CVS Health is a leading health solutions company dedicated to transforming health care. They are seeking a Bilingual Analyst in Case Management responsible for assessing and coordinating care for members, ensuring their overall wellness through effective case management.
Responsibilities
- 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
- Effectively manage a caseload that includes supportive and medically complex members
- Develop 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
- 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
Skills
- Bi-lingual (English and Spanish)
- Must reside in zip code 33615 or 33635, or within 2-3 miles
- Willing and able to travel 50-75% of their time to meet members face to face in Hillsborough County and surrounding areas in FL
- 1+ years of experience in behavioral health or a long-term care setting
- Computer proficiency in Microsoft Word, Excel, and Outlook
- Bachelor's Degree required, in Social Service or related field (social services field - psychology, health administration)
- 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, 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.
Company Overview
CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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