Case Management Analyst – Field
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Louisiana • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $37 per hour
Job Level
JuniorMid-Level
About the role
- Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members
- Helps implement projects, programs, and processes for Case Management
- Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area
- Consults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives
- Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes
- Identifies and escalates quality of care issues through established channels
- Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
- Delivers influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
- Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
- Assists in encouraging members to actively participate with their provider in healthcare decision-making
- Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools and recommends an approach to case resolution
Requirements
- Demonstrated attention to detail
- Ability to travel up to 50% of time
- Ability to interface with customers/clients
- 2+ years' experience in behavioral health, social services or appropriate related field equivalent to program focus
- 2+ years' experience with adult and/or adolescent populations
- Medicaid experience (preferred)
- Waiver experience (preferred)
- Crisis intervention skills (preferred)
- Managed care/utilization review experience (preferred)
- Familiarity with QuickBase (preferred)
- Case management and discharge planning experience (preferred)
- Demonstrated proficiency with personal computer, keyboard navigation, and mouse
- Familiarity and proficiency with MS Office Suite applications including MS Teams, Outlook, Word, Excel, and SharePoint
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues 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 and many other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementdischarge planningcrisis interventionmanaged careutilization reviewcare management toolsbehavioral healthsocial servicesadult populationsadolescent populations
Soft skills
attention to detailnegotiation skillsmotivational interviewingcoachingcustomer/client interfacemember engagementcommunicationsupportproblem-solvinginfluencing