Case Management Analyst – Field

CVS Health

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

Posted 11/5/2026full-timeRoanoke • 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 behavioral health, with a strong focus on evaluating member needs and implementing effective care plans. Proficient in motivational interviewing and navigating healthcare decision-making processes to enhance member outcomes.

Highest-signal resume keywords

Case Management ExperienceBehavioral Health ExpertiseMotivational InterviewingManaged Care KnowledgeLTSS Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationCase Resolution ApproachesQuality Management ProcessesBenefit Plan EvaluationCrisis Intervention

Soft Skills

CommunicationCoachingNegotiationCollaborationProblem-Solving

Tools & Technologies

Care Management ToolsHealthcare Decision-Making Resources

Certifications & Qualifications

LMHPQMHPLMSWLBSWMSWBSW

Industry Keywords

Behavioral HealthSocial ServicesDischarge PlanningLTSSAccreditation Compliance

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 refer members 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 engage members and promote lifestyle or 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 requirements

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 Roanoke, 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 in behavioral health or human services preferred, 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