Care Management Clinician

PACIFICSOURCE

. Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation .

Posted 11/2/2026full-timeRemote • Tennessee • United StatesMid-LevelSenior💰 $70,950 - $106,425 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management practices, including advocacy, assessment, planning, and resource management, while ensuring compliance with HIPAA regulations and maintaining patient confidentiality. Proficient in utilizing evidence-based tools and lean methodologies for continuous improvement in client care.

Highest-signal resume keywords

Clinical ExperienceCertified Case Manager Certification (CCM)Registered Nurse (RN) LicenseCase Management PracticeKnowledge of Health Insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementAdvocacyAssessmentPlanningResource ManagementService FacilitationData RecordingPatient ConfidentialityCommunity Services KnowledgeContractual Benefits Knowledge

Soft Skills

Effective CommunicationRelationship BuildingCustomer ServiceIndependenceProblem Solving

Certifications & Qualifications

Certified Case Manager Certification (CCM)Registered Nurse (RN) LicenseLicensed Professional Counselor (LPC)Licensed Marriage and Family Therapist (LMFT)Licensed Clinical Social Worker (LCSW)

Industry Keywords

HIPAA ComplianceHealth and Human ServicesEvidence-Based ToolsLean MethodologiesPatient Care Management

About the role

Key responsibilities & impact

Facilitate client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
Collect and assess patient information to develop comprehensive, individualized care management plans
Promote appropriate utilization and cost-effective care and services
Link clients with appropriate providers and resources across health and human services and care settings
Ensure care is safe, effective, client-centered, timely, efficient, and equitable
Communicate with clients, payers, primary care providers, and other service delivery professionals
Maintain client privacy, confidentiality, health, and safety through advocacy and adherence to applicable standards and guidelines
Provide quality customer service and act as an internal resource for medical or contract interpretation questions
Assist employers and agents with healthcare resource and procedure questions
Utilize and promote evidence-based tools
Utilize lean methodologies for continuous improvement
Meet department and company performance and attendance expectations
Follow PacificSource privacy policy and HIPAA laws and regulations
Perform other duties as assigned

Requirements

What you’ll need

Minimum of three (3) years of clinical experience, including case management
Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) credential required
Certified Case Manager Certification (CCM) as accredited by CCMC required at time of hire or within two years of hire date
Knowledge of health insurance and state mandated benefits
Experience and expertise in case management practice, including advocacy, assessment, planning, communication, education, resource management and service facilitation
Ability to deal effectively with people who have various health issues and concerns
Knowledge and understanding of contractual benefits and options available outside contractual benefits
Knowledge of community services, providers, vendors and facilities
Ability to use computerized systems for data recording and retrieval
Ability to assure patient confidentiality, privacy, and health records security
Ability to establish and maintain relationships with community services and providers
Ability to maintain current clinical knowledge base and certification
Ability to work independently with minimal supervision
Ability to read and comprehend both written and spoken English
Ability to communicate clearly and effectively
Stoop and bend; sit and/or stand for extended periods
Repetitive motions including typing, sorting and filing
Light lifting and carrying of files and business materials

Benefits

Comp & perks

Equal opportunity employment
Travel approximately 5% of the time