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Case Management Analyst
CVS Health. Provide comprehensive care management services to members enrolled in the New York Managed Long Term Care (MLTC) Plan .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management and psychosocial assessments, with a strong focus on developing person-centered service plans and coordinating long-term services and supports. Proficient in navigating New York Medicaid and Medicare systems while promoting member independence and health outcomes.
Highest-signal resume keywords
Active New York State Social Work License (LMSW or LCSW)2 Years Experience in Care ManagementPsychosocial Assessment ExpertiseKnowledge of Managed Long Term Care (MLTC)Proficiency in Microsoft Office Applications
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care ManagementCase ManagementPsychosocial AssessmentPerson-Centered Care PlansLong-Term Services and Supports (LTSS)Behavioral HealthHome CareElectronic Documentation Systems
Soft Skills
Strong Communication SkillsCare CoordinationAdvocacyOrganizational SkillsProblem-Solving Skills
Certifications & Qualifications
Master's Degree in Social Work (MSW)
Industry Keywords
New York MedicaidMedicareManaged Long Term Care (MLTC)Social Determinants of HealthQuality Care Delivery
About the role
Key responsibilities & impact- Provide comprehensive care management services to members enrolled in the New York Managed Long Term Care (MLTC) Plan
- Conduct psychosocial assessments and identify member needs
- Develop and implement person-centered service plans
- Coordinate long-term services and supports
- Facilitate access to medical, behavioral health, and community resources
- Collaborate with members, caregivers, providers, and interdisciplinary teams
- Promote member independence and improve health outcomes
- Address social determinants of health
- Ensure delivery of quality, cost-effective care
- Conduct member visits within the assigned service area as needed
Requirements
What you’ll need- Active and unrestricted New York State Social Work license (LMSW or LCSW), as required
- Minimum 2 years of experience in care management, case management, managed care, behavioral health, long-term care, home care, or a related healthcare setting
- Knowledge of New York Medicaid, Medicare, Managed Long Term Care (MLTC), and Long-Term Services and Supports (LTSS)
- Experience conducting psychosocial assessments and developing person-centered care plans
- Strong communication, care coordination, advocacy, organizational, and problem-solving skills
- Ability to work collaboratively with interdisciplinary teams, providers, members, and caregivers
- Proficiency in Microsoft Office applications and electronic documentation systems
- Ability to travel within the assigned service area to conduct member visits as needed
- Master's Degree in Social Work (MSW) from an accredited college or university required
- Equivalent combination of education and relevant care management experience may be considered where applicable
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay