Bilingual Analyst, Case Management - $5,000 New Hire Bonus - Field, Hialeah Florida

CVS Health•Hialeah, FL

About The Position

CVS Health is building a world of health around every individual, shaping a more connected, convenient, and compassionate health experience. The company is seeking passionate colleagues who care deeply, innovate with purpose, hold themselves accountable, and prioritize safety and quality. This position offers a $5,000 New Hire Bonus and requires candidates to be located in Miami Dade county, specifically in the surrounding Hialeah area. The role involves 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. The Case Management Coordinator is a self-motivated, energetic, detail-oriented, highly organized, and tech-savvy individual responsible for telephonically and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate overall wellness. This role involves managing a caseload of supportive and medically complex members, developing proactive courses of action to enhance short and long-term outcomes, and determining appropriate services and supports such as Prior Authorizations, coordination with PCPs and skilled providers, condition management information, medication review, and community resources.

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 Florida, applicable zip codes 33010, 33013, 33016, 33142, 33147
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
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