Healthcare Consultant III - Care Management Associate

SGS_JOB_2099

Nursing
 Kentucky
Behavioral health
Trauma
Foster care
social services
social work
psychology
sociology
Case Management
Care Management

Contract - 06+ Months

Location (mandatory): Louisville, KY Area The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. This is a teleworking position, and this position is assigned to Kentucky. Qualified candidates must reside in Kentucky. 5% - 10% travel is required to the Louisville office for meetings, training, and administrative duties.

Job Responsibilities:

  • Using care management assessments and information/data review, recommends an approach to resolving care needs maintaining optimal health and well-being by evaluating member’s benefit plan and available internal and external programs/services.
  • Identifies high risk factors and service needs that may impact member outcomes and implements early and proactive support interventions.
  • Coordinates and implements Wellness care plan activities and monitors member care needs.
  • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review to achieve optimal outcomes.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
  • Provides coaching, information and support to empower the members to make ongoing independent medical and/or healthy lifestyle choices.
  • Help members actively and knowledgably participate with their provider in healthcare decision-making.
  • Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Skills:

  • Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations.
  • Minimum 2 years of experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
  • Minimum 1 year of experience in MS Office Suite applications, including Word and Excel.
  • Willing and able to travel 10-15% of their time to meet members face to face in their assigned region.

Education/Experience:

  • Minimum of a Bachelor's degree or a non-licensed master level clinician is required with either degree being in behavioral health or human services field.

Related Jobs

Clinical Care LVN/LPN Float

Nursing
 Kansas
06+ Months

Location : Lenexa, KS 66215. Shift: FT clinic hours, including every other weekend. LPN/ LVN experience in Primary Care, Urgent Care, or Emergency Room and with EPIC EMR. Great patient workloads – 1 on 1 patient ratio

LPN
LVN
Licensed Vocational Nurse
Licensed Practical Nurse

Clinical Care LVN/LPN Float

Nursing
 Texas
06+ Months

Location : Pearland TX 77581 and Cypress, TX 77429. LPN/ LVN experience in Primary Care, Urgent Care, or Emergency Room and with EPIC EMR. Great patient workloads – 1 on 1 patient ratio

LPN
LVN
Licensed Vocational Nurse
Licensed Practical Nurse

Nurse Practitioner Float

Nursing
 Indiana
06+ Months

Location : Mooresville, IN 46158 Shift: Work 3-4 days per week, Hours M-F 8a-7p, Saturdays 9-5:30p, Sunday 9-4:30p; Training 40hrs x3 weeks Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.

FNP
NP
Nurse Practitioner
Family Nurse Practitioner

Nurse Practitioner Float

Nursing
 Ohio
06+ Months

Location : Cincinnati, Dayton & West Chester in OHIO State Shift: Work 3-4 days per week, Hours M-F 8a-7p, Saturdays 9-5:30p, Sunday 9-4:30p; Training 40hrs x3 weeks Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.

FNP
NP
Nurse Practitioner
Family Nurse Practitioner

Clinical Care LVN/LPN

Nursing
 Texas
06+ Months

Location : Round Rock, TX 78664 Shift: This is a full-time contingent position, 32-40 hours per week including every other weekend, and may require floating to other nearby locations. As an LPN/ LVN, need experience in Primary Care, Urgent Care, or Emergency Room. Previous experience with EPIC Electronic Medical Record

LVN
LPN
Licensed Vocational Nurse
Licensed Practical Nurse

Nurse Practitioner Core

Nursing
 Texas
06+ Months

Location : Austin, TX 78745 Shift: 65 hours per 2 week period or 32.50 hours per week Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.

NP
FNP
Nurse Practitioner
Family Nurse Practitioner

Clinical Care LVN/LPN

Nursing
 Virginia
06+ Months

Location : Stafford, VA 22556 Shift: This is a full time contingent position, 32-40 hours per week including every other weekend, and may require floating to other nearby locations. Provide emergency care in collaboration with the provider on site in emergent situations. Perform patient registration, intake, and checkout. Assist with wait room management and other responsibilities such as patient reminder and other outreach calls, appointment scheduling, and chaperone for sensitive exams to enhance the patient experience.

LPN
LVN
Licensed Vocational Nurse
Licensed Practical Nurse

Clinical Care LVN/LPN (Float)

Nursing
 Florida
06+ Months

Location (mandatory): Orlando, FL 32825 Shift: FT clinic hours, includes every other weekend. Provide emergency care in collaboration with the provider on site in emergent situations. Perform patient registration, intake, and checkout. Assist with wait room management and other responsibilities such as patient reminder and other outreach calls, appointment scheduling, and chaperone for sensitive exams to enhance the patient experience.

LPN
LVN
Licensed Vocational Nurse
Licensed Practical Nurse

Nurse Case Manager II - Transition OD Care Registered Nurse

Nursing
 Florida
06+ Months

Location : Tampa, Hillsborough, Highlands, Polk, Hardee, Manatee Counties in FL state Shift: M-F 8-5 The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.

Case Management
Case Assessment
Nurse Case Manager
Case Manager
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


2025. All right reserved.
logologologologo