Bilingual Analyst, Case Management – $5,000 New Hire Bonus - Field, Hialeah and Miami Lakes Florida

CVS Health•Hialeah, FL

1d•Onsite

About The Position

CVS Health is building a world of health around every individual, aiming to shape a more connected, convenient, and compassionate health experience. The company fosters a workplace where colleagues are passionate, innovative, accountable, and prioritize safety and quality. This position, a Case Management Coordinator, is part of the Case Management team and offers a $5,000 New Hire Bonus. Candidates must reside in Miami Dade county, specifically in the Hialeah and Miami Lakes area, and the role requires 50-75% travel for face-to-face visits with members in Miami Dade. The schedule is Monday-Friday, 8:00am-5:00pm, offering autonomy, paid holidays, and flexibility in coordinating member care. The role provides a competitive salary and full benefits.

Requirements

Bilingual, English, and Spanish.
Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL.
Must reside in Hialeah and Miami Lakes Florida or Surrounding Areas.
1+ year of experience in behavioral health or a long-term care setting.
Computer Proficiency in Microsoft Word, Excel, Outlook required.
Bachelor's degree required, preferably in social work or related field.

Nice To Haves

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.

Responsibilities

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.
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.