Bilingual Analyst, Case Management – Field – Manatee County, Ruskin, Apollo Beach or Sun City FL at CVS Health

Apollo Beach, Florida, United States

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Bi-lingual in English & Spanish required
1+ year of experience in behavioral health or a long-term care setting
Must reside in Manatee County Florida; Ruskin, Apollo Beach or Sun City
Willing and able to travel 50-75% of their time to meet members face to face in Tampa or surrounding areas
Bachelor's Degree required (Degree in Social Work, Behavioral Health, or Human Services field of study preferred)
Master's degree Preferred
Computer proficiency in Microsoft Word, Excel, and Outlook required

Responsibilities

Effectively manage a caseload that includes supportive and medically complex members
Utilize critical thinking and judgment to collaborate and inform the case management process
Facilitate appropriate healthcare outcomes for members by providing care coordination, support and education through the use of care management tools and resources
Conduct comprehensive evaluation of Members using care management tools and information/data review
Coordinate and implement assigned care plan activities and monitor care plan progress
Conduct multidisciplinary review in order to achieve optimal outcomes
Identify and escalate quality of care issues through established channels
Utilize negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
Utilize influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health

Skills

Case Management

Care Coordination

Critical Thinking

Motivational Interviewing

Negotiation

Healthcare Outcomes

Care Plan Management

Member Engagement

Multidisciplinary Review

Bilingual

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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