Case Management Analyst (Remote)

CVS Health is committed to building a world of health around individuals, and they are seeking a Case Management Analyst to join their Aetna care management team. This role involves coordinating care for dual eligible populations, collaborating with various stakeholders to address healthcare and social needs, and conducting evaluations to support member care plans.

Responsibilities:

• Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care
• Inform the assigned care manager of newly identified health/safety risks or service needs
• Complete care coordination activities delegated by the care manager within an established timeframe
• Inform the assigned care manager and/or associate manager of any identified quality of care issues
• Passionately support the member’s care coordination needs and drive solutions to address those needs
• Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health
• Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies