Case Management Analyst

Job not on LinkedIn

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Business Analyst

👻 Ghost score 0%

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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 assessments to evaluate member needs, eligibility, barriers to care, and intervention opportunities • Provide routine care coordination, support, and education to improve member health outcomes • Use motivational interviewing to increase member engagement and promote healthy lifestyle changes • Empower members to make informed healthcare decisions and participate in care plans • Collaborate with case managers, supervisors, medical directors, providers, healthcare professionals, and community partners • Present cases at interdisciplinary case conferences • Identify and escalate quality-of-care concerns • Help members access appropriate services, benefits, and community resources • Negotiate to secure services and support needed by members • Maintain accurate, timely, and compliant case management documentation • Meet productivity, quality, and performance metrics while managing a diverse caseload • Support implementation of case management programs, projects, policies, and processes • Use technology and multiple systems for member care and documentation • Manage workload independently while maintaining priorities and deadlines

🎯 Requirements

• Must live in Louisiana, specifically Region 1 New Orleans and surrounding parishes (Jefferson, Plaquemines, St. Bernard) • 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 and 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 and exceptional documentation skills • Commitment to compliance, regulatory requirements, and quality standards • Highly organized and self-motivated; able 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 • 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, waiver program, and 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, utilization review, case management, and discharge planning experience • Preferred QuickBase or similar case management platform experience • Preferred proficiency with Microsoft Teams, Outlook, Word, Excel, and SharePoint • Preferred experience coordinating care for complex populations

🏖️ Benefits

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