CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Bilingual Analyst, Case Management will manage a caseload of supportive and medically complex members, providing care coordination and utilizing care management tools to facilitate healthcare outcomes.
Responsibilities
- Effectively manage a caseload that includes supportive and medically complex members
- Utilize critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources
- Conduct comprehensive evaluation of Members using care management tools and information/data review
- Coordinate and implement assigned care plan activities and monitor care plan progress
- Conduct multidisciplinary review in order to achieve optimal outcomes
- Identify and escalate quality of care issues through established channels
- Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
- Utilize influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
Skills
- Bi-lingual in English & Spanish required
- Must reside in East Tampa FL (Applicable Zip Codes: 33617 or 33612)
- Willing and able to travel 50-75% of their time to meet members face to face in Tampa or surrounding areas
- 1 + year of experience in behavioral health or a long term care setting
- Bachelor's Degree required. Degree in Social Work, Behavioral Health, or Human Services field of study preferred
- Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
- Effective communication skills, both verbal and written
- Managed Care experience
- Computer proficiency in Microsoft Word, Excel, and Outlook required
- Case management and discharge planning experience
- Master's degree Preferred
Benefits
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company Overview
CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.
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