Care Management Clinician

PacificSource Health Plans

Care Management Clinician improving client wellness and coordinating health services. Requires 3 years of clinical experience and active professional licensure in the US.

Posted 7/3/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $70,950 - $106,424 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, patient advocacy, and resource management while ensuring client-centered care. Proficient in developing individualized care plans and navigating health insurance benefits.

Highest-signal resume keywords

Clinical ExperienceCase Management PracticeRegistered Nurse (RN) LicenseCertified Case Manager Certification (CCM)Knowledge of Health Insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AssessmentCare Management PlanningResource ManagementData RecordingContractual Benefits Knowledge

Soft Skills

Effective CommunicationInterpersonal SkillsAdvocacy

Tools & Technologies

Computerized Systems

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

Health InsurancePatient ConfidentialityHealth Records SecurityClient-Centered CareService Facilitation

About the role

Key responsibilities & impact

Facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
Collect and assess patient information pertinent to patient’s history, condition, and functional abilities
Develop a comprehensive, individualized care management plan
Link clients with appropriate providers and resources throughout the continuum of health and human services and care settings
Ensure that the care provided is safe, effective, client-centered, timely, efficient, and equitable
Interact with other PacificSource personnel to assure quality customer service is provided
Act as an internal resource by answering questions requiring medical or contract interpretation

Requirements

What you’ll need

Minimum of three (3) years of clinical experience, including case management
Insurance industry experience preferred
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) 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
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
Ability to use computerized systems for data recording and retrieval
Assures patient confidentiality, privacy, and health records security.

Benefits

Comp & perks

Flexible telecommute policy
Medical, vision, and dental insurance
Incentive program
Paid time off and holidays
401(k) plan
Volunteer opportunities
Tuition reimbursement and training
Life insurance
Options such as a flexible spending account