Community Care Manager, Pediatric Shift Care, Registered Nurse
Posted on: January 22, 2023
Job Brief Must be able to travel extensively within assigned
communities in Northampton, Monroe, and Lehigh counties in
Pennsylvania. Average number of visits to members in their homes is
2-5 daily. Current and unrestricted Pennsylvania Registered Nurse
license. 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
Philadelphia, 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 . External
candidates are eligible for a Sign on Bonus. The Community Care
Manager, Shift Care assists members appropriate for care
coordination and case management services in achieving their
optimal level of health. The selected candidate will be responsible
for engaging the member 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 an advocate for members in
the care coordination program. Assess members to determine care
coordination and case management needs for all referred members.
Conducts in-home physical, psycho-social, and environmental
assessments and for complex pediatric members to identify unmet
needs, barriers to care, and social determinants of health.
Identifies barriers for care coordination and appropriate care
management interventions for pediatric members requiring home care
services. 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 both 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 upon the
member's needs. Schedules follow up calls/visits 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 member, other
family members as appropriate, Pediatric Shift Care team members,
Account manager, PCP, Specialist, Facility/Vendor Providers, and
community partners. Education/Experience:
- Ability to travel extensively within assigned communities in
Northampton, Monroe, and Lehigh counties in Pennsylvania. Average
number of visits to members in their homes is 2-5 daily.
- Current and unrestricted Pennsylvania Registered Nurse license.
Bachelor's degree preferred.
- Minimum of 3 years of clinical pediatric experience in acute
care and/or home care required.
- Minimum of 3 years of similar level or related experience
including demonstrated expertise conducting in home physical,
psycho-social, and environmental assessments for complex pediatric
- 3 to 5 years of Case Management experience preferred within
- Proficient in MS Office (Word, Excel, and Outlook) within a
Windows-based environment, Internet applications, electronic
medical records (EMRs), and electronic documentation programs.
- Valid driver's license required and current car insurance
- These positions will be remote upon successful completion of an
orientation and preceptorship.
- Eligible for Certification in Case Management within one year
of accepting position. Successful attainment of Case Management
certification is highly recommended.
- Requires completion of medical exam/testing as required by
Federal and State regulations upon conditional offer of employment
and post-employment. Back Share
Keywords: Amerihealth, Harrisburg , Community Care Manager, Pediatric Shift Care, Registered Nurse, Executive , Harrisburg, Pennsylvania
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