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CVS Health · 10 hours ago

Analyst, Case Management (EST)

Augusta, ME

Full-time

Onsite

Entry Level

$21.10/hr - $36.78/hr

2+ years exp

CVS Health is a leading health solutions company dedicated to transforming healthcare for consumers. The Analyst, Case Management role involves coordinating care for dual eligible populations, conducting health risk surveys, and collaborating with a multidisciplinary team to address healthcare and social needs.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care

Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs

Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe

Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues

Advocacy: Passionately support the member’s care coordination needs and drive solutions to address those needs

Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health

Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies

Qualification

Care CoordinationBehavioral Health ExperienceMicrosoft Office SuiteCase Management ExperienceManaged Care ExperienceCustomer Service SkillsMotivational InterviewingCommunication SkillsProblem-Solving SkillsCollaboration Skills

Required

2+ years in behavioral health, social services, or a related field relevant to the program focus

Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role

Access to a private, dedicated workspace to fulfill job requirements effectively

High School Diploma with equivalent experience (REQUIRED)

Preferred

Case Management and Discharge Planning Experience

Managed Care Experience

Associate's or Bachelor's Degree or non-licensed master's level clinician in behavioral health or human services (psychology, social work, marriage and family therapy, counseling) or equivalent experience

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Paid time off

Flexible work schedules

Family leave

Dependent care resources

Colleague assistance programs

Tuition assistance

Retiree medical access