Analyst, Case Management
Core
Field-based case management analyst coordinating care for waiver/Long Term Services & Supports (LTSS) members in Macon County, Illinois, conducting in-person visits and care planning.
Role type
Field case management analyst
Builds
Care plans and healthcare outcomes for waiver/LTSS members
Domain
Health insurance / Long Term Services & Supports
Required skills
Case management, Care coordination, Care planning, Data review, Negotiation, Motivational interviewing, Quality management, Regulatory compliance, Microsoft Office, Electronic health records
Preferred skills
Discharge planning, Managed Care
Responsibilities
Conduct comprehensive evaluation of referred members' needs and eligibility; Coordinate and implement assigned care plan activities; Consult with multidisciplinary teams to overcome barriers to care goals; Escalate quality of care issues; Provide coaching and support to empower members in healthcare decision-making; Utilize case management processes in compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC