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Case Management Analyst - Field

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Hialeah

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Category:
-

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Contract Type:
Not provided

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Salary:

21.10 - 40.90 USD / Hour

Job Description:

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
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
February 21, 2026

Expiration:
March 16, 2026

Employment Type:
Fulltime
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