Provide care coordination to members via telephonic and/or field-based care management
Inform and educate members on health care programs to address personal health needs
Engage members in discussion of adherence to 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, requiring visits to members’ homes/facilities
Requirements
Registered Nurse (RN) with 2 years direct clinical care in clinical setting or relevant licenses (LPC, LMSW, LCPC, LCSW, LMFT, LPCC, LISW, LMHC)
Current, valid, unrestricted license in the state of operations
3 years’ wellness or managed care experience presenting clinical issues with members/physicians
Knowledge of health and wellness marketplace
Verbal and written communication skills
Analytical experience including medical data analysis
PC proficiency in 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
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