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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.
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:
Bilingual: (English & Spanish)
2+ years of experience in Behavioral Health or a Long-Term Care setting
Must reside in or near Zip Code 33010, 33011, 33012, 33013, 33014, 33015, 33016, 33017, or 33018
Willing and able to travel 50-75% of their time to meet members face to face in Miami-Dade County and surrounding areas in Florida
Computer proficiency in Microsoft Word, Excel, Outlook required
Bachelor's degree required, preferably in Social Work or related field required
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
Case Management and Discharge Planning experience
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching