What are the responsibilities and job description for the Case Management Analyst position at HireTalent?
Delivers professional activities in the Case Management job family. Coordinates enrollee care needs across the continuum for assigned members who are medically stable, but require primary psychosocial support and acute intermittent medical support. Interviews members and relatives to obtain social history relevant to medical problems and care planning. Assists members with environmental difficulties that interfere with obtaining maximum benefits from medical care. Serves as a liaison between primary care team, members, relatives and appropriate outside agencies. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports / analyses for review. May provide guidance, coaching, and direction to more junior members of the team in Case Management.
3 Non-Negotiable Skills :
- Excellent computer skills
- Prior Authorization Experience
- Attention to detail
Must must a LPN or LVN. Current Non Restricted LPN or LVN License.