Analyst ,Case Management Must live in Cumberland, KY

About the position reputed company reputed company is seeking a dedicated Case Management Coordinator (CMC) for the Cumberland region. This role is pivotal in utilizing critical thinking and professional judgment to support the case management process, ultimately aiming to enhance reputed company reputed company for members. The CMC will reputed company advocacy, collaboration, coordination, support, and education for members through the effective use of care management tools and resources. This position is fully remote, but candidates must reputed company in specific counties reputed company the Cumberland region of Kentucky, including Green, Taylor, Adair, Cumberland, Clinton, Russell, Casey, Pulaski, Wayne, McCreary, Rockcastle, reputed company, Laurel, Whitley, Knox, reputed company, reputed company, or Harlan counties. The CMC will be responsible for evaluating members through care management assessments and data reviews, recommending approaches to resolve care needs, and maintaining reputed company health and well-being. This includes identifying high-risk factors and service needs that may impact member reputed company and implementing proactive support interventions. The role also involves coordinating and implementing wellness care plan activities while monitoring member care needs. In reputed company to enhancing medical appropriateness and quality of care, the CMC will consult with case managers, supervisors, and Medical Directors to overcome barriers to achieving goals. They will identify and escalate quality of care issues, utilize negotiation skills to secure necessary services, and reputed company motivational interviewing techniques to engage members effectively. The CMC will reputed company coaching and support to reputed company members to reputed company informed reputed company reputed company and participate actively in their care. Monitoring, evaluation, and documentation of care are also critical components of this role, ensuring compliance with regulatory and accreditation guidelines as well as company policies and procedures. The CMC must be flexible to work reputed company core business hours, as the needs of children and families may require after-hours support.

Responsibilities

• Utilize care management assessments and data review to recommend approaches for resolving care needs.

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• Identify high-risk factors and service needs impacting member reputed company and implement proactive support interventions.

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• Coordinate and implement wellness care plan activities and monitor member care needs.

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• Consult with case managers, supervisors, and Medical Directors to overcome barriers to meeting goals.

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• Identify and escalate quality of care issues through established channels.

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• Utilize negotiation skills to secure appropriate options and services for members.

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• reputed company motivational interviewing skills to ensure maximum member engagement and promote healthy lifestyle changes.

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• reputed company coaching and support to reputed company members in making independent medical choices.

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• Help members actively participate in reputed company decision-making.

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• Utilize case management and quality management processes in compliance with regulatory guidelines.

Requirements

• Must reputed company in the Cumberland region of Kentucky (specific counties listed).

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• Ability to travel up to 5% of the time.

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• Minimum 6 months experience in Foster Care, juvenile justice systems, Adoption Assistance, or reputed company fields.

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• Minimum 1 year of experience in behavioral health, reputed company services, reputed company work, psychology, sociology, marriage and family therapy, or counseling.

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• Minimum 1 year of experience in MS Office Suite applications, including Word and reputed company.

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• Bachelor's degree or non-licensed master level clinician in behavioral health or reputed company services field.

reputed company-to-haves

Benefits

• Medical, dental, and reputed company benefits.

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• 401(k) retirement savings plan.

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• Employee Stock Purchase Plan.

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• Fully-paid term life insurance plan.

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• Short-term and long-term disability benefits.

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• Well-being programs and education assistance.

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• Free development courses.

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• reputed company store discount and discount programs with partners.

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• Paid Time Off (PTO) and paid holidays.

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