Case Manager Long Term Services & Support - AmeriHealth Caritas : Job Details

Your career starts now. We are looking for the next generation of health care leaders.

Responsibilities:

The Case Manager assists members eligible for LTSS in obtaining the services they need as required by DSHP Plus LTSS in Sussex County, Delaware.; They contribute to the LTSS case management process by performing telephonic and/or face-to-face assessments to identify, evaluate, coordinate, and manage members'; needs, including physical health, behavioral health, social services, and long-term services and supports.

• Facilitate person-centered planning team meetings to coordinate care and services. Identify, coordinate, and assist participants in accessing needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.

• Provides information to participants and monitors authorized services and supports for participants.

• Informs participants about available LTSS required needs assessments, the care plan process, service alternatives, and service delivery options.

• Inform participants of their rights and responsibilities, and assist with the complaint, grievance, and DHS Fair Hearing process.

• Collects additional necessary information, including participant preferences, strengths, and goals, to inform the development of the Plan of Care.

• Conducts comprehensive health needs assessments annually or more frequently as needed, following requirements.

;

Work Arrangement: Remote with required travel in Sussex County, Delaware.;

Education/Experience:

• ;Bachelor's Degree in social work, psychology, or other related fields.

• ;At least 3 years of working in social service or health care-related field.

• ;Experience working with people with disabilities or seniors in need of LTSS.

• ;Knowledge of the home and community-based service system and how to access and arrange for services.

• ;Experience conducting LTSS needs assessments and monitoring LTSS delivery.

• ;Cultural competency and the ability to provide informed advocacy.

• ;Ability to interact with health care professionals professionally.

• ;Ability to travel up to 75% within New Castle and Kent counties.

• ;Valid driver's license required.

;

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 talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.

Headquartered in Newtown Square, 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.

;

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, 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.

As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.