Analyst, Case Mgt Field
Core
Field-based case management role managing waiver members through in-person care coordination, evaluation, and support to facilitate healthcare outcomes.
Role type
Field Case Management Analyst
Builds
Care plans and service utilization for LTSS waiver members
Domain
Health insurance / Long Term Services & Supports
Deliverable
client delivery
Required skills
Case management, care coordination, care plan implementation, data review, negotiation, motivational interviewing, quality monitoring, regulatory compliance
Preferred skills
Discharge planning, managed care
Technologies
Microsoft Office, electronic health records
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and monitor assigned care plan activities; consult with multidisciplinary teams to overcome care barriers; identify high-risk factors and escalate quality issues; provide coaching and support to empower members in healthcare decision-making; ensure compliance with regulatory guidelines.
Seniority
Individual Contributor
