Job SummaryServes in an expanded clinical role to collaborate with patients, Primary Care Providers, community agencies, behavioral health, and other health plan departments to provide a model of care to maximize member's health status. Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the Medicaid, Medicare and Commercial populations.Job DutiesCompletes structured clinical assessments for identified patients.This requires knowledge of medical terminology, diagnostic criteria, and chart review.Designs an individualized plan of care with the member and fosters a team