Field Case Management Analyst

CVS Health Corporation; United States; Remote; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health Corporation is looking for an Analyst, Case Management Field to perform routine care coordination, education, and support for members via case management resources. The role emphasizes collaboration with providers, community partners, and care teams to promote healthy outcomes and self-management.

The position requires strong communication and motivational interviewing skills, with a focus on accurate documentation and compliance.

Qualifications

• Minimum of two (2) years of experience in case management, behavioral health, social services, healthcare, or a 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 with minimal supervision.
• Strong time management and multitasking abilities.
• Proficiency with computers and technology platforms used for case management and documentation.
• Ability to travel up to 50% of the time within 60 miles one way.
• Must reside in Louisiana.
• Ability to work a variable schedule, including two evenings per week until 9:00 PM local time.
• Ability to meet established performance and productivity metrics.

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 escalate 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

Customer service

Communication

Motivational interviewing

Documentation

Problem solving

Time management

Independent work

Computer skills

Education

Bachelor's Degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or related field

Tools

QuickBase

Microsoft Teams

Outlook

Word

Excel

SharePoint

Job description

CVS Health Corporation is looking for an Analyst, Case Management Field to perform routine care coordination, education, and support for members via case management resources. The role emphasizes collaboration with providers, community partners, and care teams to promote healthy outcomes and self-management.

The position requires strong communication and motivational interviewing skills, with a focus on accurate documentation and compliance.