Care Manager II - Bright Start
Posted on: May 3, 2021
This position will work with our Bright Start program. Pregnancy
management experience required. This is a teleworker position but
must reside in North Carolina
Your career starts now. Were looking for the next generation of
health care leaders.
At AmeriHealth Caritas, were 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, wed like to hear
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 .
The Bright Start Care Manager RNassistsmembers appropriate for
care coordination and case management services in achieving their
optimal level of health. The Care Manageris responsible for
engaging the member and providers to assess, plan and establish
individual member goals. Will facilitate and coordinate care for
the pregenant members during pregnancy, including pre and post
natal periods while assuring quality and use of cost-effective
resources. The position will function as a single point of contact
and be an advocate for pregnant members in the care coordination
program. Assess members to determine care coordination and case
management needs for all referred members. Completes comprehensive
assessment of environmental, Psycho-social and support needs.
Identifies problems/barriers for care coordination and appropriate
care management interventions.Creates a plan of care to assist
pregnant 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 members 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 Account manager, Complex RN Case Manager, and
member, family members as appropriate, PCP, Specialist, and
This position will coordinate and address various issues
throughout the members' pregnancy. This includes collaborating with
pregenant members' obstetricians to coordinate access to needed
resources. This is a teleworker position, working with members
throughout the entire state of North Carolina. Must reside in the
- Certification as a case manager (as documented and accepted on
URACs website@ www.urac.org) a plus
- Active state North Carolina RN license
- Valid drivers license with car insurance
- 3-5 years of Case Management preferred.
Keywords: Amerihealth, Raleigh , Care Manager II - Bright Start, Other , Raleigh, North Carolina
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