What are the responsibilities and job description for the Community Care Manager position at AmeriHealth Caritas?
Role Overview: The Community Care Manager assists members appropriate for care coordination and case management program services in a community setting.
Work Arrangements:
Work Arrangements:
- Remote – Associate must reside in the state of Michigan (MI); preferred counties include Wayne, Oakland, and Macomb.
- Serves as a single point of contact for member questions and inquiries
- Conducts in-home environmental and physical assessments for high-risk members to identify unmet needs and barriers to care
- Develops and maintains individualized care plans, ensuring they are regularly reviewed and updated
- Provides disease self-management education and coaching within scope of practice
- Performs medication reviews, including reconciliation during transitions of care
- Ensures care is delivered in the least restrictive setting and supports transitions across specialties and care settings
- Connects members to community-based resources that promote independent living and help delay or prevent nursing facility placement
- Establishes and maintains collaborative relationships with community, medical, and behavioral health teams
- Works closely with and oversees Community Care Connectors to facilitate access to appropriate in-community services
- Serves as a program subject matter expert and supports the Community Care Program Manager with operational activities as needed
- Bachelor’s degree in nursing or social work required.
- Current, active, and unrestricted Registered Nurse (RN) or Licensed Master Social Worker (LMSW)
- 3 years of experience conducting health assessments and delivering care in a clinical and community environment
- Current, active, and unrestricted Registered Nurse (RN) or Licensed Master Social Worker (LMSW)
- Valid driver’s license with car insurance.
- Strong clinical assessment skills with the ability to evaluate member needs and identify barriers to care
- Strong communication and interpersonal skills, with the ability to engage members and collaborate with interdisciplinary teams
- Ability to educate and coach members on disease management and self-care strategies
- Critical thinking and problem-solving skills to address complex member needs and resolve care issues
- Strong organizational and time management skills
- Ability to collaborate with and provide guidance to team members
- Knowledge of healthcare regulations, accreditation standards, and compliance
- Proficiency with documentation systems, care management platforms, and Microsoft Office tools