Case Management Analyst – Field in Macon County Illinois
Core
Field-based Case Management Coordinator facilitating healthcare outcomes for members through care coordination, support, and education in Macon County, IL.
Role type
Field-based case management coordinator
Builds
Care plans and member engagement strategies
Domain
Health insurance / Long-Term Services and Supports (LTSS)
Required skills
Care coordination, care plan implementation, member evaluation, benefit plan analysis, quality of care monitoring, negotiation, motivational interviewing, coaching, regulatory compliance
Preferred skills
Discharge planning, managed care, Microsoft Office
Technologies
Care management tools, Microsoft Office
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and implement assigned care plan activities; consult with medical directors and supervisors to overcome barriers to care goals; identify and escalate quality of care issues; utilize negotiation and motivational interviewing skills to secure services and promote lifestyle changes; monitor care plan progress and ensure compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC