• Help elevate patient care to a new level • Collaborate with members, providers, and community organizations to address members’ health care and social determinant needs • Facilitate the delivery of appropriate benefits and healthcare information • Develop, implement, and support Health Strategies, tactics, policies, and programs • Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel • Implements and coordinates case management activities relating to catastrophic cases and chronically ill members/clients • Interacts with members/clients telephonically or in person • Develops a plan of care to facilitate the member/client’s appropriate condition management • Communicates with member/client and stakeholders as appropriate • Prepares documentation of case work activities as appropriate • Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status • Provides educational and prevention information for best medical outcomes • Utilizes case management processes in compliance with regulatory and company policies and procedures.