Case Management Analyst – Field

CVS Health

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

Posted 10/21/2026full-timeHarrisonburg • 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 quality management processes while ensuring compliance with regulatory and accreditation standards. Proficient in motivational interviewing and member engagement strategies to promote healthy lifestyle choices and informed healthcare decision-making.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseMotivational InterviewingManaged Care ExperienceLTSS Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationCase Resolution ApproachesBenefit Plan EvaluationQuality Management ProcessesDischarge Planning

Soft Skills

Member EmpowermentCommunicationCollaborationNegotiationCoaching

Tools & Technologies

Care Management ToolsHealthcare Decision-Making Resources

Certifications & Qualifications

LMHPQMHPLMSWLBSWMSWBSW

Industry Keywords

Behavioral HealthSocial ServicesHuman ServicesField-Based RoleQuality of Care Issues

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 case-resolution approaches
Evaluate benefit plans and available internal and external programs and services
Identify risk factors and service needs and make appropriate referrals
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 multidisciplinary case conferences
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 healthy lifestyle changes
Coach and empower members to make independent medical and healthy lifestyle choices
Help members participate knowledgeably in healthcare decision-making
Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements
Meet members face to face in a field-based role

Requirements

What you’ll need

2 years’ experience in behavioral health, social services or an appropriate related field equivalent to program focus
Must reside in Harrisonburg, Virginia or surrounding 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
Degree preferably in behavioral health or human services, including psychology, social work, marriage and family therapy, or counseling
Certification in LMHP, 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 coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being, based on eligibility
CVS Health bonus, commission or short-term incentive program eligibility