- 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.
Requirements
- Current/Active Clinical Licensure (RN, SW, 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
Core Competencies
Demonstrates expertise in case management, clinical licensure, and compliance with regulatory standards while effectively coordinating member wellness strategies and achieving performance metrics. Strong communication and motivational interviewing skills are essential for building rapport and trust with members.
Highest-signal resume keywords
- Current/Active Clinical Licensure
- Case Management Experience
- Excellent Communication Skills
- Motivational Interviewing Skills
- Technology Proficiency
ATS Optimization Keywords
Soft Skills
- Strong Customer Service Orientation
- Problem Solving
- Highly Organized
- Self-Driven
- Time Management
Certifications & Qualifications
- RN
- SW
- LCSW
- LPC
- LMFT
Industry Keywords
- Case Management
- Compliance
- Regulatory Standards
- Documentation
- Network Management