Analyst ,Case Management Must live in Cumberland, KY
About the position Responsibilities • Utilize care management assessments and data review to recommend approaches for resolving care needs. • Identify high-risk factors and service needs impacting member outcomes and implement proactive support interventions. • Coordinate and implement wellness care plan activities and monitor member care needs. • Consult with case managers, supervisors, and Medical Directors to overcome barriers to meeting goals. • Identify and escalate quality of care issues through established channels. • Utilize negotiation skills to secure appropriate options and services for members. • Employ motivational interviewing skills to ensure maximum member engagement and promote healthy lifestyle changes. • Provide coaching and support to empower members in making independent medical choices. • Help members actively participate in healthcare decision-making. • Utilize case management and quality management processes in compliance with regulatory guidelines. Requirements • Must reside in the Cumberland region of Kentucky (specific counties listed). • Ability to travel up to 5% of the time. • Minimum 6 months experience in Foster Care, juvenile justice systems, Adoption Assistance, or related fields. • Minimum 1 year of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling. • Minimum 1 year of experience in MS Office Suite applications, including Word and Excel. • Bachelor's degree or non-licensed master level clinician in behavioral health or human services field. Benefits • Medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays. Apply tot his job Apply To this Job