Bilingual Analyst, Case Management - $5,000 New Hire Bonus - Field, Kendall, Cutler Bay, Homestead

CVS Health•Homestead, FL

1d•Hybrid

About The Position

This position offers a $5,000 New Hire Bonus! Candidates must be located in Miami Dade county, in the surrounding Kendall, Cutler Bay, Homestead area. This role will require 50-75% travel for face-to-face visits with members in Miami Dade. The schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking a self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator 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, paid holidays, and flexibility as you coordinate the care of your members. The 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. The Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. They 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.

Requirements

Bilingual, English, and Spanish
Must reside in Kendall, Cutler Bay, Homestead FL or Surrounding Areas
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
1+ year of experience in behavioral health or a long-term care setting
Computer proficiency in Microsoft Word, Excel, and 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