Case Management Analyst

West Side / Downtown Chicago, Illinois

Eligible ZIP Codes: 60607, 60608, 60612, 60622, 60623, 60624, 60639, 60642, 60644, 60647, 60651

$36.39 per hour

Monday–Friday, 8:00 AM–5:00 PM

Field-Based

Yes

We are seeking a Case Management Analyst to support members receiving waiver and long-term services and supports. This position focuses on care coordination, member education, and facilitating appropriate healthcare outcomes through individualized care plans and available community resources.

Candidates must reside in Illinois within one of the specified ZIP codes and be willing to travel 50–75% of the time to conduct face-to-face member visits. Quarterly in-person visits are required.

• Conduct comprehensive evaluations of member needs and eligibility.
• Review benefit plans and identify appropriate resources and community programs.
• Identify high-risk factors and service needs that may affect health outcomes.
• Refer members to clinical case management or crisis intervention services when appropriate.
• Coordinate care plan activities and monitor progress toward established goals.
• Collaborate with case managers, supervisors, Medical Directors, and healthcare professionals to address barriers to care.
• Participate in multidisciplinary case conferences to support optimal member outcomes.
• Identify and escalated quality-of-care concerns.
• Use negotiation and motivational interviewing skills to promote member engagement and positive health outcomes.
• Educate and empower members to make informed healthcare decisions.
• Maintain accurate case management documentation using electronic health records and Microsoft Office.
• Follow applicable regulatory requirements, accreditation guidelines, and company policies.
• Complete required quarterly in-person member visits.

• Bachelor’s degree in a human services-related field, or a master’s degree for a non-licensed candidate. Relevant fields include sociology, special education, and rehabilitation counseling.
• Minimum of two years of case management experience.
• Must reside in Illinois within one of the eligible ZIP codes listed above.
• Valid Illinois driver’s license.
• Reliable transportation required.
• Ability and willingness to travel 50–75% of the time for face-to-face member visits.
• Experience with Microsoft Office and electronic health records.
• Verifiable high school diploma or GED required.
• Mileage reimbursement is provided in accordance with company policy.

• Case management and discharge planning experience.
• Managed care experience.
• Microsoft Office proficiency.
• Experience working with individuals affected by HIV/AIDS.
• Multilingual language proficiency.

Monday through Friday, 8:00 AM–5:00 PM.

Throughout the West Side and Downtown Chicago service area.

Quarterly face-to-face member visits required.