Case Management Analyst

CVS Health

. Manage a full caseload of waiver members .

Posted 11/5/2026full-timeChicago • Illinois • United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and care coordination for waiver and LTSS members, with a strong focus on healthcare outcomes, member engagement, and compliance with regulatory standards. Proficient in conducting comprehensive evaluations and facilitating access to necessary services while utilizing motivational interviewing techniques.

Highest-signal resume keywords

Case Management ExperienceCare CoordinationMotivational InterviewingManaged Care ExperienceMulti-Lingual Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case ManagementDischarge PlanningComprehensive EvaluationsQuality Management ProcessesHealthcare Outcomes FacilitationRegulatory ComplianceElectronic Health Record ExperienceMicrosoft Office 365Internet Connection ManagementTechnical Issue Resolution

Soft Skills

Member EngagementCoaching and SupportCommunication SkillsProblem-SolvingTeam Collaboration

Tools & Technologies

EHR PortalsVPNMicrosoft OfficeGoogle WorkspaceTeams Messaging

Certifications & Qualifications

Valid Illinois Driver’s License

Industry Keywords

Waiver MembersLTSSHIV and AIDS PopulationHealthcare Decision-MakingQuality-of-Care Issues

About the role

Key responsibilities & impact

Manage a full caseload of waiver members
Travel 50–75% of the time to meet members face to face
Conduct in-person quarterly member visits
Facilitate healthcare outcomes for waiver/LTSS members through care coordination, support, and education
Conduct comprehensive evaluations of member needs and eligibility
Recommend case-resolution approaches based on benefit plans and available programs/services
Identify high-risk factors and service needs
Refer members to clinical case management or crisis intervention when appropriate
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 options and services for members’ benefits and healthcare needs
Use motivational interviewing to promote member engagement and lifestyle/behavior changes
Coach and support members in making independent medical and healthy-lifestyle choices
Help members participate knowledgeably in healthcare decision-making with providers
Apply case-management and quality-management processes in compliance with regulatory, accreditation, and company guidelines

Requirements

What you’ll need

Must reside in Illinois in the west side of Chicago area
Valid Illinois Driver’s license
Reliable transportation
Willing and able to travel up to 75% of the time
Minimum of two (2) years of case management experience
Microsoft Office and electronic health record experience
Bachelor’s degree in a human-services field, or a master’s degree for a non-licensed individual, in a human-services field
Case management and discharge planning experience preferred
Managed Care experience preferred
Experience working with HIV and AIDS population preferred
Multi-lingual language proficiency preferred
Direct/hardwired internet connection to a modem/router within 7 feet of the computer
Minimum download speed of 25 Mbps and upload speed of 3 Mbps
Wi-Fi and satellite internet are not permitted
Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Must provide workspace furniture
Ability to use multiple monitors and navigate multiple applications
Ability to use email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 applications or similar tools such as Google Workspace
Ability to log in to secure systems such as VPN and EHR portals
Ability to manage strong passwords and recognize suspicious emails or links
Ability to resolve common technical issues independently
Openness to learning new skills as the workplace evolves

Benefits

Comp & perks

New hire bonus available
Mileage reimbursement per company expense reimbursement policy
Company-provided equipment (keyboard, monitor, computer, headset, etc.)
Medical, dental, and 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 may be available in addition to base pay