Analyst, Case Management - Field - Must reside in the Little Village or North Lawndale Illinios

CVS Health • Chicago, IL • 8h ago

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

Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.

Evaluation of Members:

-Through 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. Identifies 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.

-Coordinates and implements assigned care plan activities and monitors care plan progress.

Enhancement of Medical Appropriateness and Quality of Care:

-Using 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.

-Identifies and escalates quality of care issues through established channels.

-Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.

-Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.

-Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.

-Helps member actively and knowledgably participate with their provider in healthcare decision-making.

Monitoring, Evaluation and Documentation of Care:

-Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

Candidate must reside in Little Village or North Lawndale IL

2 years' experience in behavioral health, social services, or appropriate related field equivalent to program focus

Must possess reliable transportation and be willing and able to travel up to 50-75% of the time within Westside Chicago, IL. Mileage is reimbursed per our company expense reimbursement policy

Preferred Qualifications

Case management and discharge planning experience

Managed care experience

Microsoft Office experience

Education:

Bachelors Degree prepared in human-services related field.

Masters Degree in human-services related field preferred

Anticipated Weekly Hours

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: 01/12/2026

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Similar Jobs

Industrial Maintenance Supervisor

Advanced Technology Services • Bellwood, IL • 14h ago

Legal & Paralegal

Founded in 1985, ATS is a company with a presence in the United States, Mexico and the United Kingdom. We are professionals in Industrial Maintenance and we make factories run better. Fundada en 1985, ATS es una empresa...

14h ago

Go to Apply

Principal Associate, Data Scientist - US Card (Emerging Fraud)

Capital One • Chicago, IL • 2d ago

Legal & Paralegal

Principal Associate, Data Scientist - US Card (Emerging Fraud) Data is at the center of everything we do. As a startup, we disrupted the credit card industry by individually personalizing every credit card offer using st...

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Chicago, IL • 2d ago

Legal & Paralegal Sponsored Jobs

Earn big and work on your own time and terms as a Grubhub delivery partner! Grubhub is looking for drivers and bikers like you to hit the road quick and start delivering from restaurants, liquor stores, convenience store...

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Evergreen Park, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Oak Lawn, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Chicago, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Chicago, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Evergreen Park, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Grubhub Driver - Chicago Metro (Oak Lawn-Evergreen Park-Pullman), IL - Fast Cash, Flexible Work!

Grubhub • Chicago, IL • 2d ago

Legal & Paralegal Sponsored Jobs

2d ago

Go to Apply

Emerging Middle Market Attorney - Vice President, Assistant General Counsel

JPMorgan Chase • Chicago, IL • 2d ago

Legal & Paralegal

As an Assistant General Counsel, Vice President within the Commercial and Investment Banking, you will provide legal support to specific geographical markets of JPMorgan Chase's Emerging Middle Market (EMM) business with...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.