Analyst, Case Management – Transition of Care

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🔥 1 hour ago

🏈 Ohio, Mississippi, +2 more states – Remote

🏈 Ohio – Remote 🎸 Mississippi – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Collaborate and inform the case management process • Facilitate appropriate healthcare outcomes for members • Conduct comprehensive evaluation of referred member's needs/eligibility • Recommend an approach to case resolution by evaluating member's benefit plan • Identify high risk factors and service needs that may impact member outcomes • Coordinate and implement assigned care plan activities and monitor progress • Consult with case managers, supervisors, Medical Directors, and other health programs • Identify and escalate quality of care issues through established channels • Ensure maximum member engagement

🎯 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) • Candidates must have a dedicated workspace free of interruptions • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs