AmeriHealth Caritas-posted over 1 year ago
Full-time • Entry Level
Remote • Aiken, SC
Insurance Carriers and Related Activities

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The Field-Based Remote Behavioral Health Case Worker at AmeriHealth Caritas plays a crucial role in managing and coordinating care for members with behavioral health conditions and complex medical needs. This position serves as the primary point of contact for a multidisciplinary care team, which includes members, physicians, and community support services. The Case Worker is responsible for guiding members towards achieving their optimal health through effective communication, assessment, and critical thinking skills. The role involves developing personalized care plans in collaboration with members and their caregivers, ensuring that treatment plans are adhered to and that members are empowered to manage their health effectively. In addition to care coordination, the Case Worker supports members during transitions of care, providing education on discharge plans, coordinating pharmacy needs, and ensuring medication reconciliation. Regular follow-ups are essential to monitor progress and update care plans based on the evolving needs of members. The Case Worker also establishes connections with community and medical teams to facilitate comprehensive care and addresses any quality of care issues that may arise. Documentation is a key responsibility, requiring timely and accurate records of member interactions in electronic care management platforms. The Case Worker must also develop a thorough understanding of the organization's policies, procedures, and community resources to effectively support members. Face-to-face visits at various locations, including members' homes and community settings, are part of the role, emphasizing the importance of personal engagement in the care process. Overall, this position is integral to fostering healthier communities by ensuring that members receive the care and support they need.

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