Remote Field Worker
: Job Details :

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 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. Together we can build healthier communities. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. The Field- Based Remote Behavioral Health Case Worker is responsible for managing and coordinating care, services, and social determinants of health for Members with behavioral health conditions and acute, chronic, and medically complex needs. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their optimal level of health. The Field- Based Remote Behavioral Health Case Worker develops a plan of care through shared decision-making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member's health status and compliance with treatment plans and promote self-management. The Field- Based Remote Behavioral Health Case Worker is also responsible for the following:# Review the medication list and help members coordinate pharmacy needs with a community pharmacist to ensure medication reconciliation is completed when any changes occur.# Establishes points of contact in order to collaborate with identified community, medical, and/or behavioral health teams.# Maintain timely, complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable.# Monitor appropriate utilization and coordinate services with other payer sources, make appropriate referrals, and identify and escalate quality of care issues.# Develop a working knowledge of ACFC electronic care management platforms, care management programs, policies, standard operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and NCQA requirements.# Conduct Face-to-face visits at the Member's residence, provider's office, hospitals, other acute locations, or community locations for education and/or assessment.# FIELD-BASED REMOTE to qualified residents living in or near Orangeburg County, South Carolina.~ Required Bachelor's Degree in Human Services (i.e., social work, psychology, sociology, early childhood education, child development, criminal justice) or related field. individuals, families, communities), routinely assessing their needs, connecting them to services, and monitoring their progress.~ Proficiency using MS Office (Word, Excel, Outlook), internet applications, and electronic medical record and documentation programs. Electronic Case Management Platform (i.e. Skilled in working one-on-one with members, effectively communicating preventative health and management philosophies, and presenting health education materials to both individuals and small groups.Required travel and willingness to access members' home and community locations within assigned regions. Diversity, Equity, and InclusionCelebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k), Tuition reimbursement and more.#