# Analyst, Case Manager

**Company**: CVS Health
**Location**: St Clair County, IL
**Work arrangement**: hybrid
**Job type**: full-time
**Salary**: $21.10 - $44.99
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Belleville/Case-Management-Analyst---Field-in-St-Clair-County-Illinois-or-Surrounding-Areas_R1095655-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/analyst-case-manager-98b3ca42-435/

## Description

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

As a Analyst, Case Manager, you will facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.

**Responsibilities**

- Evaluate members' needs and eligibility, and recommend approaches to case resolution and/or meeting needs by assessing their benefit plans and available internal and external programs/services.

- Identify high-risk factors and service needs that may impact member outcomes and care planning components, making referrals to clinical case management or crisis intervention as needed.

- Coordinate and implement assigned care plan activities, monitoring care plan progress.

- Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives.

- Present cases at case conferences to obtain multidisciplinary reviews for optimal outcomes.

- Identify and escalate quality of care issues through established channels.

- Utilize negotiation skills to secure suitable options and services necessary to meet members' benefits and/or healthcare needs.

- Employ influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes for optimum health.

- Provide coaching, information, and support to empower members to make ongoing independent medical and/or healthy lifestyle choices.

- Help members actively and knowledgeably participate with their providers in healthcare decision-making.

- Utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

**Requirements**

- Reside in St Clair County, IL or surrounding areas.

- Willing and able to travel 50-75% of the time to meet members face-to-face.

- Minimum 2 years of experience in behavioral health, social services, or human services field.

- Minimum 2 years of case management experience.

**Preferred Qualifications**

- Discharge planning experience.

- Managed care experience.

- Microsoft Office experience.

**Education**

- Bachelor's degree or non-licensed master's level clinician required, with either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling).

**Anticipated Weekly Hours**

- 40 hours per week.

**Time Type**

- Full-time.

**Pay Range**

- $21.10 - $44.99 per hour.

**Benefits**

- Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

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## Skills

### Required
- case management
- behavioral health
- social services
- human services

### Nice to have
- discharge planning
- managed care
- Microsoft Office

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/IL---Belleville/Case-Management-Analyst---Field-in-St-Clair-County-Illinois-or-Surrounding-Areas_R1095655-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)