Community Care Manager

Community Care Manager Amerihealth Caritas - 3.2 Southfield, MI Job Details Full-time 4 hours ago Qualifications Customer inquiry handling Driver's License Bachelor's degree Full Job Description Role Overview: The Community Care Manager assists members appropriate for care coordination and case management program services in a community setting. Work Arrangements: Remote - Associate must reside in the state of Michigan (MI); preferred counties include Wayne, Oakland, and Macomb. Responsibilities: Serves as a single point of contact for member questions and inquiries Conducts in-home environmental and physical assessments for high-risk members to identify unmet needs and barriers to care Develops and maintains individualized care plans, ensuring they are regularly reviewed and updated Provides disease self-management education and coaching within scope of practice Performs medication reviews, including reconciliation during transitions of care Ensures care is delivered in the least restrictive setting and supports transitions across specialties and care settings Connects members to community-based resources that promote independent living and help delay or prevent nursing facility placement Establishes and maintains collaborative relationships with community, medical, and behavioral health teams Works closely with and oversees Community Care Connectors to facilitate access to appropriate in-community services Serves as a program subject matter expert and supports the Community Care Program Manager with operational activities as needed Education & Experience: Bachelor's degree in nursing or social work required. Current, active, and unrestricted Registered Nurse (RN) or Licensed Master Social Worker (LMSW) 3 years of experience conducting health assessments and delivering care in a clinical and community environment Licensure: Current, active, and unrestricted Registered Nurse (RN) or Licensed Master Social Worker (LMSW) Valid driver's license with car insurance. Skills & Abilities: Strong clinical assessment skills with the ability to evaluate member needs and identify barriers to care Strong communication and interpersonal skills, with the ability to engage members and collaborate with interdisciplinary teams Ability to educate and coach members on disease management and self-care strategies Critical thinking and problem-solving skills to address complex member needs and resolve care issues Strong organizational and time management skills Ability to collaborate with and provide guidance to team members Knowledge of healthcare regulations, accreditation standards, and compliance Proficiency with documentation systems, care management platforms, and Microsoft Office tools