Case Management Analyst - Field in Danville, VA

CVS Pharmacy; Richmond (VA); On-site; USD 29,000 - 56,000; Full time

Job summary

CVS Health is seeking a Case Management Analyst for the Danville, VA region. This field-based role focuses on LTSS care coordination, supporting members with evaluation, planning and education to achieve optimal health outcomes.

The ideal candidate has 2+ years in behavioral health or related fields, is based in Danville or nearby, and is able to travel up to 75% with mileage reimbursed. A clinical degree or certification is preferred.

Qualifications

• 2 years’ experience in behavioral health, social services or related field
• Must reside in Danville, Virginia or surrounding areas
• Willingness and ability to travel up to 75% of the time; mileage reimbursed

Responsibilities

• Collaborate to inform the case management process and provide care coordination, support and education to members.
• Evaluate member needs/eligibility and recommend approaches to case resolution.
• Coordinate and monitor care plan activities and progress.
• Escalate quality of care issues and use negotiation to secure appropriate options and services.
• Engage members through motivational interviewing to support healthy lifestyle choices.
• Document care and outcomes in accordance with regulatory guidelines and company policies.

Skills

Behavioral health experience

Travel readiness

Danville residency required

Education

Bachelor’s or master in behavioral health/human services

Licensure/certification: LMHP/RN-LPN/QMHP/LMSW/LBSW/MSW/BSW preferred

Job description

Case Management Analyst - Field in Danville, VA

Available in 2 locations

Job ID: R1047658

Category: Category: Clinical

Sub Category: Sub Category: Clinical Support

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

This Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of Danville, Virginia Region. The requirements is for candidates to travel 70% of the time to meet with members face to face.

- Utilizes critical thinking and judgment to collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members using care management tools and resources.

- Uses care management tools and information to evaluate members, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.

Identifies risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.

- Coordinates and implements assigned care plan activities and monitors care plan progress.

- Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review to achieve optimal outcomes.

- Identifies and escalates quality of care issues through established channels.

- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and healthcare needs.

- Utilizes 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 members to make ongoing independent medical and/or healthy lifestyle choices.

- Helps members actively and knowingly participate with their provider in healthcare decision-making.

Monitoring, Evaluation and Documentation of Care:

- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

• 2 years’ experience in behavioral health, social services or appropriate related field equivalent to program focus
• Must reside in Danville, Virginia or Surround Areas
• Must possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

• Case management and discharge planning experience preferred
• Managed Care experience preferred
• LTSS experience preferred

Education

• Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling)
• Certification in LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSWpreferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $40.90

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: 10/31/2026

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

CVS Health® and its businesses lead the way to drive affordability, improve access and preserve choice in how people pay for care, receive care and stay healthy. With a wide range of career areas, you can be a part of our purpose-driven team.

Our workforce is dedicated and talented – more than 300,000 colleagues strong – focused on a bold vision to reimagine health care and our passion to make a difference. We unite around making health and care better for colleagues by striving to provide innovative and inclusive benefits for colleagues and their families.

We reflect the consumers we serve and recognize that having diverse teams foster a workplace where every colleague feels welcomed, valued, respected and heard. There is a place of opportunity for all here and for everyone to be extraordinary.