Care Coordination Analyst

The Care Coordination Analyst supports the effective management of youth care coordination processes by overseeing data integrity, case transitions, and caseload capacity across multiple systems. This role is responsible for daily monitoring of the membership alignment files (MAF), ensuring accurate assignment and tracking of youth through Intake to Ongoing services. The Analyst reviews and processes Transitions of Care (TOC) forms, identifies workflow trends, conducts case audits to prevent billing discrepancies, and ensures compliance with documentation standards. This individual will serve as a key liaison between internal teams, MCO, and external partners. The Analyst helps streamline care coordination activities, maintain accurate program data, and promote continuity of care for youth and families. The Analyst also works with program staff to enroll client information in the electronic medical record and to resolve discrepancies in client information related to billing. The incumbent will also be responsible for the oversight and supervision of administrative support staff.

Essential Duties and Responsibilities

• Manages and updates Member Alignment File from Aetna, enrolling client information in electronic health record.
• Oversees intake, transitions of care (TOC), and case assignments.
• Supervises the administrative support staff to ensure tasks are completed efficiently and within established timeframes.
• Tracks caseload capacity and staffing distribution.
• Monitors data systems (SmartCare, i2i and Family Care Central) for accuracy.
• Notifies appropriate program lead of incoming referral.
• Maintains awareness of contract requirements.
• Assists with monthly authorizations and T Code entry.
• Submits all required reports within specific time frames.
• Trouble shoots errors in the EHR and ensures accurate information is provided for billing.
• Willingly completes other duties as assigned in an effort to advance the mission of Choices CCS.

Qualifications

• Minimum of a bachelor’s degree in social work, health information management, or related human service field or comparable experience in the human service field.
• 3 to 5 years of supervisory experience.
• 1 to 2 years of experience in one or more of the following:
• • Care Coordination, case management support, or youth/family services.
  • Health information or data systems
  • Electronic Medical Record (EMR/EHR) systems
  • Managed Care Organizations (MCOs), Medicaid, or billing workflows.
• Experience working with high-volume data, documentation tracking, or administrative processes in a healthcare or human services setting.
• Strong attention to detail and accuracy in data entry and documentation.
• Proficiency with data systems, spreadsheets, and EMRs/EHRs.
• Ability to analyze trends, identify workflow issues and synthesize information.
• Understanding of care coordination processes, or billing.
• Strong knowledge of and genuine respect for youth and adults with mental health issues and a firm commitment to empowering their families.
• Strong communication and writing skills.
• Highly organized, detail oriented and can effectively manage multiple priorities simultaneously.
• Demonstrated ability to work effectively with internal and external individuals, including other professionals in the community.
• Work effectively as a member of a team.

Salary: $55,000 annually

Benefits Include:

• Medical, Dental, Vision
• Employer Paid Life Insurance, Short & Long Term Disability
• 401k Match
• Tuition Reimbursement
• Paid Parental Leave
• Generous PTO plan
• Qualified employer for the Public Service Loan Forgiveness Program

Salary : $55,000