Analyst, Case Management

CVS Health

. Conduct comprehensive assessments to evaluate member needs, eligibility, barriers to care, and opportunities for intervention .

Posted 11/5/2026full-timeRemote • Louisiana • United StatesJuniorMid-Level💰 $21 - $37 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management, including conducting assessments, care coordination, and utilizing motivational interviewing techniques to enhance member engagement. Proficient in maintaining compliance with regulatory standards and managing diverse caseloads effectively.

Highest-signal resume keywords

Case Management ExperienceMotivational Interviewing SkillsDocumentation SkillsCustomer Service OrientationBachelor's Degree in Healthcare or Related Field

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementBehavioral HealthCrisis InterventionUtilization ReviewDischarge PlanningAssessment TechniquesCare CoordinationQuality Standards CompliancePerformance Metrics ManagementCommunity Resource Navigation

Soft Skills

Problem-Solving SkillsExcellent Communication SkillsAttention to DetailOrganizational SkillsTime Management

Tools & Technologies

QuickBaseMicrosoft TeamsMicrosoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft SharePoint

Certifications & Qualifications

Certified Case Manager (CCM)

Industry Keywords

Medicaid ExperienceManaged Care Organization (MCO) ExperienceSocial ServicesHealthcareAdult and Adolescent Populations

About the role

Key responsibilities & impact

Conduct comprehensive assessments to evaluate member needs, eligibility, barriers to care, and opportunities for intervention
Provide routine care coordination, support, and education to members to improve health outcomes
Utilize motivational interviewing techniques to increase member engagement and promote healthy lifestyle changes
Empower members to make informed healthcare decisions and actively participate in care plans
Collaborate with case managers, supervisors, medical directors, providers, and other healthcare professionals
Present cases at interdisciplinary case conferences
Identify and escalate quality of care concerns through established channels
Assist members in accessing appropriate services, benefits, and community resources
Negotiate to secure services and support necessary to meet member needs
Maintain accurate, timely, and compliant documentation of case management activities
Meet productivity, quality, and performance metrics while managing a diverse caseload
Support implementation of case management programs, projects, policies, and processes
Utilize technology and multiple systems for member care and documentation
Manage workload independently while maintaining organizational priorities and deadlines

Requirements

What you’ll need

Minimum of two (2) years of experience in case management, behavioral health, social services, healthcare, or a related field
Experience working with adult and/or adolescent populations
Strong customer service orientation with excellent problem-solving skills
Excellent verbal, written, and telephonic communication skills
Demonstrated motivational interviewing skills and ability to establish rapport and trust telephonically
Strong attention to detail with exceptional documentation skills
Commitment to compliance, regulatory requirements, and quality standards
Highly organized and self-motivated with the ability to work independently with minimal supervision
Strong time management and multitasking abilities
Proficiency with computers and technology platforms used for case management and documentation
Ability to interface effectively with members, providers, and internal stakeholders
Ability to work a variable schedule, including two evenings per week until 9:00 PM local time
Ability to meet established performance and productivity metrics
Bachelor's Degree in Healthcare, Human Services, Social Work, Psychology, Sociology, Public Health, or a related field
Preferred: Medicaid experience
Preferred: Waiver program experience
Preferred: Managed Care Organization (MCO) experience
Preferred: Certified Case Manager (CCM) certification
Preferred: Master's degree in a healthcare, social services, or related field
Preferred: Crisis intervention experience and skills
Preferred: Utilization review experience
Preferred: Case management and discharge planning experience
Preferred: Experience with QuickBase or similar case management platforms
Preferred: Proficiency with Microsoft Teams, Outlook, Word, Excel, and SharePoint
Preferred: Previous experience coordinating care for complex populations

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to base pay range
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility