Analyst, Case Management
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Iowa, Minnesota, Texas, Vermont • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $37 per hour
Job Level
JuniorMid-Level
About the role
- Utilize critical thinking and judgment to collaborate and inform the case management process
- Conduct comprehensive evaluation of referred member's needs/eligibility and recommend an approach to case resolution
- Identify high risk factors and service needs that may impact member outcomes and care planning
- Coordinate and implement assigned care plan activities and monitor care plan progress
- Consult with case managers, supervisors, Medical Directors to overcome barriers to meeting goals
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure options and services for members
- Provide coaching, information, and support to empower members
- Ensure compliance with regulatory and accreditation guidelines and company policies and procedures
Requirements
- 2+ years experience in behavioral health or social services
- Ability to work 8:00a-5:00p in assigned market time zone (EST/CST Primarily)
- 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook)
- Case Management and discharge planning experience preferred
- Managed Care experience preferred
- Bachelor's degree or non-licensed master level clinician in behavioral health or human services preferred or equivalent experience
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementdischarge planningbehavioral healthsocial servicescomprehensive evaluationcare planningnegotiation skillsquality of care assessmentregulatory complianceaccreditation guidelines
Soft skills
critical thinkingjudgmentcollaborationcoachingcommunicationproblem-solvingempowermentmonitoringconsultationescalation