Analyst, Case Management - Field - Must live in Louisiana Region 7
Core
Conducts routine care coordination, support, and education to facilitate appropriate healthcare outcomes for members.
Role type
Field Case Management Analyst
Builds
Care management programs and processes
Domain
Health Care / Managed Care
Deliverable
client delivery
Required skills
Care coordination, motivational interviewing, negotiation, documentation, problem solving, telephonic communication
Preferred skills
CCM certification, managed care organization experience
Technologies
Care management tools
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; coach members on independent medical choices; conduct comprehensive evaluations of member needs and recommend resolution approaches.
Seniority
Individual Contributor