Case Management Analyst- Field

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Position SummaryConducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.A Brief OverviewConducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area.What you will doConsults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives.Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes.Identifies and escalates quality of care issues through established channels.Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.Delivers influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.Assists in encouraging members to actively participate with their provider in healthcare decision-making.Conducts comprehensive evaluations of referred members' needs/eligibility using care management tools and recommends an approach to case resolution.For this role you will need Minimum RequirementsDegree in Health Care/Human Services related fieldCase Management ExperienceStrong customer service orientation and problem solving skillsExcellent communication/telephonic skillsExcellent motivational interviewing skills/ability to build rapport and trust telephonicallyExcellence in documentation and respecting compliance/regulatory standardsHighly organized, remain self-driven without direct supervisionManage time effectivelyAchieve performance metricsTechnology proficiencyHighly organized, remain self-drive without direct supervisionAbility to travel within 125 miles round trip for 1 day in the fieldVariable work scheduled with ability to work 2 days weekly until 9pm local timePreferred QualificationsBachelors and/or Master's DegreeCCM certificationPrevious experience in managed care organizationEducationDegree in Health Care/Human Services related field requiredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$21.10 - $36.78This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 04/25/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.