Health Assessor

Job Summary:

• Client works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.
• Client staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
• Utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote members' decisions related to achieving and maintaining optimal health status.
• May request RN input for member care planning.
• Typically works with members with moderate to complex clinical needs.
• Conducts standardized Health Risk Appraisals (HRA) and applicable assessments, including the verification of medical history and current health and wellness needs.
• Expected to meet daily production standards in terms of member outreach.
• Utilizes a web-based software system to document all assessments, activities and education provided.
• Develops a problem list and individualized care plan using program protocols based on the members needs and preferences.
• Conducts telephonic education to promote self-management strategies for all applicable conditions.
• 5 - 15% local travel may be required.

Required Education:

Any of the following:

• Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program.
• Bachelor's or Master's Degree in a social science, psychology, gerontology, public health or social work.
• Medical background – social work, case management, nursing.

Required License, Certification, Association:

• If licensed, license must be active, unrestricted and in good standing.
• Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred License, Certification, Association:

Any of the following:

• Licensed Clinical Social Worker (LCSW)
• Advanced Practice Social Worker (APSW)
• Certified Case Manager (CCM)
• Certified in Health Education and Promotion (CHEP)
• Licensed Professional Counselor (LPC/LPCC)
• Respiratory Therapist
• Licensed Marriage and Family Therapist (LMFT)

Required Experience:

• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred Experience:

• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Top Skills Required:

• Efficient, can utilize different applications and screens at one time.
• Adapts easily to change.
• Excellent member experience skills.
• Can work independently.