CVS Health este o companie americană din domeniul sănătății, care activează în servicii medicale, asigurări de sănătate, gestionarea beneficiilor farmaceutice și farmacii cu vânzare cu amănuntul. Prin companii precum Aetna și CVS Caremark, aceasta sprijină acoperirea medicală, accesul la medicamente eliberate pe bază de rețetă, gestionarea afecțiunilor, medicamentele specializate și serviciile de farmacie prin comenzi prin poștă. Farmaciile sale de proximitate și serviciile extinse de îngrijire sunt concepute pentru a-i ajuta pe oameni să acceseze mai ușor și mai accesibil servicii medicale esențiale. CVS Health reunește asigurările, farmacia și serviciile de sănătate pentru a sprijini persoanele și comunitățile pe tot parcursul experienței lor de îngrijire.
Case Management Analyst – Louisiana Remote
CVS Health is hiring a remote Case Management Analyst in Louisiana to assess member needs, coordinate care, and connect members with appropriate services. The role supports improved health outcomes through education, advocacy, motivational interviewing, and resource navigation.
Descriere
- Assess members comprehensively to identify needs, eligibility, care barriers, and intervention opportunities
- Coordinate member care, support, and education to promote better health outcomes
- Apply motivational interviewing to strengthen 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
- Present cases in interdisciplinary conferences to help achieve appropriate member outcomes
- Recognize and escalate quality-of-care concerns through established processes
- Help members obtain suitable services, benefits, and community resources
- Negotiate access to services and support required to address 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 case management programs, projects, policies, and process implementation
- Use technology and multiple systems to support member care and maintain documentation
- Work independently while balancing organizational priorities and deadlines
Cerințe
- At least two years of experience in case management, behavioral health, social services, healthcare, or a related field
- Experience serving adult and/or adolescent populations
- Strong customer service focus with effective problem-solving ability
- Excellent verbal, written, and telephone communication skills
- Proven motivational interviewing ability, including building rapport and trust by telephone
- High attention to detail and strong documentation skills
- Commitment to compliance, regulatory obligations, and quality standards
- Well organized and self-directed, with the ability to work independently with minimal supervision
- Strong time management and multitasking skills
- Proficiency with computer systems and technology platforms used for case management and documentation
- Ability to work effectively with members, providers, and internal stakeholders
- Willingness to travel up to 50% of the time within 60 miles one way
- Must live in Louisiana
- Availability for a variable schedule, including two evenings per week until 9:00 PM local time
- Ability to meet defined performance and productivity standards
- Bachelor’s degree in healthcare, human services, social work, psychology, sociology, public health, or a related field
- Preferred qualifications include Medicaid, waiver program, or Managed Care Organization experience; Certified Case Manager certification; a master’s degree in a healthcare or related field; crisis intervention, utilization review, case management, or discharge planning experience; experience with QuickBase or similar platforms; proficiency with Microsoft Teams, Outlook, Word, Excel, and SharePoint; and experience coordinating care for complex populations
Beneficii
- 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 for physical, emotional, and financial well-being, subject to eligibility