Analyst, Case Management- Field- Mountain Health Promise
Core
Field-based case manager coordinating care for Medicaid members and foster care children in Northern West Virginia, conducting home visits and care planning.
Role type
Field case management analyst
Builds
Individualized care plans and service coordination for Medicaid population
Domain
US Healthcare / Medicaid / Behavioral Health
Required skills
Care coordination, Case management, Crisis intervention, Motivational interviewing, Data analysis, Regulatory compliance, Holistic care approach, Negotiation, Quality improvement, Member advocacy
Preferred skills
Medicaid program experience, Waiver program experience, Foster care experience, Managed care utilization review, Discharge planning, QuickBase proficiency
Technologies
MS Office Suite (Outlook, Word, Excel, SharePoint, Teams), QuickBase, EHR portals, VPN
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; Coordinate and implement assigned care plan activities; Identify high-risk factors and refer to clinical services; Consult with multidisciplinary teams to overcome care barriers; Escalate quality of care issues; Provide coaching and support for lifestyle changes; Monitor care plan progress and document outcomes.
Seniority
Mid-level, hands-on IC