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CVS Health

Runs pharmacies, health plans and clinics

Bilingual Case Manager Analyst

Clinical Support & Patient AdministrationPosted on Nov 10
Full-timeMiami, FL, USA

About the Job

Requirements

  • Must reside in the Mid-Miami, Florida area.
  • Must be bilingual in English and Spanish.
  • Must be willing and able to travel 50–75% of the time for face-to-face member visits in Miami-Dade County and surrounding Florida areas.
  • Must have at least 1 year of experience in behavioral health or a long-term care setting.
  • Must have a bachelor's degree; a degree in social work or a related field is preferred.
  • Must be proficient with Microsoft Word, Excel, and Outlook.

Responsibilities

  • Assess members telephonically and/or face to face; plan, implement, and coordinate case management activities to evaluate medical needs and facilitate overall wellness.
  • Manage a caseload that includes supportive and medically complex members.
  • Develop proactive courses of action to address issues and improve short- and long-term outcomes and members' overall wellness through integration.
  • Determine appropriate services and supports based on members' health needs, including prior authorizations, coordination with primary care providers and skilled providers, condition management information, medication review, and community resources and supports.

Desired Qualifications

  • Ability to multitask, prioritize, and adapt effectively to a fast-paced, changing environment.
  • Effective verbal and written communication skills.
  • Managed care experience.
  • Case management and discharge planning experience.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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