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

CVS Health•Hialeah, FL

23h•Onsite

About The Position

CVS Health is building a world of health around every individual, shaping a more connected, convenient, and compassionate health experience. Colleagues are passionate, innovative, 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 (Hialeah, zip codes 33010, 33012, 33013, 33014, 33015, 33016, 33018). The role involves 50-75% travel for face-to-face visits with members in Miami-Dade County. The schedule is Monday through Friday, 8:00 AM - 5:00 PM, standard business hours. The company seeks self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Analysts to join their team. This opportunity provides a competitive salary and full benefits, promoting autonomy through a consistent working schedule, paid holidays, and flexibility in coordinating member care. Case Management Analysts are responsible for telephonically and/or face-to-face assessing, planning, implementing, and coordinating all case management activities to evaluate members' medical needs and facilitate overall wellness. They will manage a caseload of supportive and medically complex members, developing proactive courses of action to enhance short and long-term outcomes and overall wellness through integration. Analysts will determine appropriate services and supports based on member health needs, including prior authorizations, coordination with PCPs and skilled providers, condition management information, medication review, and community resources.

Requirements

Bilingual: (English & Spanish)
1+ years of experience in Behavioral Health or a Long-Term Care setting
Computer proficiency in Microsoft Word, Excel, Outlook required
Must reside in Miami-Dade County, FL (Hialeah, zip codes 33010, 33012, 33013, 33014, 33015, 33016, 33018)
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
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