Analyst, Case Management Field - Region 2 - must live in Louisiana

CVS Health Corporation; Baton Rouge (LA); In loco; USD 29.000 - 51.000; Tempo pieno

Descrizione del lavoro

CVS Health Corporation is seeking an Analyst, Case Management Field in Louisiana to coordinate care, educate members, and navigate resources. You will work with healthcare teams to assess needs, promote self-management, and ensure timely access to benefits, while maintaining compliant documentation and pursuing quality outcomes.

The role requires strong communication, motivational interviewing, and the ability to manage a diverse caseload with a flexible schedule, including evenings.

Competenze

• Minimum 2 years of case management or related healthcare experience.
• Experience with adult and/or adolescent populations.
• Strong customer service orientation and problem-solving skills.
• Excellent verbal, written, and telephonic communication.
• Demonstrated motivational interviewing skills and ability to build rapport telephonically.
• Strong documentation skills and attention to detail.
• Commitment to compliance with regulatory standards.
• Highly organized, self-motivated, and able to work independently.
• Strong time management and multitasking abilities.
• Proficient with computer systems used for case management and documentation.
• Ability to travel up to 50% within 60 miles one way.
• Must reside in Louisiana.
• Ability to work a variable schedule including two evenings per week.

Mansioni

• Conduct comprehensive assessments to evaluate member needs and barriers to care.
• Provide routine care coordination, support, and education to members.
• Use motivational interviewing to increase engagement and promote healthy lifestyle changes.
• Empower members to participate in their care plans.
• Collaborate with case managers and providers to address needs.
• Present cases at interdisciplinary conferences to support outcomes.
• Identify and escalate quality of care concerns through established channels.
• Assist members in accessing services, benefits, and community resources.
• Demonstrate negotiation skills to secure necessary services.
• Maintain accurate, timely documentation of case management activities.
• Meet productivity, quality, and performance metrics while managing caseloads.
• Support implementation of case management programs and processes.
• Utilize multiple systems to support member care and documentation requirements.

Conoscenze

Case management

Communication

Motivational interviewing

Documentation

Time management

Independent work

Formazione

Bachelor's degree

Master's degree

CCM Certification

Strumenti

QuickBase

Microsoft Teams

Outlook

Word

Excel

SharePoint

Descrizione del lavoro

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

• Must live in Louisiana -
• Region 2 (Baton Rouge): East/West Baton Rouge and surrounding parishes (Ascension, Iberville etc.)**

The Analyst, Case Management Field conducts routine care coordination, support, and education for members through the use of care management resources to facilitate appropriate healthcare outcomes. This role applies case management principles to assess member needs, address barriers to care, connect members with appropriate resources, and empower individuals to make informed healthcare decisions. The position requires strong communication, motivational interviewing, documentation, and organizational skills while maintaining compliance with regulatory and organizational standards.

A Brief Overview

The Analyst, Case Mgt Field is responsible for coordinating care and supporting members through assessment, education, advocacy, and resource navigation. Working collaboratively with healthcare providers, care teams, and community partners, this individual helps members achieve optimal health outcomes by addressing healthcare needs, promoting self-management, and facilitating access to appropriate services and benefits. Success in this role requires excellent customer service, problem-solving abilities, and the ability to build rapport and trust telephonically.

What You Will Do

• Conduct comprehensive assessments to evaluate member needs, eligibility, barriers to care, and opportunities for intervention.
• Provide routine care coordination, support, and education to members to improve health outcomes.
• Utilize motivational interviewing techniques to increase member engagement and promote healthy lifestyle changes.
• Empower members to make informed healthcare decisions and actively participate in their care plans.
• Collaborate with case managers, supervisors, medical directors, providers, and other healthcare professionals to address member needs.
• Present cases at interdisciplinary case conferences to support optimal member outcomes.
• Identify and elevate quality of care concerns through established channels.
• Assist members in accessing appropriate services, benefits, and community resources.
• Demonstrate effective negotiation skills to secure services and support necessary to meet member needs.
• Maintain accurate, timely, and compliant documentation of all case management activities.
• Meet productivity, quality, and performance metrics while managing a diverse caseload.
• Support implementation of case management programs, projects, policies, and processes.
• Utilize technology and multiple systems effectively to support member care and documentation requirements.
• Manage workload independently while maintaining organizational priorities and deadlines.

Required Qualifications

• 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 with excellent 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 with exceptional documentation skills.
• Commitment to compliance, regulatory requirements, and quality standards.
• Highly organized and self-motivated with the ability 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.
• Must reside in Louisiana.
• 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.

Preferred Qualifications

• Medicaid experience.
• Waiver program experience.
• Managed Care Organization (MCO) experience.
• Certified Case Manager (CCM) certification.
• Master’s degree in a healthcare, social services, or related field.
• Crisis intervention experience and skills.
• Utilization review experience.
• Case management and discharge planning experience.
• Experience with QuickBase or similar case management platforms.
• Proficiency with Microsoft Teams, Outlook, Word, Excel, and SharePoint.
• Previous experience coordinating care for complex populations.

Education

Required

• Bachelor's Degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or a related field.

Preferred

• Master's Degree in a healthcare or human services-related field.
• Certified Case Manager (CCM) Certification.
• Previous Experience in Managed Care Organization

Anticipated Weekly Hours

40 Hours per Week

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.

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: 10/31/2026

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