Job Description:
• Coordinate all case management activities with members to evaluate medical needs
• Facilitate members' overall wellness
• Develop strategies to address issues, outcomes, and opportunities to enhance members' wellness through integration
• Instruct on programs and procedures in compliance with network management and clinical coverage policies
• Travel within 125 miles round trip for 1 day in the field
• Work a variable schedule, including 2 days weekly until 9pm local time
• Achieve performance metrics and maintain compliant documentation
Requirements:
• Must reside in Louisiana in one of the following parishes: Caddo, Bossier, Webster, Claiborne, Bienville, Red River, DeSoto, Sabine, or Natchitoches
• 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 and self-driven without direct supervision
• Ability to manage time effectively
• Ability to achieve performance metrics
• Technology proficiency
• Ability to travel within 125 miles round trip for 1 day in the field
• Variable work schedule with ability to work 2 days weekly until 9pm local time
• Bachelors and/or Master's Degree
• CCM Certification
• Previous experience in Managed Care Organization
Benefits:
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being
• CVS Health bonus, commission or short-term incentive program in addition to base pay