Analyst, Case Management - Field - Must live in Louisiana
Core
Conducts routine care coordination, support, and education to facilitate appropriate healthcare outcomes for members, implementing case management projects and processes.
Role type
Field Case Management Analyst
Builds
Healthcare outcomes and member engagement programs
Domain
Healthcare / Behavioral Health / Social Services
Deliverable
client delivery
Required skills
Care coordination, case management, negotiation, motivational interviewing, comprehensive needs evaluation, program implementation
Preferred skills
Medicaid experience, waiver experience, crisis intervention, managed care/utilization review, QuickBase, discharge planning, MS Office Suite
Responsibilities
Consult with case managers and medical directors to overcome barriers to goals, present cases at multidisciplinary conferences, identify and escalate quality of care issues, negotiate services to meet member needs, deliver motivational interviewing to promote lifestyle changes, provide coaching for independent medical choices, conduct comprehensive evaluations of member needs and recommend resolution approaches
Seniority
Mid-level, hands-on IC