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CVS Health · 1 day ago

Case Management Analyst - Field - Must reside in Hialeah Florida

Hialeah, FL

Full-time

Onsite

Entry, Mid 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 for millions of Americans. They are seeking a Case Management Coordinator responsible for assessing, planning, implementing, and coordinating case management activities to enhance members' overall wellness.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Candidates must be located in Miami-Dade County, in or near Hialeah (zip codes 33010, 33011, 33012, 33013, 33014, 33015, 33016, 33017, or 33018)

This role will require 50-75% travel for face-to-face visits with members in Miami-Dade County

Schedule is Monday through Friday, 8:00am - 5:00pm, Standard Business Hours

Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness

Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members

Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration

Case Management Coordinators will 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, community resources and supports

Qualification

Behavioral Health experienceLong-Term Care experienceBilingual (English & Spanish)Microsoft WordMicrosoft ExcelMicrosoft OutlookManaged Care experienceCase Management experienceDischarge Planning experienceMultitaskingPrioritizationEffective communicationAdaptability

Required

Bilingual: (English & Spanish)

2+ years of experience in Behavioral Health or a Long-Term Care setting

Must reside in or near Zip Code 33010, 33011, 33012, 33013, 33014, 33015, 33016, 33017, or 33018

Willing and able to travel 50-75% of their time to meet members face to face in Miami-Dade County and surrounding areas in Florida

Computer proficiency in Microsoft Word, Excel, Outlook required

Bachelor's degree required, preferably in Social Work or related field required

Preferred

Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment

Effective communication skills, both verbal and written

Managed Care experience

Case Management and Discharge Planning 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

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.