Analyst, Case Management - Field - Central or North Cook County IL or Surrounding Areas

Position Summary Transition Coordinator for the Transition Team assigned to Central and North Cook County Nursing Home and SMHRF to meet with ABH-IL members and assist with transition to the community. Strongly prefers candidates located in Central or North Cook County IL. Utilizes critical thinking and judgment to collaborate and inform the case management process, facilitating appropriate healthcare outcomes for members by providing care coordination, support and education through the use of care management tools and resources. Responsibilities Evaluation of Members: Assist with the transition of members back to the community from the nursing home. Identify members’ needs and service needs that may impact member outcomes. Coordinate with the RNCM, BHCM, and the rest of the care team to ensure interventions are put into place to support members before and after discharge from the nursing home. Enhancement of Medical Appropriateness and Quality of Care: Use a holistic approach to consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives; present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. Identify and escalates quality of care issues through established channels. Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. Use influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle and behavior changes to achieve optimum level of health. Provide coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. Help member actively and knowingly participate with their provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications 2 years of Case management and/or discharge planning experience. 2 years’ experience in behavioral health, social services or human services field. Must reside in Central and North Cook County, IL and surrounding areas. Willing and able to travel up to 75% of their time to meet members face to face in person at nursing home facilities and community locations (e.g., government offices; housing tours etc.) in Central and North Cook County, IL and surrounding areas. Reliable transportation required. Mileage is reimbursed per company expense reimbursement policy. Preferred Qualifications Long term care experience. Knowledge of Colbert/Williams Consent Decree. Education Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (psychology, social work, marriage and family therapy, counseling). Anticipated Weekly Hours 40 Time Type Full time Pay Range $21.10 - $44.99 The typical pay range for this role is $21.10 - $44.99. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Benefits This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Application Window We anticipate the application window for this opening will close on: 06/18/2026 EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement