Field Care Management Analyst

4004 Aetna Medicaid Administrators; Louisiana (MO); Hybrid; USD 60,460,000 - 105,389,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an Analyst, Case Management Field to coordinate care and support members in Louisiana, Region 5. You will assess needs, educate members, and navigate services through care teams and community resources.

The role requires two years in case management, strong communication, and the ability to travel up to 50% within 60 miles. A Bachelor's degree is required, with CCM certification and a Master's preferred.

Qualifications

• Minimum two (2) years of experience in case management, behavioral health, social services, healthcare, or 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 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.
• 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.

Responsibilities

• 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.

Skills

Case management

Customer service

Communication

Motivational interviewing

Documentation

Time management

Education

Bachelor's degree

Master's degree

CCM certification

Tools

QuickBase

Microsoft Teams

Outlook

Excel

Word

SharePoint

Job description

CVS Health is seeking an Analyst, Case Management Field to coordinate care and support members in Louisiana, Region 5. You will assess needs, educate members, and navigate services through care teams and community resources.

The role requires two years in case management, strong communication, and the ability to travel up to 50% within 60 miles. A Bachelor's degree is required, with CCM certification and a Master's preferred.