Case Management Analyst

Job not on LinkedIn

🔥 18 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $21 - $44 / 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

• Provide comprehensive care management services to members enrolled in the New York Managed Long Term Care (MLTC) Plan • Conduct psychosocial assessments and identify member needs • Develop and implement person-centered service plans • Coordinate long-term services and supports • Facilitate access to medical, behavioral health, and community resources • Collaborate with members, caregivers, providers, and interdisciplinary teams • Promote member independence and improve health outcomes • Address social determinants of health • Ensure delivery of quality, cost-effective care • Conduct member visits within the assigned service area as needed

🎯 Requirements

• Active and unrestricted New York State Social Work license (LMSW or LCSW), as required • Minimum 2 years of experience in care management, case management, managed care, behavioral health, long-term care, home care, or a related healthcare setting • Knowledge of New York Medicaid, Medicare, Managed Long Term Care (MLTC), and Long-Term Services and Supports (LTSS) • Experience conducting psychosocial assessments and developing person-centered care plans • Strong communication, care coordination, advocacy, organizational, and problem-solving skills • Ability to work collaboratively with interdisciplinary teams, providers, members, and caregivers • Proficiency in Microsoft Office applications and electronic documentation systems • Ability to travel within the assigned service area to conduct member visits as needed • Master's Degree in Social Work (MSW) from an accredited college or university required • Active New York State LMSW or LCSW licensure preferred or required based on business needs • Equivalent combination of education and relevant care management experience may be considered where applicable

🏖️ 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 eligibility

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