Bilingual Analyst, Case Management, CVS Health

CVS Health

Location:
United States, Miami

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

21.10 - 36.78 USD / Hour

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Job Description:

This Analyst Case Management position is with Aetna’s Long-Term Services and Supports (LTSS) team and is a field-based position out in zip code 33142 or 33147, or surrounding areas. Responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating case management activities for members to facilitate wellness.

Job Responsibility:

Telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness
Effectively manage a caseload that includes supportive and medically complex members
Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration
Determine appropriate services and supports due to member's health needs, including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports

Requirements:

Must reside in zip code 33142 or 33147 or Surrounding Areas
Bilingual, English, and Spanish
Willing and able to travel 50-75% of their time to meet members face to face in Miami Dade county and surrounding areas in FL
1+ year of experience in behavioral health or a long-term care setting
3+ years Case Management Experience

Nice to have:

Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
Effective communication skills, both verbal and written
Managed Care experience
Computer proficiency in Microsoft Word, Excel, and Outlook required
Case management and discharge planning experience

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
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

Additional Information:

Job Posted:
August 02, 2025

Expiration:
August 24, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Bilingual Analyst, Case Management