Analyst, Case Management - Field - Must live in Louisiana Region 7

CVS Health

Monroe (LA)

Vor Ort

USD 29.000 - 51.000

Vollzeit

14 Tage+

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Benefits dieser Stelle

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

Zusammenfassung

CVS Health is hiring for a Case Management professional to coordinate care, educate members, and support healthcare outcomes across the region. The role emphasizes collaboration with case managers, medical directors, and health programs to overcome barriers and improve care plans.

The ideal candidate will have a health care or human services background, CCM certification (preferred), strong communications and documentation skills, and the ability to travel within the specified region.

Qualifikationen

  • Degree in Health Care/Human Services related field required.
  • Case Management Experience preferred.
  • Strong customer service orientation and problem solving skills.
  • Excellent communication/telephonic skills.
  • Excellent motivational interviewing skills; ability to build rapport telephonically.
  • Attention to documentation and regulatory standards.
  • Highly organized and self-driven with minimal supervision.
  • Ability to travel within 125 miles for 1 day.
  • Flexible scheduling including evenings.

Aufgaben

  • Consult with case managers and health program staff using a holistic approach to overcome barriers.
  • Present cases at conferences to obtain multidisciplinary review.
  • Identify and escalate quality of care issues.
  • Demonstrate negotiation to secure appropriate options and services.
  • Deliver motivational interviewing to promote healthy behaviors and engagement.
  • Provide coaching and information to empower member decisions.
  • Encourage member participation with providers in decision making.
  • Perform comprehensive evaluations of referred members and recommend case resolution approach.

Kenntnisse

Care coordination
Communication skills
Motivational interviewing
Documentation/compliance
Time management
Travel willingness
Flexibility scheduling
Technical proficiency
Customer service

Ausbildung

Degree in Health Care/Human Services
CCM certification
Bachelor's or Master’s degree

Tools

None

Jobbeschreibung

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.

A Brief Overview

Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.

What you will do
  • 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.
  • Assists in encouraging members to actively participate with their provider in healthcare decision‑making.
  • Conducts comprehensive evaluations of referred members' needs/eligibility using care management tools and recommends an approach to case resolution.
For this role you will need Minimum Requirements

*Must live in Louisiana Region 7 (Alexandria/Shreveport): Northwest parishes (Caddo, Bossier, Webster, Claiborne, Bienville, Red River, Desoto, Sabine, Natchitoches)

  • Degree in Health Care/Human Services related field
  • Case Management Experience
  • Strong customer service orientation and problem solving skills
  • Excellent communication/telephonic skills
  • Excellent motivational interviewing skills/ability to build rapport and trust telephonically
  • Excellence in documentation and respecting compliance/regulatory standards
  • Highly organized, remain self-driven without direct supervision
  • Manage time effectively
  • Achieve performance metrics
  • Technology proficiency
  • Highly organized, remain self-drive without direct supervision
  • Ability to travel within 125 miles round trip for 1 day in the field
  • Variable work scheduled with ability to work 2 days weekly until 9pm local time
Preferred Qualifications
  • Bachelors and/or Master's Degree
  • CCM certification
  • Previous experience in managed care organization
Education

Degree in Health Care/Human Services related field required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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