Role Description The ECM Nutritionist delivers member-centered nutrition support that reduces risk, improves outcomes, and removes barriers to accessing evidence-based lifestyle support. This role partners closely with case management, utilization management, pharmacy, behavioral health, and other internal partners to advance chronic disease prevention and management (e.g., diabetes, hypertension, obesity) through nutrition education, health literacy, benefits navigation, and digital care tools. The ideal candidate is an empathetic advocate who blends nutrition science with practical, culturally competent care strategies. Essential Functions - Provide nutrition education via phone and digital platforms for members with diabetes, prediabetes, hypertension, obesity, CKD, and CVD risk to enhance understanding of the relationship between diet, chronic conditions, and overall wellness. - Develop culturally appropriate meal plans and dietary recommendations tailored to members’ health conditions, preferences, and socioeconomic factors. - Collaborate with case managers, pharmacists, behavioral health clinicians, and other partners to align goals, reconcile care plans, and optimize medication/lifestyle synergy. - Refer members to available tools and resources to support lifestyle management. - Maintain accurate and timely documentation, including care goals, interventions, progress, follow-up, and referrals. - Other duties as assigned. Qualifications - Bachelor’s degree in health education, health promotion, food science, nutrition, or a related health program required. - Lifestyle Management and/or Wellness Coaching certifications strongly preferred. Requirements - 3-5 years’ experience working with individuals with chronic conditions and lifestyle-related comorbidities. - Demonstrated ability to create culturally sensitive nutrition plans and communicate effectively with diverse populations. Position Competencies - Accountability - Analytical Thinking - Collaboration - Communication - Customer Focus - Functional Expertise - Initiative Physical Demands This is a standard desk role requiring extended periods of sitting and computer work. Work Environment Remote Benefits - Medical, Dental, Vision, Life and Disability Insurance - Generous Paid Time Off - Tuition Reimbursement - EAP - Technology Stipend

• The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. • Facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. • Conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. • Identifies and escalates quality of care issues through established channels. • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. • Engages with colleagues in ongoing team meetings and offers peer mentoring/training. • Helps member actively and knowledgably participate with their provider in healthcare decision-making. • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

• Conducts comprehensive evaluation of member’s needs/eligibility • Recommends an approach to case resolution • Identifies high risk factors and service needs • Coordinates and implements assigned care plan activities • Monitors care plan progress • Consults with case managers, supervisors, Medical Directors and/or other health programs • Identifies and escalates quality of care issues • Utilizes negotiation skills to secure appropriate options and services • Provides coaching, information and support to empower the member • Engages with colleagues in ongoing team meetings

• Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals • Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions • Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits • Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of intensive assessment/evaluation of condition, at-risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement • Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans • May identify, initiate, and participate in on-site reviews • Serves as member advocate through continued communication and education • Promotes enrollment in care management programs and/or health and disease management programs • Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members • Performs medical or behavioral review/authorization process • Ensures coverage for appropriate services within benefit and medical necessity guidelines • Utilizes allocated resources to back up review determinations • Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.) • Participates in data collection/input into system for clinical information flow and proper claims adjudication • Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal) • Maintains current knowledge of contracts and network status of all service providers and applies appropriately • Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services