Description
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
- 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 built 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
- Master's Degree
- CCM Certification
- Previous experience in Managed Care Organization
Education
- Bachelors required
Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Pay Range $54,095.00 - $116,760.00
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