Case Management Analyst

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Perform thorough assessments to determine member needs, eligibility, barriers to care, and opportunities for intervention.

• Offer regular care coordination, support, and education aimed at enhancing member health outcomes.

• Employ motivational interviewing techniques to boost member engagement and advocate for healthy lifestyle changes.

• Enable members to make well-informed healthcare choices and actively participate in their care plans.

• Collaborate with case managers, supervisors, medical directors, healthcare providers, and community partners.

• Present cases during interdisciplinary case conferences.

• Identify and report quality-of-care issues.

• Assist members in accessing suitable services, benefits, and community resources.

• Negotiate to obtain necessary services and support for members.

• Keep accurate, timely, and compliant records of case management activities.

• Achieve productivity, quality, and performance standards while handling a diverse caseload.

• Aid in the implementation of case management programs, projects, policies, and procedures.

• Utilize technology and various systems for member care and documentation purposes.

• Independently manage workload while prioritizing tasks and meeting deadlines.

⛳️ Requirements

• Must reside in Louisiana, specifically in Region 1, including New Orleans and surrounding parishes (Jefferson, Plaquemines, St. Bernard).

• A minimum of two (2) years of experience in case management, behavioral health, social services, healthcare, or a related field.

• Experience with adult and/or adolescent populations is required.

• A strong customer service orientation coupled with effective problem-solving skills.

• Excellent verbal, written, and telephonic communication abilities.

• Proven motivational interviewing skills and the ability to build rapport and trust over the phone.

• Keen attention to detail and outstanding documentation capabilities.

• A commitment to compliance, regulatory standards, and quality benchmarks.

• Highly organized and self-driven; capable of working independently with minimal oversight.

• Strong time management and multitasking skills.

• Proficient in computer use and technology platforms relevant to case management and documentation.

• Ability to effectively interact with members, providers, and internal stakeholders.

• Willingness to travel up to 50% of the time within a 60-mile radius one way.

• Availability to work a flexible schedule, including two evenings per week until 9:00 PM local time.

• Capable of meeting established performance and productivity targets.

• A bachelor's degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or a related field is required.

• Preferred experience in Medicaid, waiver programs, and Managed Care Organizations (MCO).

• Preferred certification as a Certified Case Manager (CCM).

• Preferred master's degree in healthcare, social services, or a related field.

• Preferred experience in crisis intervention, utilization review, case management, and discharge planning.

• Preferred familiarity with QuickBase or similar case management platforms.

• Preferred proficiency in Microsoft Teams, Outlook, Word, Excel, and SharePoint.

• Preferred experience in coordinating care for complex populations.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program in addition to base pay.