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AmeriHealth Caritas | Southfield, United States | Posted June 10, 2026
Position Overview
Responsibilities
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Support members during transitions of care through assessment, coordination of care, education on the discharge plan of care, referrals, and evaluation of the plan's effectiveness.Review the medication list, educate members on pharmacy needs, and counsel on side effects and mitigation strategies for specific treatment protocols.Evaluate, monitor, and update the care plan through regularly scheduled follow-up contacts based on the member/caregiver's progress, needs, and preferences.Establishes points of contact to collaborate with identified community, medical, and/or behavioral health teams.Where applicable, maintain timely, complete, and accurate documentation of member interactions in the electronic care management platforms.Monitor appropriate utilization, coordinate services with other payer sources, make appropriate referrals, and identify and escalate quality-of-care issues.Develop a working knowle...