Analyst, Case Management (Field – Must reside in Polk County and Surrounding Areas in FL)

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This Analyst, Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out of Polk County & other Surrounding Areas in Florida. The requirements is for candidates to travel 50-75% of the time to meet with members face to face.

We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will 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. Conducts comprehensive evaluation of Members using care management tools and information/data review.

Coordinates and implements assigned care plan activities and monitors care plan progress. Conducts multidisciplinary review in order to achieve optimal outcomes. Identifies and escalates quality of care issues through established channels. Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Required Qualifications

• Must reside in Polk County FL or Surrounding Areas

• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet members face to face in Polk County and surrounding areas in FL. Mileage is reimbursed per our company expense reimbursement policy

• 1 + year of experience in behavioral health or a long term care setting

Preferred Qualifications

• 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

• Bi-lingual preferred

Education

• Bachelor's Degree required. Degree in Social Work, Behavioral Health, or Human Services field of study preferred.

• Master's degree Preferred.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $36.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/13/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.