Analyst Case Management
We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time.

This position offers a $5,000 New Hire Bonus!

This Analyst Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and is a field-based position out of North Miami, Miramar, Aventura, Hialeah, or Flagler FL. The requirement is for candidates to travel 50-75% of the time to meet with members face to face.

Schedule is Monday-Friday, 8:00am-5:00pm, standard business hours.
Position Summary
We are seeking self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. This opportunity offers a competitive salary and full benefits. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Case Management Coordinator will effectively manage a caseload that includes supportive and medically complex members. Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration. Case Management Coordinators will determine appropriate services and supports due to member's health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Required Qualifications

• Bi-lingual in English and Spanish.
• 1+ year of experience in behavioral health or a long-term care setting.
• Computer proficiency in Microsoft Word, Excel, and Outlook.
• Must reside in North Miami, Pembroke, Miramar, Aventura, Hialeah, or Flagler FL.
• 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 North Miami FL. Mileage is reimbursed per our company expense reimbursement policy.

Preferred Qualifications

• Strongly prefers Case Management and Discharge Planning experience.
• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
• Effective communication skills, both verbal and written.
• Managed Care experience.

Education

• Bachelor's degree required, preferably in Social Work or related field.
• Master's degree preferred.

Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is: $21.10 - $40.90
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.