Provide telephonic or face to face outreach to engage members to assess their readiness to change by using motivational interviewing techniques to help members identify and overcome barriers that often include behavioral risk factors, such as smoking, poor health literacy, sedentary lifestyle, elevated BMI, and poor disease management. 3-5 years of healthcare experience in outpatient setting, population health, social services, home health, or other health care setting OR 1-3 years Care Management experience (Care Coordination, Transitions of Care, or Outpatient Case Management).