Case Management Analyst - Field in Macoupin County & Surrounding Areas , IL
Core
Field-based case management analyst coordinating care for Long-Term Services & Supports (LTSS) waiver members in Macoupin County, IL.
Role type
Field case management analyst
Builds
Care plans and healthcare outcomes for LTSS waiver members
Domain
Health insurance / Long-term services and supports
Required skills
Care coordination, care plan implementation, risk factor identification, negotiation, motivational interviewing, quality management compliance, data review
Preferred skills
Discharge planning, managed care, HIV/AIDS population experience, multi-lingual proficiency
Technologies
Microsoft Office, electronic health records
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and monitor assigned care plan activities; consult with medical directors and present cases at conferences; identify high-risk factors and escalate quality issues; provide coaching and support to empower members in healthcare decision-making.
Seniority
Mid-level, hands-on IC