Case Management Analyst, Region 1

Job not on LinkedIn

🔥 1 minute ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Business Analyst

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Conduct comprehensive assessments to evaluate member needs, eligibility, barriers to care, and opportunities for intervention • Provide routine care coordination, support, and education to members to improve health outcomes • Utilize motivational interviewing techniques to increase member engagement and promote healthy lifestyle changes • Empower members to make informed healthcare decisions and actively participate in care plans • Collaborate with case managers, supervisors, medical directors, providers, and other healthcare professionals to address member needs • Present cases at interdisciplinary case conferences to support optimal member outcomes • Identify and escalate quality of care concerns through established channels • Assist members in accessing appropriate services, benefits, and community resources • Negotiate to secure services and support necessary to meet member needs • Maintain accurate, timely, and compliant documentation of case management activities • Meet productivity, quality, and performance metrics while managing a diverse caseload • Support implementation of case management programs, projects, policies, and processes • Utilize technology and multiple systems for member care and documentation • Manage workload independently while maintaining organizational priorities and deadlines

🎯 Requirements

• Minimum of two (2) years of experience in case management, behavioral health, social services, healthcare, or a related field • Experience working with adult and/or adolescent populations • Strong customer service orientation with excellent problem-solving skills • Excellent verbal, written, and telephonic communication skills • Demonstrated motivational interviewing skills and ability to establish rapport and trust telephonically • Strong attention to detail with exceptional documentation skills • Commitment to compliance, regulatory requirements, and quality standards • Highly organized and self-motivated with the ability to work independently with minimal supervision • Strong time management and multitasking abilities • Proficiency with computers and technology platforms used for case management and documentation • Ability to interface effectively with members, providers, and internal stakeholders • Ability to travel up to 50% of the time within 60 miles one way • Must reside in Louisiana • Ability to work a variable schedule, including two evenings per week until 9:00 PM local time • Ability to meet established performance and productivity metrics • Required Bachelor's Degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or a related field • Preferred: Medicaid experience • Preferred: Waiver program experience • Preferred: Managed Care Organization (MCO) experience • Preferred: Certified Case Manager (CCM) certification • Preferred: Master's degree in a healthcare, social services, or related field • Preferred: Crisis intervention experience and skills • Preferred: Utilization review experience • Preferred: Case management and discharge planning experience • Preferred: Experience with QuickBase or similar case management platforms • Preferred: Proficiency with Microsoft Teams, Outlook, Word, Excel, and SharePoint • Preferred: Previous experience coordinating care for complex populations

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources based on eligibility • CVS Health bonus, commission, or short-term incentive program in addition to base pay

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