analyst,case MGT-Field
Core
Coordinate care for supportive and medically complex members through telephonic and face-to-face interactions to evaluate medical needs and facilitate overall wellness.
Role type
Case Management Coordinator
Builds
Member care plans and service coordination
Domain
Healthcare / Behavioral Health / Long-term care
Deliverable
client delivery
Required skills
Case management, discharge planning, prior authorizations, condition management, medication review, community resource coordination, bilingual communication (English/Spanish)
Preferred skills
Managed care experience, multitasking, prioritization, Microsoft Office proficiency
Technologies
Microsoft Word, Excel, Outlook
Responsibilities
Assess and plan case management activities, manage caseload of complex members, determine appropriate services and supports, coordinate with PCPs and skilled providers, conduct face-to-face visits.
Seniority
Entry-level to Mid-level, hands-on IC