CVS Health

Case Management Analyst – Field

CVS Health

full-time

Posted on:

Location Type: Remote

Location: Louisiana • United States

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Salary

💰 $21 - $37 per hour

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 & Tools
case managementdischarge planningcrisis interventionmanaged careutilization reviewcare management toolsbehavioral healthsocial servicesadult populationsadolescent populations
Soft Skills
attention to detailnegotiation skillsmotivational interviewingcoachingcustomer/client interfacemember engagementcommunicationsupportproblem-solvinginfluencing