Apply on Employer Site

CVS Health · 21 hours ago

Analyst, Case Managment- Field

Baton Rouge, LA

Full-time

Hybrid

Entry Level

$21.10/hr - $36.78/hr

2+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Analyst in Case Management will conduct routine care coordination and support through care management resources to facilitate appropriate healthcare outcomes for members, implementing projects and processes for effective case management.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

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

Qualification

Case managementBehavioral health experienceCrisis intervention skillsMedicaid experienceManaged care experienceQuickBase familiarityMS Office proficiencyMotivational interviewingCustomer interfaceAttention to detailNegotiation skills

Required

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

Bachelors Degree

Preferred

Medicaid experience

Waiver experience

Crisis intervention skills

Managed care/utilization review experience

Familiarity with QuickBase

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

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

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

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.