This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
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.
nPosition Summary - Case Manager Analyst - Field
nLocation: Champaign, IL
nThis Case Management Analyst Field position is with Aetna's Long-Term Services & Supports (LTSS) team. The requirement is for candidates to travel 75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meeting contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.
nEvaluation of Members:
nThrough the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
nIdentifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
nCoordinates and implements assigned care plan activities and monitors care plan progress.
nEnhancement of Medical Appropriateness and Quality of Care:
nUsing holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
nIdentifies and escalates quality of care issues through established channels.
nUtilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
nUtilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
nProvides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
nHelps member actively and knowledgeably participate with their provider in healthcare decision-making.
nMonitoring, Evaluation and Documentation of Care:
nnUtilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
n nRequired Qualifications:
nnnMust reside in the state of Illinois in Champaign, IL
n
nnValid Illinois Driver's license
n
nnMust possess reliable transportation and be willing and able to travel up to 75% of the time. Mileage is reimbursed per our company expense reimbursement policy
n
nnMinimum of two (2) years of case management experience
n
nnMicrosoft Office and electronic health record experience
n
n nPreferred Qualifications:
nnnCase management and discharge planning experience
n
nnManaged Care experience
n
nnMicrosoft Office experience
n
nnExperience working with HIV and AIDS population
n
nnMulti-lingual language proficiency
n
n nRequired Education:
nnIndividual with a bachelor's degree or a non-licensed individual with a master's degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling)
n nAnticipated Weekly Hours
n40
nTime Type
nFull time
nPay Range
nThe typical pay range for this role is:
n$21.10 - $44.99
nThis pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
nOur people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
nGreat benefits for great people
nWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
nThis full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
nAdditional details about available benefits are provided during the application process and on Benefits Moments ( .
nWe anticipate the application window for this opening will close on: 09/30/2026
nQualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
nCVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Worksite address
champaign, IL, 61825, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.