Hybrid Case Management Analyst – Field

at CVS Health

• Job title: Case Management Analyst – Field
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $21 - $45 per hour
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Bloomingdale, United States

About the role

• Health solutions company seeking an Analyst to manage case loads for members in Illinois, requiring in-person meetings and care coordination.

Responsibilities

• Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members
• Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area
• Consults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives
• Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes
• Identifies and escalates quality of care issues through established channels
• Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
• Delivers influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
• Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

Requirements

• Candidate must reside in DuPage or Cook IL or surrounding areas; preferably Bloomingdale, Roselle, or Glendale Heights
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet with members face to face in DuPage and Cook County, IL
• Minimum 2 years of experience in behavioral health, social services or human services field
• Minimum 2 years of case management experience
• Case management and discharge planning experience preferred
• Managed care experience preferred
• Microsoft Office experience preferred

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
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility