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Care Transition Manager

AmeriHealth Caritas
place Philadelphia, 19019
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Full Time
Experience:
Avoidant Personality Disorder
Medication Management
Individuals
Racial Justice Allied
Partial Hospitalization (PHP)
Residential Treatment Facilities (RTC)

About Job

Role Overview
As part of a dedicated team, the Care Transition Manager plays a crucial role in ensuring seamless discharge planning for plan members who visit the Emergency Room. You will utilize AmeriHealth Caritas policies and procedures to conduct thorough multidisciplinary assessments and make essential case management referrals.

Work Arrangement
This position is on-site at Mercy Fitzgerald Emergency.

Responsibilities

  • Conduct daily reviews of ER patients, manage facility referrals promptly.
  • Engage with plan members face-to-face and administer surveys to determine their unique needs.
  • Identify any care gaps and evaluate members' understanding of their conditions and outpatient management, alongside coordinating discharge needs across various disciplines such as primary care providers, home health services, skilled nursing, rehabilitation services, durable medical equipment, pharmacy needs, and social work referrals.
  • Schedule necessary appointments and facilitate critical follow-up communications to enhance care coordination and educate members on accessing appropriate care and services post-discharge.

Education and Experience
- Associate Degree in Nursing
- A minimum of 3 years of nursing experience in a clinical setting is required.
- Managed care experience is preferred.
- Experience in Emergency Room or Acute Discharge Planning is highly valued. A strong background in Behavioral Health is especially preferred.

Licensure
Registered Nurse.

Skills & Abilities
- Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).

Your career starts now. Become part of a renowned organization, AmeriHealth Caritas, where we are dedicated to helping individuals access care, maintain their well-being, and foster healthy communities. With over 30 years of experience, we provide various healthcare solutions, making a tangible difference in people's lives. Join us in building healthier communities!

Our Comprehensive Benefits Package
Enjoy flexible work options, competitive pay, generous paid time off including holidays and volunteer days, health insurance coverage from day one, a 401(k) plan, tuition reimbursement, and more!

Recommended Skills

  • Assessments
  • Behavioral Medicine
  • Care Coordination
  • Case Management
  • Certified Nurse Practitioner
  • Clinical Works

Recommended Skills

  • Assessments
  • Behavioral Medicine
  • Care Coordination
  • Case Management
  • Certified Nurse Practitioner
  • Clinical Works

Professional Field

professional badgeNursing
professional badgeSocial Work
professional badgeOther Behavioral, Mental, or Healthcare Field

Patient Focus

Diagnoses

Avoidant Personality Disorder

Issues

Medication Management

Therapeutic Approach

Modalities

Individuals

Practice Specifics

Populations

Racial Justice Allied

Settings

Partial Hospitalization (PHP)
Residential Treatment Facilities (RTC)
Substance Abuse Treatment Facilities
Home Health/In-home