Role Overview. Are you a dedicated Registered Nurse with a passion for quality improvement in Long-Term Services and Supports (LTSS). Our quality management team is seeking a proactive Quality of Care Nurse Specialist to make a significant impact on members' well-being and drive organizational excellence. In this position, you will be a key player in ensuring high-quality care delivery and regulatory compliance for our LTSS members. You will anal...
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 ...
Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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...
Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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 seekin...
Responsibilities. The Case Manager assists members who are eligible for LTSS in obtaining the services they need as required by Diamond State Health Plan Plus LTSS in New Castle county Delaware. He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face assessments for the identification, evaluation, coordination and management of members needs, including physical health, behavioral health, social servi...
Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations 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...
Your career starts now. We’re looking for the next generation of healthcare 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 healthcare 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 ...
Role Overview. The. Manager, Machine Learning (ML) Engineering. will play a crucial role in overseeing the end-to-end machine learning lifecycle, from data preparation to model deployment and operationalization. The manager will apply expertise in leveraging Databricks, Azure DevOps, and other cloud services will be instrumental in driving the success of our machine learning projects. The manager will lead a team of engineers collaborating with c...
Role Overview. Under the direction of the supervisor, the Utilization Management Review Nurse is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the Utilization Management Review Nurse reviews the provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within Utilizat...
Your career starts now. We’re looking for the next generation of healthcare 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 healthcare 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 ...
Department Overview. PerformCare provides access to the NJ Children’s System of Care. The Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination, and utilization management. Role Overview. The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives ...
Your career starts now. We’re looking for the next generation of healthcare 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 healthcare 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 ...
