Bilingual Analyst, Case Management – Field - Must reside in Hialeah Florida at CVS Health

Hialeah, 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 and Spanish
Must reside in Zip Code 33010, 33012, 33013, 33014, 33015, 33016, 33018, 33142, or 33147
Willing and able to travel 50-75% of time for face-to-face visits with members in Miami Dade county and surrounding areas in FL
1+ year of experience in behavioral health or a long-term care setting
Bachelor's degree required, preferably in social work or related field

Responsibilities

Telephonically and/or face-to-face assess, plan, implement, and coordinate all case management activities with members to evaluate medical needs and facilitate overall wellness
Effectively manage a caseload that includes supportive and medically complex members
Develop a proactive course of action to address issues, enhance short- and long-term outcomes, and integrate opportunities to improve member wellness
Determine appropriate services and supports based on member's health needs, including prior authorizations, coordination with PCP and skilled providers, condition management information, medication review, and community resources/supports

Skills

Key technologies and capabilities for this role

Case ManagementCare CoordinationAssessmentPlanningBilingualTelephonic CommunicationFace-to-Face VisitsMedical Needs EvaluationCaseload ManagementHealth Wellness

Questions & Answers

Common questions about this position

What is the location requirement for this position?

Candidates must reside in specific zip codes in the Hialeah area of Miami Dade county (33010, 33012, 33013, 33014, 33015, 33016, 33018, 33142, or 33147) and be willing to travel 50-75% for face-to-face visits with members in Miami Dade.

What are the required qualifications for this role?

Required qualifications include being bilingual in English and Spanish, residing in one of the specified zip codes, willingness to travel 50-75% in Miami Dade, 1+ year of experience in behavioral health or long-term care, and a Bachelor's degree preferably in social work or related field.

What is the salary for this position?

The job offers a competitive salary, but the specific pay range is not fully detailed in the description.

What benefits are offered for this role?

The position includes full benefits, a Monday-Friday working schedule, and paid holidays.

What makes a strong candidate for this Case Management role?

Strong candidates are self-motivated, energetic, detail-oriented, highly organized, and tech-savvy, with preferred skills in multitasking, effective communication, managed care experience, computer proficiency in Microsoft Word, Excel, and Outlook, and case management experience.

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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