Analyst, Case Management – Region 2

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Perform thorough evaluations to assess member needs, eligibility, barriers to care, and potential intervention opportunities.

• Offer regular care coordination, support, and education to members aimed at enhancing health outcomes.

• Apply motivational interviewing techniques to boost member engagement and encourage healthy lifestyle modifications.

• Enable members to make informed healthcare choices and actively engage in their care plans.

• Collaborate with case managers, supervisors, medical directors, providers, and other healthcare professionals.

• Present cases during interdisciplinary case conferences.

• Recognize and escalate quality of care issues through designated channels.

• Assist members in obtaining necessary services, benefits, and community resources.

• Negotiate to secure services and support essential for addressing member needs.

• Keep precise, timely, and compliant documentation of case management activities.

• Achieve productivity, quality, and performance metrics while handling a diverse caseload.

• Support the implementation of case management programs, projects, policies, and processes.

• Leverage technology and various systems to enhance member care and documentation.

• Independently manage workload while adhering to organizational priorities and deadlines.

⛳️ Requirements

• Must be a resident of Louisiana.

• At least two (2) years of experience in case management, behavioral health, social services, healthcare, or a related area.

• Experience working with adult and/or adolescent populations.

• Strong customer service focus with excellent problem-solving abilities.

• Outstanding verbal, written, and telephone communication skills.

• Proven motivational interviewing capabilities and the ability to build rapport and trust over the phone.

• Exceptional attention to detail with strong documentation skills.

• Commitment to compliance, regulatory mandates, and quality standards.

• Highly organized and self-driven, capable of working independently with minimal oversight.

• Strong time management and multitasking skills.

• Proficiency in computer systems and technology platforms utilized for case management and documentation.

• Ability to effectively engage with members, providers, and internal stakeholders.

• Willingness to travel up to 50% of the time within a 60-mile radius one way.

• Flexibility to work a variable schedule, including two evenings per week until 9:00 PM local time.

• Ability to meet established performance and productivity goals.

• Bachelor's Degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or a related field is required.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources to support physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.