Bilingual Analyst, Case Management – Field – reside in North Miami Florida

Bilingual Analyst, Case Management – Field – Must reside in North Miami Florida

Join to apply for the Bilingual Analyst, Case Management – Field – Must reside in North Miami Florida role at CVS Health.

This Bilingual Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is field-based with travel 50-75% on schedule Monday-Friday 8:00am-5:00pm. The role requires self-motivated, energetic, detail‑oriented, highly organized, tech‑savvy Case Management Coordinator to assess, plan, implement, and coordinate case management activities with members to evaluate medical needs and facilitate wellness through integration of prior authorization, coordination with PCP, condition management, medication review, and community resources.

• Telephonically and/or face‑to‑face assessing, planning, implementing, and coordinating all case management activities with members.
• Effectively manage a caseload that includes supportive and medically complex members.
• Develop proactive courses of action to address issues presented to enhance short‑ and long‑term outcomes.
• Determine appropriate services and supports due to member’s health needs, including but not limited to prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources.

• Bi‑lingual in English and Spanish.
• 1+ year of experience in behavioral health or a long‑term care setting.
• Must reside in North Miami, Pembroke, Miramar, Aventura, Hialeah, or Flagler FL.
• Reliable transportation and willing to travel up to 50‑75% of time to meet members face‑to‑face; mileage reimbursed per company policy.

• Ability to multitask, prioritize, and effectively adapt to a fast‑paced changing environment.
• Effective communication skills, both verbal and written.
• Managed Care experience.
• Computer proficiency in Microsoft Word, Excel, and Outlook; case management and discharge planning experience.

• Bachelor’s degree required, preferably in Social Work or a related field.
• Master’s degree preferred.

40

Full time

Base hourly rate: $21.10 – $36.78 per hour. Additional incentive programs may apply.

• Affordable medical plan options, 401(k) plan with matching contributions, and employee stock purchase plan.
• No‑cost programs: wellness screenings, tobacco cessation, weight‑management, confidential counseling, financial coaching.
• Paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance, tuition assistance, and retiree medical access (subject to eligibility).

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

The application window will close on 12/22/2025.