Provide care coordination to members via telephonic and/or field-based care management
Inform and educate members on health care programs to address their personal health needs
Engage members in discussion of adherence to personal health goals
Respond to inquiries from members
Support clinical operations with provider and member activities
Complete member telephonic and/or field-based health screenings
Conduct comprehensive health assessments and care planning duties which may require visits to members’ homes and/or facilities

Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting
Unrestricted Licensed Professional Counselor (LPC, TX)
Licensed Master Social Worker (LMSW, TX)
Licensed Clinical Professional Counselor (LCPC, IL)
Licensed Clinical Social Worker (LCSW, IL & NM)
Licensed Marriage and Family Therapist (LMFT, IL & NM)
Licensed Professional Clinical Counselor (LPCC, NM)
Licensed Independent Social Worker (LISW, NM)
Licensed Mental Health Counselor (LMHC, NM) with 2 years of clinical practice experience
Current, valid, unrestricted license in the state of operations (or reciprocity)
Plus 3 years’ wellness or managed care experience presenting clinical issues with members/physicians
Knowledge of the health and wellness marketplace and employer trends
Verbal and written communication skills including discussing medical needs with members
Analytical experience including medical data analysis
PC proficiency to include Word, Excel, PowerPoint, database experience and Web based applications
Current unrestricted driver’s license, transportation and applicable insurance
Ability and willingness to travel within assigned territory

Government Programs Care Manager III

Key skills