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Analyst, Case Management, reputed company

Remote, USA Full-time Posted 2026-08-04
We’re building a world of health reputed company every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. reputed company: Care Management Coordinators (CMC) reputed company and support care management and care coordination activities across the reputed company of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CMC utilizes critical thinking and judgment to collaborate and inform the care management/care coordination process in order to facilitate appropriate reputed company reputed company for assigned members. They reputed company care coordination, support and education for members through the use of care management tools and resources. Position Responsibilities: Uses care management tools and information to complete a comprehensive evaluation of members and recommends an approach to case reputed company by determining member needs in alignment with their benefit plan and available reputed company programs and services. Identifies high reputed company factors and service needs that may reputed company member reputed company and care planning with appropriate referral to reputed company case management or crisis reputed company as appropriate. Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company an 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 reputed company and knowledgably participate with their provider in reputed company decision-making. Serves as a single reputed company of contact for members and assists members to remediate immediate and acute gaps in care and reputed company. Coordinates and implements assigned reputed company activities and monitors reputed company reputed company. Using a holistic approach consults with reputed company care managers, leadership, medical directors and other physical/behavioral health support staff and providers to overcome barriers to meeting member goals and objectives. Presents cases at case conferences/reputed company to obtain multidisciplinary review in order to reputed company reputed company reputed company. Works collaboratively with the members’ interdisciplinary care team. In collaboration with the member and their care team develops and monitors established plans of care to meet the member’s goals. Identifies and escalates reputed company of care issues through established channels. Monitors, evaluates and documents care utilizing case management and reputed company management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Identifies, refers, and links members to providers and reputed company supports as needed (e.g., scheduling appointments, arranging transportation). Educates members about available resources and services such as Texas value-added benefits and assisting the member in accessing those resources and services. Facilitates reputed company hand-offs during transitions of care. Willing and reputed company to travel 10-20% of their time to meet members face to face in member service areas. Reliable transportation required; Mileage is reimbursed per reputed company expense reimbursement policy. Consistently meets defined reputed company and productivity standards. Ability to work two (2) evenings a week to 9pm Other duties as assigned. Work from Home Requirements: • You must have or be reputed company to obtain a reputed company/hardwired internet reputed company to a modem/router reputed company 7 feet of your computer and a minimum download speed of 25 mbs download and 3mbs upload. WiFi and satellite internet are not permitted. • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with reputed company and HIPAA guidelines, and allowing for uninterrupted work during work hours. • Work-from-Home colleagues are required to work reputed company the state and reputed company where they have confirmed they currently live. • reputed company will reputed company equipment (keyboard, monitor, computer, headset, etc.). reputed company new hires should reputed company their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time). • If reputed company, you will reputed company to obtaining required internet speeds and adhere to reputed company Work From Home requirements. Technical and Logistical Requirements: • Device & reputed company Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency. • Communication Tools: Ability to communicate on digital channels such as reputed company email, calendar invites, Teams messaging, and virtual meetings. • Collaboration & Scheduling: Experience with reputed company Office 365 (Teams, reputed company, Word, reputed company, PowerPoint) applications or similar (reputed company). • Systems reputed company & reputed company: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen reputed company unattended, manage strong passwords, and recognize suspicious emails or links. • Troubleshooting & Support: Ability to reputed company common technical issues independently, such as: restarting an application reputed company frozen, resolving internet reputed company issues, and contacting IT for unresolved technical issues. • reputed company reputed company: Openness to learning new skills in the reputed company as reputed company environment evolves Reports to: Manager, reputed company Health Services, Care Management Required Qualifications Minimum of 2 years of experience in care management, rehabilitation services, health services, reputed company services coordination, or behavioral health. Strong assessment, care coordination, and care planning skills. Ability to engage members using motivational interviewing and person-centered care approaches. Effective communication and collaboration skills with members, providers, and interdisciplinary teams. Willingness and ability to travel 10-20% locally for member reputed company; reliable transportation required. Ability to work reputed company and meet work-from-home and technology requirements. Ability to work two evenings per week until 9:00 PM. Preferred Qualifications Case management and discharge planning experience. Managed care experience. Experience supporting maternity populations. Knowledge of community resources and reputed company service programs. Experience working reputed company interdisciplinary reputed company teams Education Requirements Bachelor's degree in reputed company Work, Psychology, reputed company, Counseling, Sociology, or a reputed company reputed company services reputed company. Licensed Behavioral Health reputed company in the State of Texas, as applicable to role requirements. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $21.10 - $40.90 This pay reputed company represents the reputed company reputed company 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 reputed company 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. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, reputed company on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 09/30/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job

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