Case Management Analyst

Jobtailor; Zion (IL); On-site; USD 52,000 - 76,000; Full time

Job summary

Jobtailor is seeking a qualified Care Manager to coordinate care, evaluate needs, and promote positive healthcare outcomes for members in Illinois.

The role requires 2+ years in behavioral health or human services, 2+ years in case management, and willingness to travel 50–75% to Rockford and surrounding areas. Reliable transportation is required.

A Bachelor's in Behavioral Health and a Master's in Human Services are required; managed care experience is preferred.

Qualifications

• Minimum 2 years of experience in behavioral health, social services or human services field.
• Minimum 2 years of case management experience.
• Willing and able to travel up to 50-75% of the time to meet members face to face in Rockford, IL and surrounding areas.
• Reliable transportation required.
• Bachelor's degree or non-licensed master level clinician required.
• Degree must be in behavioral health or human services, including psychology, social work, marriage and family therapy, or counseling.
• Case management and discharge planning experience preferred.
• Managed Care experience preferred.
• Microsoft Office experience preferred.

Responsibilities

• Coordinate and facilitate care management activities and monitor progress.
• Evaluate referred members’ needs and eligibility using care management tools.
• Evaluate benefit plans and available internal and external programs or services.
• Identify high-risk factors and refer to clinical case management or crisis intervention as appropriate.
• Coordinate and implement assigned care plan activities and monitor progress.
• Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers.
• Present cases at case conferences for multidisciplinary review.
• Identify and elevate quality-of-care issues through established channels.
• Negotiate appropriate options and services to meet members’ benefits and healthcare needs.
• Use influencing and motivational interviewing skills to promote member engagement and healthy behavior changes.
• Provide coaching, information and support for independent medical and healthy lifestyle choices.
• Help members participate knowledgeably in healthcare decision-making with providers.
• Use case management and quality management processes in compliance with regulatory, accreditation and company requirements.

Skills

Case Management Experience

Behavioral Health Expertise

Motivational Interviewing Skills

Care Coordination

Regulatory Compliance

Education

Bachelor's Degree in Behavioral Health

Master's Degree in Human Services

Tools

Microsoft Office

Job description

• Facilitate appropriate healthcare outcomes for members through care coordination, support and education
• Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review
• Evaluate benefit plans and available internal and external programs or services
• Identify high-risk factors and service needs and refer to clinical case management or crisis intervention as appropriate
• Coordinate and implement assigned care plan activities and monitor progress
• Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers
• Present cases at case conferences for multidisciplinary review
• Identify and elevate quality-of-care issues through established channels
• Negotiate appropriate options and services to meet members’ benefits and healthcare needs
• Use influencing and motivational interviewing skills to promote member engagement and healthy behavior changes
• Provide coaching, information and support for independent medical and healthy lifestyle choices
• Help members participate knowledgeably in healthcare decision-making with providers
• Use case management and quality management processes in compliance with regulatory, accreditation and company requirements

Requirements

• Minimum 2 years of experience in behavioral health, social services or human services field
• Minimum 2 years of case Management experience
• Willing and able to travel up to 50-75% of the time to meet members face to face in Rockford, IL and surrounding areas
• Reliable transportation required
• Bachelor's degree or non-licensed master level clinician required
• Degree must be in behavioral health or human services, including psychology, social work, marriage and family therapy, or counseling
• Case management and discharge planning experience preferred
• Managed Care experience preferred
• Microsoft Office experience preferred

Core Competencies

Demonstrates expertise in care coordination and case management, with a strong focus on behavioral health and social services. Proficient in evaluating member needs, implementing care plans, and ensuring compliance with regulatory standards.

Highest-signal resume keywords

• Case Management Experience
• Behavioral Health Expertise
• Motivational Interviewing Skills
• Care Coordination
• Regulatory Compliance

Hard Skills

• Care Management Tools
• Data Review
• Benefit Plan Evaluation
• Discharge Planning
• Quality Management Processes

Soft Skills

• Influencing Skills
• Coaching
• Member Engagement
• Communication

Certifications & Qualifications

• Bachelor's Degree in Behavioral Health
• Master's Degree in Human Services

Industry Keywords

• Managed Care
• Crisis Intervention
• Healthcare Outcomes
• Multidisciplinary Review
• High-Risk Factors

Tools & Technologies

• Microsoft Office