Case Coordinator

• Work with contracted providers in Phoenix, Arizona
• Conduct comprehensive evaluations of referred members’ needs and eligibility
• Recommend approaches to case resolution and meeting member needs
• Identify high-risk factors and service needs and make appropriate referrals
• Coordinate and implement assigned care plan activities and monitor progress
• Present cases at case conferences for multidisciplinary review
• Identify and escalate quality-of-care issues
• Negotiate appropriate options and services for members
• Use motivational interviewing to promote member engagement and healthy behavior changes
• Provide coaching, information, and support for independent medical and healthy lifestyle choices
• Help members participate in healthcare decision-making with providers
• Apply case management processes in compliance with regulatory, accreditation, and company guidelines

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