Case Management Analyst - Field

CVS Health

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

Posted 10/2/2026full-timeRemote • Virginia • United StatesJuniorMid-Level💰 $21 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and care coordination, with a strong focus on behavioral health and social services. Proficient in evaluating member needs, implementing care plans, and ensuring compliance with regulatory standards.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseMotivational InterviewingManaged Care KnowledgeTravel Flexibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationBenefit Plan EvaluationCrisis InterventionQuality Management ProcessesDischarge Planning

Soft Skills

CommunicationCoachingNegotiationMember Engagement

Certifications & Qualifications

LMHPRNLPNQMHPLMSWLBSWMSWBSW

Industry Keywords

Healthcare OutcomesCase ResolutionRisk FactorsMultidisciplinary ReviewLTSS

About the role

Key responsibilities & impact

Collaborate and inform the case management process to facilitate appropriate healthcare outcomes for members
Provide care coordination, support, education, coaching, and information to members
Evaluate members’ needs and eligibility and recommend case-resolution approaches
Evaluate benefit plans and available internal and external programs/services
Identify risk factors and service needs and refer to clinical case management or crisis intervention as 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
Negotiate appropriate options and services to meet members’ benefits and healthcare needs
Use motivational interviewing to promote member engagement and lifestyle/behavior changes
Help members participate knowledgeably in healthcare decision-making
Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Travel to meet members face to face in the Danville, Virginia region

Requirements

What you’ll need

2 years’ experience in behavioral health, social services or appropriate related field equivalent to program focus
Must reside in Danville, Virginia or Surround Areas
Must possess reliable transportation
Must be willing and able to travel up to 75% of the time
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, marriage and family therapy, counseling)
Certification in LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW preferred
Case management and discharge planning experience preferred
Managed Care experience preferred
LTSS experience preferred

Benefits

Comp & perks

Mileage is reimbursed per our company expense reimbursement policy
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 in addition to base pay range