Case Management Analyst

CVS Health

. Facilitate appropriate healthcare outcomes for members through care coordination, support, and education .

Posted 10/5/2026full-timeBelleville • Illinois • United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care coordination, case management, and quality management processes, ensuring compliance with regulatory and accreditation standards. Proficient in conducting comprehensive evaluations and facilitating healthcare decision-making for members.

Highest-signal resume keywords

Case Management ExperienceCare CoordinationMotivational InterviewingElectronic Health Record ExperienceBachelor’s Degree In Human Services

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementQuality Management ProcessesComprehensive EvaluationsBenefit Plan EvaluationDischarge Planning

Soft Skills

Member EngagementCoachingCommunication

Tools & Technologies

Microsoft OfficeElectronic Health Record

Industry Keywords

Healthcare OutcomesManaged CareRegulatory ComplianceAccreditation StandardsHigh-Risk Factors

About the role

Key responsibilities & impact

Facilitate appropriate healthcare outcomes for members through care coordination, support, and education
Conduct comprehensive evaluations of referred members’ needs and eligibility
Recommend case-resolution approaches by evaluating benefit plans and available programs/services
Identify high-risk factors and service needs, with appropriate referrals
Coordinate and implement care plan activities and monitor progress
Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
Present cases at multidisciplinary case conferences
Identify and escalate quality-of-care issues
Negotiate appropriate services for members’ benefit and healthcare needs
Use motivational interviewing to promote member engagement and healthy behavior changes
Provide coaching, information, and support for independent healthcare choices
Help members participate in healthcare decision-making with providers
Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements

Requirements

What you’ll need

Must reside in Illinois in St. Clair County or the surrounding area
Valid Illinois Driver’s license
Reliable transportation
Willingness and ability to travel up to 75% of the time
Minimum of two (2) years of case management experience
Microsoft Office experience
Electronic health record experience
Bachelor’s degree or a master’s degree for a non-licensed individual, with either degree in a human-services field
Preferred: Case management and discharge planning experience
Preferred: Managed Care experience

Benefits

Comp & perks

Mileage is reimbursed per company expense reimbursement policy
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 eligibility