Registered Nurse

Location Requirement

Candidate must reside in Illinois, Indiana, or Wisconsin

Remote with quarterly in-person meetings

6 Months with extension

The Analyst,Case Management (ACM) supports care management and care coordination activities across the continuum of care. Responsibilities include assessing member needs, developing and monitoring care plans, coordinating services, and ensuring members have access to appropriate resources. This is a phone-based, remote role requiring strong communication, organization, and documentation skills. Managed Care (MCO) experience is required.

• Conduct comprehensive assessments to determine member needs using care management tools.
• Identify high-risk factors, gaps in care, and barriers impacting member outcomes.
• Engage members using motivational interviewing and provide coaching to support lifestyle and behavior changes.
• Serve as the single point of contact for assigned members and help them navigate care decisions.
• Develop and monitor individualized care plans in collaboration with interdisciplinary care teams.
• Coordinate appointments, referrals, transportation, and social support services.
• Participate incaseconferences and rounds.
• Collaborate with clinical care managers, medical directors, and behavioral health staff.
• Escalate crisis or clinical concerns appropriately.
• Maintain accurate, timely documentation in compliance with regulatory guidelines.
• Maintain electronic files and ensure compliance requirements are met.
• Identify and elevate quality‑of‑care issues.

• Work:
  Primarily phone-based
• Meetings:
  Quarterly in-person meetings required

• Must reside in IL, IN, or WI
• Bachelor’s degree in Social Work, Psychology, or related field
• 2+ years of experience as a care coordinator, care manager, or behavioral health professional
• Managed Care (MCO) experience required
• Strong critical thinking, engagement, and motivational interviewing skills
• Proficiency in Microsoft Office Suite
• Comfortable working in a remote environment
• Must provide a screenshot of home WiFi speed test
• Must have a dedicated private workspace with a door
• Strong documentation and organizational skills

• Case management in a health plan, Medicaid/Medicare, or community health setting
• Experience supporting members with complex physical, behavioral, or social needs
• Experience coordinating community resources and SDoH ser