Analyst, Case Management – Field

CVS Health

. Collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members .

Posted 11/4/2026full-timeNewport News • Virginia • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination, case management, and behavioral health, with a strong focus on member engagement and quality care outcomes. Proficient in evaluating member needs, implementing care plans, and navigating healthcare systems while adhering to regulatory guidelines.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseCare Coordination SkillsMotivational InterviewingBachelor's Degree in Behavioral Health

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Management ToolsBenefit Plan EvaluationCrisis InterventionDischarge PlanningQuality Management Processes

Soft Skills

Member EngagementCoaching and SupportCommunication Skills

Industry Keywords

Managed CareSocial ServicesHealthcare OutcomesTidewater Virginia AreaRegulatory Guidelines

About the role

Key responsibilities & impact

Collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members
Provide care coordination, support, and education using care management tools and resources
Evaluate members’ needs and eligibility and recommend approaches to case resolution
Evaluate benefit plans and available internal and external programs/services
Identify risk factors and service needs affecting member outcomes and care planning
Refer members to clinical case management or crisis intervention when appropriate
Coordinate and implement assigned care plan activities and monitor progress
Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
Present cases at case conferences for multidisciplinary review
Identify and escalate quality-of-care issues through established channels
Negotiate appropriate options and services to meet members’ benefits and healthcare needs
Use motivational interviewing to promote member engagement and lifestyle/behavior changes
Provide coaching, information, and support for independent medical and healthy lifestyle choices
Help members participate knowledgeably in healthcare decision-making with providers
Follow case management and quality management processes, regulatory and accreditation guidelines, and company policies

Requirements

What you’ll need

Virginia-only candidates
Must reside in Tidewater Virginia VA Area
2 years’ experience in behavioral health, social services or appropriate related field equivalent to program focus
Bachelor’s degree or non-licensed master level clinician required
Degree in behavioral health or human services preferred, including psychology, social work, marriage and family therapy, or counseling
Up to 70% travel required in the Tidewater Virginia Area
Case management and discharge planning experience preferred
Managed Care experience preferred

Benefits

Comp & perks

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