Case Management Analyst – Field

Job Description: • Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members • Helps implement projects, programs, and processes for Case Management • Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area • Consults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives • Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes • Identifies and escalates quality of care issues through established channels • Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs • Delivers influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health • Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices • Assists in encouraging members to actively participate with their provider in healthcare decision-making • Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools and recommends an approach to case resolution Requirements: • Demonstrated attention to detail • Ability to travel up to 50% of time • Ability to interface with customers/clients • 2+ years' experience in behavioral health, social services or appropriate related field equivalent to program focus • 2+ years' experience with adult and/or adolescent populations • Medicaid experience (preferred) • Waiver experience (preferred) • Crisis intervention skills (preferred) • Managed care/utilization review experience (preferred) • Familiarity with QuickBase (preferred) • Case management and discharge planning experience (preferred) • Demonstrated proficiency with personal computer, keyboard navigation, and mouse • Familiarity and proficiency with MS Office Suite applications including MS Teams, Outlook, Word, Excel, and SharePoint Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility Apply tot his job Apply To this Job