Care Coordination Clinician

PacificSource; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

PacificSource in Nashville, TN is seeking skilled clinicians to join our case management team. This role focuses on advocacy, assessment, planning, coordination, and service facilitation to improve members' health outcomes.

Candidates must hold an RN, LPC, LMFT, or LCSW license and CCM certification, with at least three years clinical experience in case management. Knowledge of health insurance and HIPAA privacy is essential.

Qualifications

• Minimum of three (3) years of clinical experience including case management.
• Knowledge of health insurance and state mandated benefits.
• Ability to use computerized systems for data recording and retrieval.

Responsibilities

• Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, resource management, and service facilitation.
• Develop a comprehensive, individualized care management plan that promotes appropriate utilization and cost-effective care.
• Collaborate with providers, payers, and other service professionals to connect clients with resources across the continuum of health and human services.
• Maintain client privacy, confidentiality, health, and safety through adherence to HIPAA and regulatory standards.
• Assist internal teams with medical or contract interpretation as needed; support questions from employers and agents regarding resources.

Skills

Clinical experience

Case management

Communication skills

HIPAA compliance

Advocacy

EHR systems

Education

RN license

LPC

LMFT

LCSW

CCM certification

Tools

EHR systems

Job description

PacificSource in Nashville, TN is seeking skilled clinicians to join our case management team. This role focuses on advocacy, assessment, planning, coordination, and service facilitation to improve members' health outcomes.

Candidates must hold an RN, LPC, LMFT, or LCSW license and CCM certification, with at least three years clinical experience in case management. Knowledge of health insurance and HIPAA privacy is essential.