Field Case Management Analyst - Health Access Advocate

CVS Health; Baton Rouge (LA); Sur place; USD 44 000 - 77 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Résumé du poste

CVS Health is hiring an Analyst, Case Management Field in Louisiana to coordinate care, provide education, and navigate resources for members. The role emphasizes telephonic engagement, motivational interviewing, and meticulous documentation to drive better health outcomes.

The position requires a Bachelor's degree (Master's preferred) and 2+ years in case management or related fields, with up to 50% travel within the region. A comprehensive benefits package and CVS Health bonuses are included.

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 and trust 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 interface effectively with members, providers, and internal stakeholders.
• 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.

Responsabilités

• 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.

Connaissances

Customer service

Verbal and written communication

Motivational interviewing

Documentation

Time management

Independent work

Tech proficiency

Formation

Bachelor's degree

Master's degree

CCM certification

Outils

Microsoft Teams

Outlook

Word

Excel

SharePoint

QuickBase

Description du poste

CVS Health is hiring an Analyst, Case Management Field in Louisiana to coordinate care, provide education, and navigate resources for members. The role emphasizes telephonic engagement, motivational interviewing, and meticulous documentation to drive better health outcomes.

The position requires a Bachelor's degree (Master's preferred) and 2+ years in case management or related fields, with up to 50% travel within the region. A comprehensive benefits package and CVS Health bonuses are included.