Field Case Management Analyst - Travel-Heavy Role

CVS Health Corporation; Louisville (KY); On-site; USD 44,000 - 77,000; Full time

Benefits offered by this job

Comprehensive benefits

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Field-based Case Management Coordinator to support Aetna Better Health in Kentucky. The role requires extensive regional travel (80-90%) and residence in Jefferson County, with meetings and training in Louisville.

You will advocate, coordinate, and educate members to improve health outcomes, using care management tools and community resources. The position emphasizes collaboration with case managers, Medical Directors, and health programs to resolve barriers

Qualifications

• Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations, is required
• Minimum 2 year of experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
• Minimum 1 year of experience in MS Office Suite applications, including Word and Excel.
• Willing and able to travel 80-90% of their time to meet members face to face in their assigned region.
• Candidate must reside in one of the following counties: Jefferson County

Responsibilities

• Through the use of care management assessments and information/data review, recommends an approach to resolving care needs maintaining optimal health and well-being by evaluating member’s benefit plan and available internal and external programs/services.
• Identifies high risk factors and service needs that may impact member outcomes and implements early and proactive support interventions.
• Coordinates and implements Wellness care plan activities and monitors member care needs.
• 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 in order 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/or healthcare needs.
• Utilizes influencing/ 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 the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Skills

Case management

Travel 80-90%

MS Office (Word/Excel)

Education

Bachelor's degree

Master's degree

Tools

MS Office Suite

Job description

CVS Health Corporation is seeking a Field-based Case Management Coordinator to support Aetna Better Health in Kentucky. The role requires extensive regional travel (80-90%) and residence in Jefferson County, with meetings and training in Louisville.

You will advocate, coordinate, and educate members to improve health outcomes, using care management tools and community resources. The position emphasizes collaboration with case managers, Medical Directors, and health programs to resolve barriers