Case Management Coordinator

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.

Responsibilities

• Coordinate case management activities with members
• Evaluate medical needs and facilitate overall wellness
• Develop strategies to address issues and improve outcomes
• Instruct programs and procedures in compliance with policies

Requirements

• Current/Active Clinical Licensure (RN, LCSW, LPC, LMFT)
• Case Management experience
• Strong customer service orientation and problem solving
• Excellent Communication/Telephonic skills
• Excellent motivational interviewing skills/ability to build rapport and trust telephonically
• Excellence in documentation and respecting compliance/regulatory standards
• Highly organized, remain self-driven without direct supervision
• Manage time effectively
• Achieve performance metrics
• Technology proficiency
• Variable work scheduled with ability to work 2 days weekly until 9pm local time

Preferred Qualifications

• Bachelors and/or Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility