Case Management Analyst - Field in the West Side of Chicago, IL
Core
Field-based Case Management Analyst supporting Long-Term Services & Supports (LTSS) waiver members in West Side Chicago through face-to-face care coordination, evaluation, and care plan implementation.
Role type
Field Case Management Analyst (LTSS)
Builds
Care plans and healthcare outcomes for waiver/LTSS members
Domain
Healthcare / Long-Term Services & Supports
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care coordination, care plan implementation, member evaluation, benefit plan analysis, crisis intervention referral, quality of care monitoring, regulatory compliance, motivational interviewing, negotiation, case conference presentation
Preferred skills
Discharge planning, managed care, HIV/AIDS population experience, multi-lingual proficiency
Technologies
Microsoft Office, electronic health records (EHR), Teams, Outlook, Word, Excel, PowerPoint, Google Workspace, VPN, EHR portal
Responsibilities
Conduct comprehensive evaluations of referred members' needs and eligibility; coordinate and monitor assigned care plan activities; consult with medical directors and supervisors to overcome barriers to care goals; present cases at multidisciplinary conferences; identify and escalate quality of care issues; utilize negotiation and motivational interviewing skills to secure services and promote lifestyle changes; ensure compliance with regulatory and accreditation guidelines.
Seniority
Mid-level, hands-on IC