Care Connector, Pediatric Shift Care, Remote

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.

Discover more about us at www.amerihealthcaritas.com.

Diversity, Equity, and Inclusion

At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The primary responsibility of the Care Connector is to make outbound phone calls to Members and Providers regarding home health care services. The Care Connector is also responsible for answering inbound calls from members and providers regarding home health care services. The Care Connector will assess member satisfaction of home health care services and outreach to providers on behalf of members to identify home health care staffing. The Care Connector will collaborate with the Clinical staff regarding authorized services to carry out strategies to obtain authorized services and reduce barriers to care.

Education/Experience:

• High School Diploma or GED required.

• Minimum of 2 years previous work experience in a health care setting required.

• Managed care experience preferred.

• Medical terminology, ICD, CPT and/or coding experience preferred.

• Strongly prefer medical assistant, home health aide, nursing assistant or other similar health care para-professional training or certification.

• Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports.

• Attention to detail and confidentiality with strong organizational skills.

• Proficient PC skills in a Windows based environment including word processing, spreadsheets, and database programs.

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 of employment, 401(k) Tuition reimbursement and more.