Field Case Management Analyst — Care Coordination

CVS Health; Bedford (VA); On-site; USD 29,000 - 56,000; Full time

Benefits offered by this job

Bonus eligibility

Job summary

CVS Health is seeking an Analyst, Case Management for its LTSS team, based in Roanoke, VA. The role requires frequent travel (up to 75%) to meet members face-to-face across the region and deliver care coordination, education, and support using care management tools.

You will assess member needs, navigate benefit plans, coordinate care activities, and document progress in accordance with regulatory guidelines. A Bachelor’s degree and relevant experience are required.

Qualifications

• 2 years' experience in behavioral health, social services or related field
• Must reside in Roanoke Virginia or Surround Areas
• Must possess reliable transportation and be willing to travel up to 75% of the time. Mileage reimbursed per policy

Responsibilities

• Collaborate and inform the case management process to facilitate healthcare outcomes for members
• Evaluate members’ needs/eligibility and recommend a plan of action
• Coordinate and implement care plan activities and monitor progress
• Identify risk factors and escalate quality of care issues as needed
• Provide coaching and support to empower members in decision-making and healthy lifestyle choices
• Document care management activities in compliance with policies and regulations

Skills

Travel willingness

Education

Bachelor’s degree or non-licensed master in behavioral health or human services

LMHP, QMHP, LMSW, LBSW, MSW or BSW preferred

Job description

CVS Health is seeking an Analyst, Case Management for its LTSS team, based in Roanoke, VA. The role requires frequent travel (up to 75%) to meet members face-to-face across the region and deliver care coordination, education, and support using care management tools.

You will assess member needs, navigate benefit plans, coordinate care activities, and document progress in accordance with regulatory guidelines. A Bachelor’s degree and relevant experience are required.