Bilingual Analyst, Case Management – $5,000 New Hire Bonus - Field, North Miami Florida Area

CVS Health•Hialeah, FL

4d•$21 - $41•Hybrid

About The Position

This position offers a $5,000 New Hire Bonus! This 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, Miramar, Aventura, Hialeah, or Flagler FL. The requirements is for candidates 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.

Nice To Haves

Case Management and Discharge Planning experience.
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
Effective communication skills, both verbal and written.
Managed Care 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.