Provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health care programs to address their personal health needs.
Engage the member 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, comprehensive health assessments and care planning duties which may require visits to members’ homes and/or facilities to support complex and specialty populations.

Registered Nurse (RN) with 2 years direct clinical care in a clinical setting or unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), or Licensed Clinical Professional Counselor (LCPC, IL) or 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), or Licensed Mental Health Counselor (LMHC, NM) with 2 years of clinical practice experience.
Current, valid, unrestricted license in the state of operations (or reciprocity).
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 and interfacing with internal staff/management and external vendors and community resources.
Analytical experience including medical data analysis.
PC proficiency to include Word, Excel, and 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