Analyst, Case Management – Transition of Care

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Florida, +11 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review • Recommend case resolution approaches by evaluating benefit plans and available internal and external programs and services • Identify high-risk factors and service needs affecting member outcomes and care planning • Refer members to clinical case management or crisis intervention when appropriate • Coordinate and implement assigned care plan activities and monitor progress • Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers • Present cases at case conferences for multidisciplinary review • Identify and escalate quality-of-care issues through established channels • Negotiate appropriate options and services for members’ benefits and healthcare needs • Use influencing and motivational interviewing skills to engage members and promote lifestyle or behavior changes • Provide coaching, information, and support to empower independent medical and healthy-lifestyle choices • Help members participate knowledgeably in healthcare decision-making with providers • Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• 2+ years experience in behavioral health or social services • Ability to work 8:00 AM - 5:00 PM in assigned market time zone • 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook) • Dedicated workspace free of interruptions • Dependents must have separate care arrangements during work hours; continuous care responsibilities during shift times are not permitted • Case management and discharge planning experience preferred • Managed care experience preferred • Bachelor's Degree or non-licensed master level clinician degree in behavioral health or human services preferred, or equivalent experience • Ability to work 40 hours weekly

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility