Onsite Case Management Analyst – Field

Posted 1 hour ago

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About the role

  • Analyst in case management focusing on healthcare outcomes for members at CVS Health. Collaborating and coordinating care plans to meet member needs and improve overall health.

Responsibilities

  • Utilizes critical thinking and judgment to collaborate and inform the case management process
  • Conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution
  • Coordinates and implements assigned care plan activities and monitors care plan progress
  • Consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives
  • Identifies and escalates quality of care issues through established channels
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
  • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
  • Helps member actively and knowledgably participate with their provider in healthcare decision-making
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements

  • Candidate must reside in Falls Church or Annandale Virginia or Surrounding Areas
  • 2 years’ experience in behavioral health, social services or appropriate related field equivalent to program focus
  • Must possess reliable transportation and be willing and able to travel up to 70-75% of the time within Northern Virginia Region
  • Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling)

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Job title

Case Management Analyst – Field

Job type

Experience level

JuniorMid level

Salary

$21 - $41 per hour

Degree requirement

Bachelor's Degree

Location requirements

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