Case Management Analyst - Field Elgin, IL and surrounding areas

CVS Health•Streamwood, IL

12d•$21 - $45•Remote

About The Position

As an Analyst, Case Manager, 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

2 or more years of behavioral health, social services or human services field experience
2 or more years’ case management experience
Must possess reliable transportation and be willing and able to travel up to 75% of the time.
Mileage is reimbursed by our company expense reimbursement policy

Nice To Haves

Discharge Planning and/or Managed Care (MCO) experience
Microsoft Office Suite Experience

Responsibilities

Coordinate care, provide education, and facilitate access to appropriate healthcare services.
Assess member needs, identify risks, and develop and implement effective care plans using care management tools and data analysis.
Collaborate with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits.
Promote member engagement, informed decision-making, and healthy behavior changes through communication, coaching, and motivational techniques.
Monitor care plan progress, document activities, and ensure compliance with regulatory standards, company policies, and quality management guidelines.