Applicants must reside in Cook County, IL, within one of the following ZIP codes, or within a 10-mile radius of these Zip Codes: 60068, 60131, 60171, 60176, 60613, 60614, 60618, 60625, 60626, 60630, 60631, 60633, 60634, 60639, 60640, 60641, 60645, 60646, 60647, 60657, 60659, 60660, 60706, 60707, 60712, 60104, 60130, 60141, 60153, 60155, 60160, 60163, 60164, 60165, 60301, 60302, 60303, 60304, 60402, 60424, 60475, 60513, 60534, 60546, 60601, 60605, 60606, 60607, 60608, 60609, 60610, 60611, 60612, 60615, 60616, 60622, 60623, 60624, 60632, 60642, 60644, 60651, 60653, 60654, 60661, 60680, 60690, 60699, 60804, 60305. Contacts members telephonically and face-to-face to establish goals and priorities, evaluate resources, develop plans of care, and identify LTSS providers and community partnerships to provide a combination of services and supports that best addresses the needs and goals of members and caregivers through person centered thinking approaches.