Case Management Analyst {177358} A-Line Staffing Solutions - 4.0 Springfield, IL Job Details Full-time $36.39 an hour 12 hours ago Benefits Mileage reimbursement Health insurance Dental insurance Vision insurance Qualifications Electronic health records (EHR) management Multilingual Sociology Master's degree High school diploma or GED Driver's License Documentation tools Bachelor's degree Human Services Productivity software Managing patients as a clinical case manager

Full Job Description Department:

Long Term Services & Supports (LTSS)

Location:

West Side of Chicago /

Downtown Chicago, Illinois Eligible ZIP Codes:

60607, 60608, 60612, 60622, 60623, 60624, 60639, 60642, 60644, 60647, 60651

Pay Rate:

$36.39per hour

Schedule:

Monday-Friday, 8:00 AM-5:00

PM Position Type:

Individual Start Work Arrangement:

Field-Based / Remote Administrative Work with

Member Visits Safety Sensitive:

Yes Patient-Facing Role:

Yes Position Summary Aetna's Long Term Services & Supports (LTSS) team is seeking an Analyst, Case Management - Field 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. The position serves members in the West Side and Downtown Chicago area. Candidates must reside in Illinois within one of the specified ZIP codes and be willing to travel approximately 50-75% of the time to conduct face-to-face member visits. Quarterly in-person visits are required to maintain contractual compliance and ensure members receive appropriate support. Key Responsibilities Member Evaluation and Care Planning Conduct comprehensive evaluations of member needs and eligibility using care management tools and available information. Review benefit plans and identify appropriate internal resources and external 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 assigned care plan activities and monitor progress toward established goals. Care Coordination and Quality Improvement Collaborate with case managers, supervisors, Medical Directors, and other healthcare professionals to address barriers to care. Present cases during multidisciplinary case conferences to support optimal member outcomes. Identify and escalate quality-of-care concerns through established procedures. Use negotiation and problem-solving skills to secure appropriate services and resources. Apply motivational interviewing and engagement techniques to encourage positive lifestyle and behavioral changes. Educate and empower members to make informed healthcare decisions and participate actively in their care. Monitoring, Documentation, and Compliance Monitor, evaluate, and document member care activities and progress. Maintain accurate case management records using electronic health records and Microsoft Office applications. Follow applicable regulatory and accreditation requirements, company policies, and quality management procedures. Complete required quarterly in-person visits with assigned members. Required Qualifications 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 (2) years of case management experience. Must reside in Illinois within one of the following ZIP codes: 60607, 60608, 60612, 60622, 60623, 60624, 60639, 60642, 60644, 60647, or 60651. 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. Eligible mileage reimbursement is provided in accordance with company policy. Preferred Qualifications Case management and discharge planning experience. Managed care experience. Proficiency with Microsoft Office applications. Experience working with individuals affected by

HIV/AIDS.

Multilingual language proficiency. Work Schedule and Travel Requirements Monday through Friday, 8:00 AM-5:00 PM. Field-based position serving the West Side and Downtown Chicago area. Travel approximately 50-75% of the workweek to meet with members in person. Quarterly face-to-face member visits are required. Reliable transportation is essential. Important Candidate Instructions Candidates must include their current city, state, and ZIP code at the top of their resume. Candidates must meet the residency requirements, have a valid Illinois driver's license, and possess reliable transportation.

Additional Position Information Skills-Based Hiring:

No Prior CVS/Aetna Experience:

Not Required Peak Season /

RAMP:

Not Applicable Safety Sensitive:

Yes In-Person Member Interaction:

Required Program Contact:

Deanna Morris INDKS Pay:

$36.39 per hour Expected hours: No less than 40.0 per week

Benefits:

Dental insurance Health insurance Vision insurance

Work Location:

Hybrid remote in Springfield, IL 62701