AmeriHealth Caritas Care Connector Rapid Response in Charleston, South Carolina

Care Connector Rapid Response

Location: Charleston, SC

Telecommuter?: No

ID**: 13973

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 atwww.amerihealthcaritas.com.

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 www.amerihealthcaritas.com.

Responsibilities:

Under the supervision of the Rapid Response Outreach Supervisor, the incumbent will provide select program interventions according to established health management program guidelines and the member population. With direction from the program’s Case Manager or Supervisor/Manager, the Care Connector will screen identified members based on plan stratification for the program. The Care Connector interacts with members, providers and other AmeriHealth Caritas of Michigan staff to implement program interventions, document activities, assist providers in the authorization process and refer risk appropriate members to professional staff according to protocols.

Education/Experience:

  • High School Diploma or equivalent required

  • Minimum of two (2) years work experience, preferably in a health care setting

  • Managed care experience preferred

  • Prior behavioral health experiences a plus

  • Medical terminology, ICD, CPT and/or coding experience preferred

  • Prior member service or customer service telephone experience desired

  • Knowledge of medical terminology highly recommended

  • Prior behavioral health experience a plus

  • Strongly prefer medical assistant, home health aide, nursing assistant or other similar health care

  • Para-professional training or certification

EOE Minorities/Females/Protected Veterans/Disabled