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CVS Health
CVS Health
HealthcareHealthcare InsuranceRetail
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.
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Case Management Analyst, Region 5 — Louisiana Remote

CVS Health is seeking a Louisiana-based case management analyst to coordinate member care, provide education, and connect individuals with appropriate services and resources. The role includes assessments, engagement support, and care-plan coordination to promote better health outcomes.

USUnited StatesLALouisiana
$21 – $36 / hour
RemoteFull-timeJuniorMiddleEnglish RequiredBusiness Analyst

Description

  • Assess member needs, eligibility, care barriers, and intervention opportunities comprehensively.
  • Coordinate routine care, support, and education to help members improve their health outcomes.
  • Apply motivational interviewing to strengthen member engagement and encourage healthier lifestyle changes.
  • Help members make informed healthcare decisions and participate actively in their care plans.
  • Work with case managers, supervisors, medical directors, providers, and other healthcare professionals to address member needs.
  • Present cases in interdisciplinary conferences to help achieve optimal member outcomes.
  • Recognize and escalate concerns about quality of care through established channels.
  • Help members obtain suitable services, benefits, and community resources.
  • Use effective negotiation to secure services and support required to meet member needs.
  • Document case management activities accurately, promptly, and in compliance with requirements.
  • Manage a varied caseload while meeting productivity, quality, and performance targets.
  • Assist with implementing case management programs, projects, policies, and processes.
  • Use technology and multiple systems effectively for member care and documentation.
  • Organize work independently while meeting priorities and deadlines.

Requirements

  • At least two years of experience in case management, behavioral health, social services, healthcare, or a related field.
  • Experience working with adults and/or adolescents.
  • Strong customer service orientation and excellent problem-solving abilities.
  • Excellent verbal, written, and telephone communication skills.
  • Proven motivational interviewing ability, including establishing rapport and trust by telephone.
  • High attention to detail and 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 skills.
  • Proficiency with computers and technology platforms used for case management and documentation.
  • Ability to work 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 each week until 9:00 PM local time.
  • Ability to meet established performance and productivity targets.
  • Bachelor’s degree required in healthcare, human services, social work, psychology, sociology, public health, or a related field; preferred qualifications include Medicaid, waiver program, managed care organization, certified case manager, master’s-level, crisis intervention, utilization review, case management and discharge planning, QuickBase or similar platform, Microsoft Teams, Outlook, Word, Excel, SharePoint, and complex-population care coordination experience.
  • benefits

Benefits

  • Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Additional resources supporting physical, emotional, and financial well-being.

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