Case Management Analyst - Field in Chicago, IL
Core
Field-based Case Management Analyst for Long-Term Services & Supports (LTSS) who conducts in-person care coordination, evaluation, and quality monitoring for waiver members.
Role type
Field-based Case Management Analyst
Builds
Care plans and healthcare outcomes for LTSS waiver 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, Quality monitoring, Negotiation, Motivational interviewing, Case conference presentation, Regulatory compliance
Preferred skills
Discharge planning, Managed Care experience, Bilingual proficiency (Spanish, Cantonese, Mandarin)
Technologies
Electronic health records, Microsoft Office
Responsibilities
Conduct comprehensive evaluation of referred member's needs and eligibility; Coordinate and implement assigned care plan activities; Consult with medical directors to overcome barriers to goals; Identify and escalate quality of care issues; Provide coaching to empower members for independent medical choices; Utilize case management processes in compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC