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 facility assessments to ensure appropriate healthcare outcomes.
Role type
Field case management analyst
Builds
Care coordination plans and service referrals for Medicaid and foster care populations
Domain
US Healthcare / Medicaid / Behavioral Health
Deliverable
client delivery
Required skills
Care coordination, case management, crisis intervention, motivational interviewing, data evaluation, regulatory compliance, MS Office Suite, secure system navigation
Preferred skills
Medicaid plan experience, waiver program experience, foster care experience, managed care utilization review, discharge planning, QuickBase familiarity
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; coordinate and implement assigned care plan activities; consult with medical directors and supervisors to overcome care barriers; present cases at multidisciplinary conferences; identify high-risk factors and escalate quality issues; provide coaching and support to empower members in healthcare decision-making; monitor care plan progress and document outcomes.
Seniority
Mid-level, hands-on IC