Bilingual Analyst, Case Management – Feld Based - Must reside in North Miami Florida

CVS Health • Hialeah, FL

23h • $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 Bilingual Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of North Miami, Pembroke, Miramar, Aventura, Hialeah, or Flagler FL. The requirements is for candidates to travel 50-75% of the time to meet with members face to face. Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours. We are seeking 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. 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

Requirements

• Bi-lingual in English and Spanish.
• 1+ year of experience in behavioral health or a long-term care setting
• Computer proficiency in Microsoft Word, Excel, and Outlook
• Must reside in North Miami, Pembroke, Miramar, Aventura, Hialeah, or Flagler FL
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet members face to face in North Miami FL. Mileage is reimbursed per our company expense reimbursement policy

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.
• Bachelor's degree required, preferably in Social Work or related field.
• Master’s degree preferred

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
• 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
• 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