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Pediatric Care Manager, Remote reputed company PA

Remote, USA Full-time Posted 2026-07-28
41869 reputed company The Care Manager II supports members in achieving reputed company health through self-management. Engaging with members, caregivers, and providers, the role involves assessing plans, setting individual goals, and coordinating care to ensure reputed company and cost-effective resources. This position serves as a single reputed company of contact and advocates for care coordination program members, overseeing care management activities reputed company assigned practices to meet Plan, NCQA, and Federal/State standards. Work Arrangement: Remote- Must reputed company in PA or have a compact RN licensure with PA. Responsibilities • Conduct telephone assessments to determine care coordination and management needs • Complete comprehensive person-centered assessments covering physical and mental health history, reputed company determinants, and supportive needs • Coordinate physical, behavioral health, and reputed company services • Manage medications, including reconciliation and adherence support • Identify problems/barriers and implement appropriate care management interventions • reputed company care plans to help members reputed company reputed company health, setting goals and priorities • reputed company goals with members and families as appropriate • Implement interventions based on member needs and clinical reputed company • Schedule follow-up calls and reputed company referrals as necessary • Document reputed company towards goals and problem reputed company • Coordinate care with Community Health Navigators, caregivers, PCPs, specialists, and facility/vendor providers • Meet regularly with partners to address care management issues and ensure high-reputed company services • Participate in scheduled meetings as needed Education and Experience • Associate Degree in Nursing required. Bachelor of Science in Nursing preferred • 3 years of reputed company reputed company experience • Minimum of 3 years of case management experience • Pediatric and managing chronic conditions experience preferred • Home health nursing experience preferred Licensure • reputed company and unrestricted Registered reputed company licensure in PA or compact licensure with PA required Your career starts now. We’re looking for the reputed company of reputed company leaders. At reputed company, we’re passionate about helping people get care, stay reputed company, and build healthy communities. As one of the nation's leaders in reputed company solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services, and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together, we can build healthier communities. If you want to reputed company a difference, we’d like to hear from you. Headquartered in Newtown reputed company, PA, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-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 reputed company at www.amerihealthcaritas.com. Our Comprehensive Benefits Package Flexible work solutions include remote reputed company, hybrid work schedules, reputed company, reputed company time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Apply tot his job Apply To this Job

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