Talent.com
AmeriHealth Caritas
Transition Care ManagerAmeriHealth Caritas • Manchester, NH, United States
Transition Care Manager

Transition Care Manager

AmeriHealth Caritas • Manchester, NH, United States
2 days ago
Job type
  • Full-time
Job description

Transition Care Manager

The Transition Care Manager helps eligible members achieve their best possible health through care management and coordination services. This role collaborates with members, caregivers, and providers to assess needs, develop individualized plans, and establish health goals. The position coordinates high-quality, cost-effective care, serves as the primary point of contact and advocate for program participants, and ensures services comply with health plan requirements, National Committee for Quality Assurance (NCQA) standards, and applicable federal and state regulations.

Work Arrangements:

  • Remote The associate must be in New Hampshire (NH) or bordering states.

Responsibilities:

  • Assess members through face-to-face encounters and by telephone to determine care coordination and care management needs for all referred members.
  • Completes comprehensive person-centered assessment, inclusive of physical health history, mental health history, social determinants of health, and supportive needs
  • Coordinates physical, behavioral health, and social services.
  • Provides medication management, including regular medication reconciliation and support of medication adherence.
  • Identifies problems/barriers for care coordination and appropriate care management interventions.
  • Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health.
  • Identifies goals and assigns priority with associated time frames for completion.
  • Shares goals with the member and family as appropriate.
  • Identifies and implements the appropriate level of intervention based upon the member's needs and clinical progress.
  • Schedules follow-up calls as necessary and makes appropriate referrals.
  • Documents progress towards meeting goals and resolving problems within the Electronic Medical Record (EMR) system.
  • Coordinates care and services with the Community Health Navigator, member, caregiver, Primary Care Provider (PCP), and Specialist.
  • Meets regularly with designated partners regarding the member's care plan.

Education & Experience:

  • 3 to 5 years of experience with case management and transition of care planning.
  • Experience working with individuals with complex needs.
  • Case management experience, preferably within a managed care organization, is desired.
  • Proficient with various technologies, including Microsoft Tools and EMR systems.

Licensure:

  • Current and unrestricted Registered Nurse (RN) license.
  • Current and unrestricted Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) license, with experience managing medical complexities.

Skills & Abilities:

  • Demonstrate ability to be self-directed, independent, adaptive, flexible to change, and able to collaborate as a team member in a fast-paced, ever-changing environment.
  • Demonstrate awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population.
  • Proficiency using MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record and documentation programs.
  • Demonstrate strong organizational and time management skills with the ability to promptly prioritize and follow through on multiple items.
  • Demonstrate knowledge and experience in assessing members' situations, developing a care plan, and teaching self-management
Create a job alert for this search

Transition Care Manager • Manchester, NH, United States

Similar jobs

Job Nursing Director / Director of Rehabilitation (PACE Center) Lowell, MA

Fallon HealthLowell, MA, United States
Full-time

OverviewFallon Health is a company that cares.We prioritize our members--always making sure they get the care they need and deserve.Founded in 1977 in Worcester, Massachusetts, we deliver equitable... Show more

 • Promoted

Senior R&D Project Manager - Sustaining

ZOLL MedicalChelmsford, MA, United States
Full-time

Acute Care TechnologyAt ZOLL, we're passionate about improving patient outcomes and helping save lives.We provide innovative technologies that make a meaningful difference in people's lives.Our med... Show more

 • Promoted

Deployment/Client Delivery Manager

Boston Human Capital PartnersBurlington, MA, United States
Full-time

Location: Remote / Hybrid / Must be located in Boston/Burlington MA area.Team: Deployment & Implementation.Our client believes student success is everyone's business.Their platform connects student... Show more

 • Promoted

Direct Support Professional

SevitaDeerfield, NH, US
Full-time +1

NeuroRestorative, a part of the Sevita family, provides rehabilitation services for people of all ages with brain, spinal cord and medically complex injuries, illnesses and other challenges.In a va... Show more

 • Promoted

Manager, Service Delivery Management

ZOLL Medical CorporationChelmsford, MA, United States
Full-time

Manager of Service Delivery Management.At ZOLL, we're passionate about improving patient outcomes and helping save lives.We provide innovative technologies that make a meaningful difference in peop... Show more

 • Promoted

Staff Development and Training Lead

Saratoga MedicalLowell, MA, United States
Full-time

Saratoga Medical is looking to hire a Staff Development and Training Lead to work nursing/memory care facilities across Massachusetts.Package will include a competitive rate, paid time off and bene... Show more

 • Promoted

Lead Program Manager, Engineering Transformation

1010 Analog Devices Inc.Wilmington, MA, United States
Permanent

About Analog DevicesAnalog Devices, Inc.NASDAQ:ADI ) is a global semiconductor leader that bridges the physical and digital worlds to enable breakthroughs at the Intelligent Edge.ADI combines analo... Show more

 • Promoted

Program Manager I - ACES/CEMA

BAE Systems USANashua, NH, United States
Full-time

Program Manager IAre you a highly motivated and emerging leader eager to launch your career in program management? The Advanced Compact EW Solutions (ACES) organization in Countermeasure & Elec... Show more

 • Promoted

Lead Program Manager

L3Harris TechnologiesWilmington, MA, United States
Full-time

L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.Our employees are unified in a shared dedication to our customers' mission and quest ... Show more

 • Promoted

Regional Home Manager

DaVita IncNashua, NH, United States
Full-time

As a Regional Home Manager at DaVita, you'll be a part of a team that values work-life balance and where your personal and professional growth is a top priority.DaVita has an open position for a Re... Show more

 • Promoted

Business Development Manager Auto Care & Major Accounts

Genuine PartsManchester, NH, United States
Full-time

Business Development Manager, Major Accounts & Auto Care.The Business Development Manager, Major Accounts focuses on growing our Major Account and Auto Care sales.This role is responsible for commu... Show more

 • Promoted

Director, Program ManagementBurlington, MA

MapLight TherapeuticsBurlington, MA, United States
Full-time

MapLight Therapeutics is a clinical stage biotech company that focuses on drug discovery for central nervous system disorders.We combine cutting-edge technologies including optogenetics, in vivo ph... Show more

 • Promoted

Contractor Relations Manager, Home Energy Rebates Programs (New Hampshire)

EverblueManchester, NH, United States
Full-time

Note: This role supports New Hampshire's IRA Home Energy Rebates programs.Remote with occasional travel within the state of New Hampshire.Overview Empower professionals.Everblue is seeking a Contra... Show more

 • Promoted

Medication Care Manager Senior Living

Dignity Home CareBurlington, MA, United States
Full-time

Medication Aide / Med Tech Deliver Safe, Accurate Medication Care for Our Residents.At Sunrise Senior Living, we believe meaningful work starts with purpose.Our team members are passionate about m... Show more

 • Promoted

Case Manager

VITRA HealthLowell, MA, United States
Full-time

Vitra Health Case Manager Opportunity.Vitra Health is hiring, and we believe that our team is the key to our success.That is why we are looking for a Case Manager to support our clients of Lowell a... Show more

 • Promoted

Residential Manager

NFI MassachusettsWilmington, MA, United States
Full-time

Residential Manager for one of its residential youth programs located in Wilmington, MA.Milestone provides safe, therapeutic, short-term residential placement for male and female youth age 12-18.Th... Show more

 • Promoted

Patriot Mission Integration Lead

RaytheonTewksbury, MA, United States
Full-time

Central Europe Patriot Mission Integration Lead.Raytheon is seeking a highly motivated candidate to serve as the Central Europe Patriot Mission Integration Lead in support of the Patriot Romania, N... Show more

 • Promoted

Manager In Training

Circle KDerry, NH, United States
Full-time

Shift Availability: Flexible (Days, Evenings, Overnights + Weekends).The minimum qualifications for a Store Manager are:.High School diploma or GED preferred.Experience in retail sales preferred.Ex... Show more

 • Promoted

Unit Manager

Marquis Health Consulting ServicesWilmington, MA, United States
Full-time

Unit Manager at Willow Brook Rehabilitation and Healthcare Center.Join our team at Willow Brook Rehabilitation and Healthcare Center as a Unit Manager.Proudly supported by Marquis Health Consulting... Show more

 • Promoted

Job Care Manager

Sunrise Senior LivingBurlington, MA, United States
Full-time

When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives.Not only will you build meaningful relationships wi... Show more