This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
This position is responsible to 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, engaging the member in discussion of adherence to personal health goals, responding to inquiries from members, and supporting clinical operations with provider and member activities. This position will be required to 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
Job Responsibility:
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
Requirements:
Registered Nurse (RN) with 2 years direct clinical care to the consumer in a clinical setting
unrestricted Licensed Professional Counselor (LPC, TX), or Licensed Master Social Worker (LMSW, TX), 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)
For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire
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 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
Nice to have:
3 years direct clinical experience
Patient education experience
Condition Management experience
Bilingual in English and Spanish
Experience in managing complex or catastrophic cases
Certification in Case Management, Training, Project Management or nationally recognized health care certification
Welcome to CrawlJobs.com – Your Global Job Discovery Platform
At CrawlJobs.com, we simplify finding your next career opportunity by bringing job listings directly to you from all corners of the web. Using cutting-edge AI and web-crawling technologies, we gather and curate job offers from various sources across the globe, ensuring you have access to the most up-to-date job listings in one place.
We use cookies to enhance your experience, analyze traffic, and serve personalized content. By clicking “Accept”, you agree to the use of cookies.