Analyst, Case Management – Field

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger — helping to simplify health care one person, one family and one community at a time.

Must reside within this region to be considered:

Region 2:
West Feliciana, East Feliciana, Pointe Coupee, West Baton Rouge, East Baton Rouge, Iberville, Ascension

Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.

Conducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.

• Consults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives.

• Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes.

• Identifies and escalates quality of care issues through established channels.

• Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.

• Delivers 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.

• Assists in encouraging members to actively participate with their provider in healthcare decision-making.

• Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools and recommends an approach to case resolution.

• Demonstrated attention to detail.

• Ability to travel up to 50% of time.

• Ability to interface with customers/clients.

• 2+ years’ experience in behavioral health, social services or appropriate related field equivalent to program focus.

• 2+ years’ experience with adult and/or adolescent populations.

• Must reside in Louisiana

• Medicaid experience.

• Waiver experience

• Crisis intervention skills

• Managed care/utilization review experience

• Familiarity with Quick Base

• Case management and discharge planning experience

• Demonstrated proficiency with personal computer, keyboard navigation, and mouse

• Familiarity and proficiency with MS Office Suite applications including MS Teams, Outlook, Word, Excel, and SharePoint.

Bachelors Degree

40

Full time

The typical pay range for this role is:

$21.10 – $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

We take pride in our comprehensive and competitive mix of pay and benefits — investing in the physical, emotional and financial wellness of our colleagues and their families to…