Remote Healthcare Risk Management Jobs in New Jersey

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare 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 would like to hear from you.

Headquartered in Newtown Square, Pennsylvania, 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.

Role Overview

The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based on the urgency of need, including the management of emergencies, which includes access to mobile response services.

Work Arrangement

• Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville, NJ.
• Monday through Friday 10:00AM-6:30PM or 11:00AM-7:30PM.
• Will rotate holidays and weekends.

Responsibilities

• Makes timely intensity of services determinations or refers to higher-level review when indicated.
• Provides linkage to community services as needed.
• Adheres to customer service level agreements and expected productivity measures.
• Adheres to documentation requirements.
• Identifies a wide range of community resources to the caller.
• Demonstrates respectful communication and excellent customer service.
• Adheres to recognized ethical standards.
• Assists with projects as assigned.

Education and Experience

• Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology.
• Minimum of two (2) years experience in children's mental health, DCPP, juvenile justice, and/or a related public sector human services or behavioral healthcare field, providing community-based services to children, youth, and young adults, and their families/caregivers.
• Background and experience in family systems, community systems and resources, case management, child and family counseling/therapy, child protection, and/or child development.
• Clinical and cultural competency with the training and experience necessary to manage complex cases in the community across child-serving systems.
• Ability to screen and assess crisis and emergency calls and assess the caller's degree of acuity/severity and the clinical necessity for treatment based on DCF/CSOC-approved criteria.

Licensure

• Active NJ clinical licensure as a Licensed Clinical Social Worker (LCSW), a Licensed Marriage and Family Therapist (LMFT), a Licensed Professional Counselor (LPC), or a Licensed Psychologist required.
• Must be licensed in New Jersey for contractual requirements.

Skills & Abilities

• Must be computer savvy.
• Ability to multi-task.
• Demonstrate knowledge of a variety of approaches to intervention and support.
• Bilingual (Spanish) is helpful.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO) including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.