Tallahassee, Florida, United States of America
16 hours ago
Analyst, Case Management - Work From Home

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Information and Referral Specialist provides information, referrals, assistance with accessing resources, health coaching, and supportive care to members. The I&R Specialist will support multiple member service initiatives by assessing the member’s stated and unstated needs, addressing resource needs, and effectively utilizing community, health care, and plan benefit resources.

Fundamental Components

Utilize designated interactions to assess the member’s stated and unstated needs, including social determinants of healthAccurately and thoroughly documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure Compliance and Regulatory Standards are metSecure resources to address the member’s needs, including connection to community and national resourcesAccurately assess the need for clinical (Nurse RN or BH) intervention and work closely with CM team to serve our membersEducate members on available services and empower participationAssist the member in actively participating with their health care providers and Aetna Care Management teams regarding decisions that impact their health and well-beingTroubleshoot unavailability of resources, securing support as needed to close member gapsEffectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriateAssist members in problem-solving when no services are available which can meet their needsDemonstrates an ability to be agile and adapt to change with enthusiasmPossess top-notch people skills – listening, caring, connecting, empathizing, and supportingAbility to seamlessly multi-task while using multiple systems to efficiently provide service to members


 

Required Qualifications

At least 2 years working within the healthcare, nonprofit, or community-based services industryHours:  Monday Through Friday 11:30AM-8 :00PM ESTExperience handling high call volume of inbound calls and working from an auto-dialer systemExhibits strong desire and commitment to serving othersCandidates with experience in information & referral, health coaching, care management, social work, aging network, strongly preferredComprehensive working knowledge of services available within one’s community and across our nation strongly preferredCommunity health or public health experience preferredManaged Care/Medicare/Medicaid experience preferredBilingual (Spanish) preferredFlexibility with work schedule to meet business needs

Education and Certification Requirements

Bachelor’s degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $44.99

This 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. 
 

Our 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.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 07/31/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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