Case Management Analyst - Field in Harrisonburg, VA
Core
Field-based case management analyst coordinating care plans and evaluating member needs for Long-Term Services and Supports (LTSS) to facilitate appropriate healthcare outcomes.
Role type
Field-based case management analyst (LTSS)
Builds
Care plans and member support strategies for LTSS members
Domain
Health insurance / Long-Term Services and Supports
Required skills
Care coordination, care plan implementation, risk factor identification, quality of care monitoring, negotiation, motivational interviewing, member education, regulatory compliance
Preferred skills
Case management, discharge planning, managed care, LTSS
Technologies
Care management tools
Responsibilities
Collaborate to inform the case management process, evaluate member needs and eligibility, identify risk factors and service needs, coordinate and monitor care plan activities, consult with multidisciplinary teams, escalate quality issues, provide coaching and support for lifestyle changes.
Seniority
Mid-level, hands-on IC