• Assessing, planning, implementing, and coordinating all case management activities • Develops a proactive course of action to enhance member’s overall wellness through integration • Conducts evaluation of member’s needs and benefit plan eligibility • Applies clinical judgment to incorporate strategies designed to reduce risk factors • Reviews prior claims to address potential impact on current case management • Assessments consider information from various sources and include referrals to clinical resources • Consults with supervisor and others to overcome barriers to meeting goals