analyst,case MGT-Field

4004 Aetna Medicaid Administrators; Palm Coast (FL); On-site; USD 29,000 - 56,000; Full time

Job summary

CVS Health in Florida is seeking a self-motivated Case Management Coordinator to join our Case Management team. The role involves telephonically and face-to-face assessments, planning, implementing, and coordinating care, with a focus on evaluating medical needs and promoting overall wellness.

The position requires 50-75% travel to meet members in Miami Dade and surrounding areas, a Monday–Friday schedule, and a Bachelor’s degree in social work or a related field.

Qualifications

• Bachelor’s degree in social work or related field.
• 1+ year of experience in behavioral health or a long-term care setting.
• Bilingual English/Spanish.
• Willing to travel 50–75% to meet members in Miami Dade and surrounding areas.

Responsibilities

• Assess, plan, implement, and coordinate all case management activities with members.
• Evaluate medical needs to facilitate the member's overall wellness.
• Manage a caseload including supportive and medically complex members.
• Coordinate with PCP and skilled providers, review medications, and connect to community resources.

Skills

Bilingual English/Spanish

Travel readiness

Multitask capability

Effective communication

Education

Bachelor's degree in social work or related field

Tools

Microsoft Word

Excel

Outlook

Job description

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

• Candidates must be located in Miami Dade county, in the Mid- Miami Area.
• This role will require 50-75% travel for face-to-face visits with members in Miami Dade.
• Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.

Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.

Required Qualifications

• Must reside in Mid-Miami FL Area
• Bilingual, English, and Spanish.
• Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
• 1+ year of experience in behavioral health or a long-term care setting

Preferred Qualifications

• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
• Effective communication skills, both verbal and written
• Managed Care experience
• Computer proficiency in Microsoft Word, Excel, and Outlook required
• Case management and discharge planning experience

Education

• Bachelor's degree required, preferably in social work or related field

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $21.10 - $40.90

The 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.

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: 12/11/2026

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

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.