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, 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 . Under the Direction of the Supervisor, the **Transition Care Manager** is responsible for completing preventative multidisciplinary discharge planning for plan member presenting to the Emergency Room and /or Acute Setting using AmeriHealth Caritas policies and procedures.; The Transition Care Manager will assess and process discharge planning needs across all disciplines including necessary case management referrals.;;;; **This position may include the following responsibilities:** + Consistent application of medical health benefit policy and medical management guidelines to authorize services. + Appropriately identifies and refers requests to the Medical Director when guidelines are not met. + Review of daily ER or inpatient census of plan members. + Receive and process facility referrals. + Face to face interaction with plan members. + Complete survey to identify plan member needs. + Identify gaps in care. + Determine members understanding of illness and outpatient management of illness. + Evaluating, coordinating, and implementing discharge needs for all short and long term needs for Behavioral Health. + Case management and/or social worker referral for community needs and availability. + Scheduling appointments and arranging critical follow-up calls for care coordination. + Member education on how and where to seek appropriate care and follow-up services. **;** **Education/ Experience:** + **While this is a remote role, qualified candidates must reside in Louisiana.;** + **Master level degree required.;** + **Must be a Licensed Mental Health Practitioner.** Current and unrestricted Licensed Professional Counselor (LPC) or Licensed Clinical Social Worker (LCSW) licensure to practice in the state of Louisiana is required. + 3+ years of Behavioral Health experience.;Managed care experience required. + 3+ years of overall health care/discharge planning experience required. Emergency Room or Acute Discharge Planning experience is preferred. + Proficiency with Microsoft Office Suite to include Word, Excel, Outlook, Teams, and SharePoint in a Windows based environment.; + Proficiency with electronic medical record and charting programs (e.g. Jiva, Epic, Cerner, etc.) + Valid driver’s license and current automobile insurance required.; **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. **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, 401(k) Tuition reimbursement and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.