Case Management Analyst | Field-Based Care Coordination

CVS Health; Mandeville (LA); Hybrid; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health in Louisiana seeks a Case Manager to coordinate care, support members, and educate them using care management resources to improve health outcomes.

You will consult with clinicians, present cases for review, and help navigate benefits, demonstrating motivational interviewing and strong documentation. This is a full-time role requiring travel within 125 miles, 40 hours per week, and a comprehensive benefits package.

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.
• Manage time effectively.
• Achieve performance metrics.
• Technology proficiency.
• 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 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.

Education

Degree in Health Care/Human Services related field

Tools

Technology proficiency

Job description

CVS Health in Louisiana seeks a Case Manager to coordinate care, support members, and educate them using care management resources to improve health outcomes.

You will consult with clinicians, present cases for review, and help navigate benefits, demonstrating motivational interviewing and strong documentation. This is a full-time role requiring travel within 125 miles, 40 hours per week, and a comprehensive benefits package.