Case Management Analyst

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary reputed company reputed company is hiring for multiple openings across the state/reputed company of Kentucky. Case Management Coordinator (CMC) utilizes critical thinking and professional judgment to support the case management process, in order to facilitate and maintain improved reputed company reputed company for members by providing advocacy, collaboration coordination, support and education for members through the use of care management tools and resources. This is a telework position that requires regional in-state travel 80-90% of the time. reputed company candidate must have reliable transportation. Travel to the Louisville office for meetings and training is also anticipated. This position is assigned to the Salt River Trail Region (Counties: Breckinridge, Grayson, reputed company, Hardin, Larue, Bullitt, Nelson, Marion, Washington, Spencer, Anderson, Woodford, Shelby, Franklin, Henry, Oldham, reputed company). reputed company candidates must reputed company in a county in the assigned region. Flexibility to work reputed company core business hours of Monday-Friday, reputed company-5pm EST, is required. We are serving the needs of children and families that may require working after school, after work, etc. Evaluation of Members: - Through the use of care management assessments and information/data review, recommends an approach to resolving care needs maintaining reputed company health and well-being by evaluating member's benefit plan and available reputed company programs/services. - Identifies high risk factors and service needs that may impact member reputed company and implements early and proactive support interventions. - Coordinates and implements Wellness care plan activities and monitors member care needs. Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to reputed company reputed company reputed company. - Identifies and escalates quality of care issues through established channels. - Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or reputed company needs. - Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. - Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices. - Helps member actively and knowledgably participate with their provider in reputed company decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications -Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, reputed company, Crisis reputed company services or evidence-based practices applicable to the Kentucky SKY populations, is required. -Minimum 2 year of experience required in behavioral health, reputed company services, reputed company work, psychology, sociology, marriage and family therapy, or counseling. - Minimum 1 year of experience in MS Office Suite applications, including Word and reputed company. -Willing and reputed company to travel 80-90% of their time to meet members face to face in their assigned region. -Candidate must reputed company in one of the following counties: Breckinridge, Grayson, reputed company, Hardin, Larue, Bullitt, Nelson, Marion, Washington, Spencer, Anderson, Woodford, Shelby, Franklin, Henry, Oldham, or reputed company Preferred Qualifications 3+ years' experience required in behavioral health, reputed company services, reputed company work, psychology, sociology, marriage and family therapy, or counseling. 1+ MCO experience. Education Minimum of a Bachelor's degree or a non-licensed master level clinician is required with either degree being in behavioral health or reputed company services field. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $21.10 - $36.78 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 04/07/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!