AmeriHealth Caritas Care Manager II-Obstetrics RN in Shreveport, Louisiana

Care Manager II-Obstetrics RN

Location: Shreveport, LA

Telecommuter?: Yes

ID**: 14494

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:

The Care Manager II-OB roles, responsibilities and duties include but are not limited to:

  • Completion of comprehensive case management assessments compliant with NCQA

  • Development of an individualized plan of care, in collaboration with each member/caregiver, which includes long and short term goals, interventions, and barriers.

  • Monitor and evaluate the member/caregiver’s progress towards meeting goals and initiates appropriate interventions as necessary.

  • Conduct telephonic and face-to-face outreach to assigned members/caregivers to maintain engagement consistent with established workflows, tools and timeframes.

  • Provide written and verbal patient education

  • Serves as an advocate for the member/caregiver and acts as a liaison between the member/caregiver and other community-based agencies, facilities, providers, and practitioners in coordinating the member’s care.

  • Refers member/caregiver, as appropriate, to address social determinants of health and other barriers to achieving health care goals.

  • Active participation in interdisciplinary rounds discussions through case presentation and interactive feedback to care management team members, as applicable.

Education/Experience:

  • Clear/Active Louisiana RN licensure required.

  • Minimum one (1) year of OB experience preferred.

  • Minimum one (1) year of Care Manager experience preferred.

  • Eligible for Certification in Case Management within one year of accepting position. Successful attainment of Case Management certification is highly recommended.

  • Valid driver’s license with car insurance.

EOE Minorities/Females/Protected Veterans/Disabled