Care Coordination Analyst – Case Management

CVS Health; Covington (LA); On-site; USD 29,000 - 51,000; Full time

Job summary

CVS Health is seeking a care management professional in Louisiana to coordinate and educate members, supporting case management projects and applying practical knowledge to drive quality healthcare outcomes. This role emphasizes holistic care, collaboration with clinicians, and adherence to policies.

The ideal candidate holds a Health Care/Human Services degree with case management experience, strong communication, engagement, and motivational interviewing skills.

Qualifications

• 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 telephonically.
• Excellence in documentation and respecting compliance/regulatory standards.
• Highly organized, remain self-driven without direct supervision.
• Ability to travel within 125 miles round trip for 1 day in the field.
• Variable work schedule with ability to work 2 days weekly until 9pm local time.

Responsibilities

• 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 multidisciplinary review for optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Demonstrates negotiation to secure appropriate options and services for member benefits and/or healthcare needs.
• Delivers motivational interviewing to ensure maximum member engagement and promote healthy lifestyle changes.
• 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.

Skills

Excellent communication skills

Customer service orientation

Problem solving skills

Motivational interviewing skills

Documentation skills

Time management

Travel flexibility

Self-driven, independent

Education

Health Care/Human Services degree

Job description

CVS Health is seeking a care management professional in Louisiana to coordinate and educate members, supporting case management projects and applying practical knowledge to drive quality healthcare outcomes. This role emphasizes holistic care, collaboration with clinicians, and adherence to policies.

The ideal candidate holds a Health Care/Human Services degree with case management experience, strong communication, engagement, and motivational interviewing skills.