Case Management Analyst - Field in Will and DuPage Counties, IL

CVS Health • Field Township, IL

4d • $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.
• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
• Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently, such as restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
• Must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer with a minimum download speed of 25 mbs download and 3 mbs upload. Wi-Fi and satellite internet are not permitted.
• A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines and allowing for uninterrupted work during work hours.
• Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.

Nice To Haves

• Discharge Planning and/or Managed Care (MCO) experience
• Microsoft Office Suite Experience
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
• Openness to learning new skills in the future as the workplace environment evolves

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 and document activities.
• Ensure compliance with regulatory standards, company policies, and quality management guidelines.

Benefits

• Mileage is reimbursed by our company expense reimbursement policy
• The company will provide equipment (keyboard, monitor, computer, headset, etc.).
• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level