Case Management Analyst - Field in Ogle County, IL

CVS Health•Field Township, IL

24d•$21 - $45•Remote

About The Position

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

Minimum 2 years of case management experience
Must possess reliable transportation
Willing and able to travel up to 75% of the time
Proficiency in Microsoft Office Suite
Proficiency in computer use

Nice To Haves

Discharge Planning
Managed care (MCO)
Strong ability to multitask, prioritize, and adapt in a fast-paced environment

Responsibilities

Coordinating care
Providing education
Facilitating access to appropriate healthcare services
Assessing member needs
Identifying risks
Developing and implementing effective care plans
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
Ensuring compliance with regulatory standards, company policies, and quality management guidelines