Plan Design Coordinator jobs in Delaware

Your career starts now. We are looking for the next generation of health care 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 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 would like to connect with 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.

Responsibilities:

The Behavioral Health Coordinator is responsible for acting as a liaison and support person between the Division of Medicaid and Medical Assistance (DMMA) and Case Management team, the Division of Substance Abuse and Mental Health (DSAMH) and Behavioral Health providers. The Behavioral Health Coordinator will be responsible for outreach activities with participants and providers and will be responsible for documenting all activity in electronic case management documentation system. 

The Behavioral Health Coordinator is responsible for:

• Coordinating Participant care needs with BH Providers.
• Developing processes to coordinate behavioral healthcare between Primary Care Physicians and Behavioral Health Providers.
• Participating in the identification of best practices for BH in a primary care setting. 
• Coordinating behavioral care with medically necessary services. 
• Being knowledgeable of the PROMISE requirements and coordinating with other BH-MCOs to effectuate the requirements.  
• Carry a small caseload of complex behavioral health needs. 

Education/ Experience:

• Master’s Degree Required 
• Active Delaware Licensed Clinical Social Worker (LCSW) required
• Valid driver’s license
• 3 to 5 years prior experience in behavioral health/human services required; or other equivalent background and experience that would translate well to this position

Other Skills:

• Customer Service and previous telephone experience preferred
• Proficiency with Microsoft Office Suite (Word, Excel, Power Point); MS Access is a plus
• Ability to travel up to 25% throughout state of DE 

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.