Job Description

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

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Role Overview

Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge planning for plan member presenting to the Emergency Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and processes discharge planning needs across all disciplines including necessary case management referrals.

Work Arrangement

• This position is onsite at Reading Hospital Emergency Department

Responsibilities

• Review of daily ER census of plan members, receive and process facility referrals
• Face to face interaction with plan members, complete survey to identify plan member needs
• Identify gaps in care, determine members understanding of illness and outpatient management of illness in addition to evaluating and coordinating and implementing discharge needs for all short and long term needs across disciplines including but not limited to PCP, home care, skilled nursing and rehabilitation services, DME, pharmacy, case management and/ or social worker referral for community needs and availability
• Schedule appointments and arranging critical follow-up calls for care coordination, and member education on how and where to seek appropriate care and follow-up services

Education and Experience

• Associate in Nursing
• Minimum of 3 years nursing experience, in related clinical setting
• Managed care experience preferred
• Emergency Room or Acute Discharge Planning Experience preferred. Strong Behavioral Health background strongly preferred

Licensure

• Registered Nurse

Skills & Abilities

Proficiency with Microsoft Office Suite (Word, Excel, Power Point)

 
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.

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