Bilingual Case Management Analyst – Field in West Kendall area of Miami, Fl

CVS HealthField-Florida, FL
$21 - $41Onsite

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. As a Case Manager Analyst you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Using care management tools and data analysis, you assess member needs, identify risks, and develop and implement effective care plans. You collaborate with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits. Through communication, coaching, and motivational techniques, you promote member engagement, informed decision-making, and healthy behavior changes. You are responsible for monitoring care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management guidelines.

Requirements

  • Bilingual (English & Spanish): Must successfully pass both verbal and written language assessments.
  • Must have reliable transportation and be willing/able to travel up to 75% of the time.
  • Must reside in West Kendall area Miami, FL (33184,33165,33186,33193,33196).
  • At least 1 year in a behavioral health or long-term care setting.
  • Proficiency in Microsoft Office Suite as well as computer use.

Nice To Haves

  • Experience in discharge planning, case management, or managed care (MCO).
  • Strong ability to multitask, prioritize, and adapt in a fast-paced environment.
  • Advanced communication skills in both English and Spanish (verbal and written).

Responsibilities

  • Coordinating care, providing education, and facilitating access to appropriate healthcare services.
  • Assessing member needs, identifying risks, and developing and implementing effective care plans using care management tools and data analysis.
  • Collaborating with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits.
  • Promoting member engagement, informed decision-making, and healthy behavior changes through communication, coaching, and motivational techniques.
  • Monitoring care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management guidelines.

Benefits

  • New Hire Bonus Available
  • Mileage is reimbursed per company policy.
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility
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