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

Care Coordination, case management support, or youth / family services.

Salary : $55,000 annually

Benefits Include :

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.