Case Management Analyst - Field in Roanoke, Cloverdale & Surrounding Areas
Core
Field-based Case Management Analyst assessing, planning, and coordinating care for members to evaluate medical needs and facilitate overall wellness.
Role type
Field-based Case Management Analyst
Builds
Member care plans and wellness outcomes
Domain
Health insurance / Long-Term Services and Supports
Required skills
Clinical judgment, case management, discharge planning, network management, regulatory compliance, interviewing skills, data review
Preferred skills
Managed care experience, behavioral health background, mental health professional license
Technologies
Clinical tools, computer-generated documents
Responsibilities
Conduct face-to-face and telephonic assessments of member needs and benefit eligibility, develop proactive courses of action to address health issues, consult with supervisors and present cases at multidisciplinary conferences, review prior claims to address potential impacts on current management, utilize clinical tools to assess functionality and work capacity.
Seniority
Entry to Mid-level, hands-on IC