Bilingual Analyst, Case Management – Field – Must reside in zip codes 33142 or 33147

CVS Health • Hialeah, FL

26d • $21 - $41 • Onsite

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This Case Management Analyst position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position. Candidates must be located in Miami-Dade County, specifically in zip codes 33142 or 33147. 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. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Analyst to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday - Friday working schedule (8:00am – 5:00pm), paid holidays, and flexibility as you coordinate the care of your members. Case Management Analyst 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 Analyst will effectively manage a caseload that includes supportive and medically complex members. Case Management Analyst will 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. Case Management Analyst 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.

Requirements

• Bilingual: (English & Spanish).
• Must reside in zip codes 33042 or 33147.
• 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.
• 1+ year of experience in behavioral health or a long-term care setting.
• Computer proficiency in Microsoft Word, Excel, and Outlook required.

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

• Case Management Analyst 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 Analyst will effectively manage a caseload that includes supportive and medically complex members.
• Case Management Analyst will 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.
• Case Management Analyst 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level