$34.11-$36.58 per hour Position Summary A national leading healthcare company's Long-Term Services & Supports (LTSS) team is seeking a Case Manager - Field to support members receiving waiver and LTSS services in the West Side and Downtown Chicago areas. This field-based position is responsible for managing a full caseload of waiver members and facilitating appropriate healthcare outcomes through care coordination, education, support, and access to available resources. The role requires in-person quarterly member visits and travel approximately 50-75% of the time to meet with members face-to-face. This position is essential to maintaining member engagement, coordinating appropriate services, and meeting contractual requirements. Key Responsibilities Member Evaluation and Care Coordination Evaluate referred members' needs and eligibility using care management tools, available data, benefit information, and internal and external resources. Identify high-risk factors and service needs that may affect member outcomes and care planning. Refer members to clinical case management or crisis intervention services when appropriate. Coordinate, implement, and monitor assigned care plan activities and progress. Quality of Care and Member Engagement Collaborate with case managers, supervisors, Medical Directors, and other healthcare professionals to address barriers and improve member outcomes. Present cases for multidisciplinary review when necessary. Identify and escalate quality-of-care concerns through established channels. Coordinate appropriate services to meet members' healthcare needs and benefit requirements. Use motivational interviewing, coaching, and engagement strategies to encourage healthy lifestyle choices and behavioral changes. Educate and empower members to make informed healthcare decisions and actively participate in their care. Monitor, evaluate, and document care management activities in accordance with regulatory requirements, accreditation standards, and company policies and procedures. Maintain accurate documentation of member interactions, care plans, and progress. Required Qualifications 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. Minimum of two years of case management experience. Experience using Microsoft Office and electronic health record systems. Bachelor's degree in a human services-related field, or a master's degree in a human services-related field for candidates who are not licensed. Relevant fields include sociology, special education, and rehabilitation counseling. Verifiable high school diploma or GED. Preferred Qualifications Experience in case management and discharge planning. Managed care experience. Proficiency with Microsoft Office applications. Experience working with individuals living with
HIV/AIDS.
Multilingual proficiency.
Additional Position Details Work Schedule:
Monday-Friday, 8:00 AM-5:00 PM.
Work Environment:
Field-based, patient-facing role requiring in-person member visits.
Travel:
Up to 75% of working time.
Mileage Reimbursement:
Eligible in accordance with company policy.
Equal Opportunity Employer:
Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days.