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Analyst, Case Management - Remote

Posted 2 days ago
Customer Service
Full Time
USA
$21.10 - $44.99/hour

Overview

As an Analyst in Case Management at CVS Health, you will play a critical role in providing exceptional care to dual eligible populations, collaborating with various stakeholders to meet the healthcare and social needs of members.

In Short

  • Conduct annual Health Risk Surveys for member evaluation.
  • Coordinate care activities with interdisciplinary team members.
  • Identify and escalate health/safety risks to care managers.
  • Support members' care coordination needs with advocacy.
  • Engage members using problem-solving and motivational interviewing techniques.
  • Document care coordination processes in compliance with guidelines.
  • Meet performance metrics related to member engagement.
  • Utilize healthcare technology tools effectively.
  • Maintain professional relationships with members and colleagues.
  • Demonstrate integrity and professionalism in all interactions.

Requirements

  • 2+ years in behavioral health, social services, or a related field.
  • Proficient in Microsoft Office Suite.
  • Access to a private workspace for job requirements.
  • High School Diploma or equivalent experience required.
  • Preferred: Associate’s or Bachelor’s Degree in relevant fields.
  • Experience in case management and discharge planning.
  • Knowledge of managed care processes.

Benefits

  • Comprehensive medical plan options.
  • 401(k) plan with company matching contributions.
  • No-cost wellness programs and counseling services.
  • Flexible work schedules and paid time off.
  • Tuition assistance and dependent care resources.
  • Employee stock purchase plan.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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