervention based on the member's needs and clinical progress, schedules follow-up calls as necessary, and makes appropriate referrals. Implements actions to address member issues. Documents progress towards meeting goals and resolving problems. Coordinates care and services with the Account manager, Complex RN Case Manager, member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers. Education/ Experience: Acurrent unrestricted New Hampshire Registered Nursing licenseor New Hampshire Licensed Social Worker A bachelor's (or higher) degree in a health-related field and licensure as a health professional (where such licensure is available) or Certification as a case manager (as documented and accepted on URAC's website@ Travel will be required. Experience with Behavioral Health and Substance Use required. Valid driver's license with car insurance 3 to 5 years of Case Management preferred. Medicaid Managed Care is preferred. Diversity, Equity, and Inclusion 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. EOE Minorities/Females/Protected Veterans/Disabled
Created: 2024-09-23