Case Management Analyst – Field

CVS Health

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

Posted 11/12/2026full-timeBenton • Illinois • United StatesJuniorMid-Level💰 $21 - $45 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination and case management, with a strong focus on member engagement, quality management processes, and compliance with healthcare regulations. Proficient in conducting evaluations, implementing care plans, and facilitating healthcare decision-making.

Highest-signal resume keywords

Case Management ExperienceCare CoordinationMotivational Interviewing SkillsElectronic 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 ManagementCare CoordinationQuality Management ProcessesComprehensive EvaluationsDischarge PlanningBenefit Plan RecommendationsHigh-Risk Factor IdentificationLifestyle Behavior Change PromotionHealthcare Decision-Making SupportRegulatory Compliance

Soft Skills

Influencing SkillsCoaching SkillsCommunication SkillsNegotiation SkillsTeam Collaboration

Tools & Technologies

Microsoft OfficeElectronic Health Records

Industry Keywords

Managed CareHealthcare OutcomesCrisis InterventionMultidisciplinary ReviewQuality of Care Issues

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 based on benefit plans and available programs/services
Identify high-risk factors and service needs, with referrals 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 influencing and motivational interviewing skills to engage members and promote lifestyle/behavior changes
Provide coaching, information, and support to empower members’ 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
Travel up to 75% in Franklin County, Illinois, and surrounding counties

Requirements

What you’ll need

Must reside in the state of Illinois in Franklin County or 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 in a human-services field, or a master’s degree for a non-licensed individual, in a human-services field
Preferred: Case management and discharge planning experience
Preferred: Managed Care experience

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 in addition to base pay