Intensive Case Management Analyst- Field- Must reside in Jefferson County

CVS Health • Field, KY

4d • $21 - $37 • Onsite

About The Position

Aetna Better Health, part of CVS Health, is hiring Case Management Coordinators for Kentucky. The role uses critical thinking and professional judgment to support case management and improve member health outcomes through advocacy, coordination, support, and education, using care management tools and resources.

This is a field position assigned to Jefferson County, Kentucky. It requires regional in-state travel 80–90% of the time, including visits to members’ homes, schools, hospitals, doctors’ offices, and DCBS offices. Travel to the Louisville office for meetings and training is also anticipated. Candidates must reside in Jefferson County and have reliable transportation. Flexibility beyond core business hours of Monday through Friday, 8 a.m.–5 p.m. EST is required to accommodate children and families, including after-school and after-work needs.

The position evaluates member needs and benefits, identifies risk factors, coordinates wellness care plans, and monitors care needs. It works with case managers, supervisors, Medical Directors, and other programs to resolve barriers and improve outcomes. The role also supports quality care, member engagement, informed healthcare decisions, and compliance with regulatory, accreditation, and company requirements.

The position is full-time, with 40 anticipated weekly hours. The typical pay range is $21.10–$36.78 per hour. The role may also be eligible for a CVS Health bonus, commission, or short-term incentive program. The application window is anticipated to close on November 30, 2026.

Requirements

• At least 6 months of experience in foster care and juvenile justice systems, adoption assistance, behavioral health services, trauma-informed care, ACEs, crisis intervention services, or evidence-based practices applicable to Kentucky SKY populations.
• At least 2 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
• At least 1 year of experience using MS Office Suite applications, including Word and Excel.
• Willingness and ability to travel 80–90% of the time to meet members face-to-face in the assigned region.
• Must reside in Jefferson County, Kentucky.
• Reliable transportation.
• Bachelor’s or master’s degree in behavioral health or a relevant human services field, such as social work, psychology, marriage and family therapy, or counseling; a non-licensed master-level clinician is also accepted.
• Flexibility to work beyond Monday–Friday, 8 a.m.–5 p.m. EST, as member and family needs require.

Nice To Haves

• At least 3 years of experience in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling.
• At least 1 year of managed care organization (MCO) experience.

Responsibilities

• Evaluate members’ care needs using care management assessments and information or data review, considering benefit plans and available programs and services.
• Identify high-risk factors and service needs that may affect member outcomes, and implement early, proactive support interventions.
• Coordinate and implement wellness care plan activities and monitor member care needs.
• Consult with case managers, supervisors, Medical Directors, and other health programs to address barriers to care goals and objectives.
• Present cases at case conferences to obtain multidisciplinary review and support optimal outcomes.
• Identify and escalate quality-of-care issues through established channels.
• Use negotiation skills to secure appropriate options and services that meet members’ benefit and healthcare needs.
• Use influencing and motivational interviewing skills to promote member engagement and lifestyle or behavior changes.
• Provide coaching, information, and support to help members make independent medical and healthy-lifestyle choices.
• Help members participate actively and knowledgeably in healthcare decisions with their providers.
• Use case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
• Travel within the assigned region for face-to-face member visits and travel to the Louisville office for meetings and training.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Potential eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

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