CVS Health

Bilingual Analyst, Case Management

CVS Health

full-time

Posted on:

Location Type: Remote

Location: Florida • United States

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Salary

💰 $21 - $41 per hour

Job Level

Junior

About the role

  • Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members.
  • Evaluate the medical needs of the member to facilitate the member's overall wellness.
  • Effectively manage a caseload that includes supportive and medically complex members.
  • Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.
  • Determine appropriate services and supports due to member's health needs; including but not limited to Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Requirements

  • Must be fluent in both English and Spanish.
  • Must reside in zip codes 33030, 33033, or 33035, or Surrounding Areas.
  • Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
  • 1+ year of experience in behavioral health or a long-term care setting.
  • Computer proficiency in Microsoft Word, Excel, and Outlook required.
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.
  • Benefit solutions that address different needs and preferences including 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 managementmedical needs evaluationprior authorizationscondition managementmedication review
Soft Skills
communicationplanningcoordinationproblem-solvinginterpersonal skills