Case Management Analyst - Field in Will and DuPage Counties, IL

About the Role

As an Analyst, Case Manager, you support optimal member health outcomes by coordinating care, providing education, and facilitating access to appropriate healthcare services. Using care management tools and data analysis, you assess member needs, identify risks, and develop and implement effective care plans. You collaborate with internal teams, providers, and external resources to address barriers, improve quality of care, and ensure services align with member benefits. Through communication, coaching, and motivational techniques, you promote member engagement, informed decision-making, and healthy behavior changes. You are responsible for monitoring care plan progress, documenting activities, and ensuring compliance with regulatory standards, company policies, and quality management guidelines.

Location

Will and DuPage Counties and surrounding areas, IL

Responsibilities

• Coordinate care and provide education to support optimal member health outcomes.
• Assess member needs and identify risks using care management tools and data analysis.
• Develop and implement effective care plans in collaboration with internal teams, providers, and external resources.
• Address barriers to care and ensure services align with member benefits.
• Promote member engagement, informed decision-making, and healthy behavior changes through communication, coaching, and motivational techniques.
• Monitor care plan progress and document activities.
• Ensure compliance with regulatory standards, company policies, and quality management guidelines.

Requirements

• 2 or more years of behavioral health, social services, or human services field experience.
• 2 or more years of case management experience.
• Reliable transportation and willingness to travel up to 75% of the time (mileage reimbursed).
• Bachelor’s Degree or non-licensed Master’s level clinician required. Degree must be in behavioral health, human services (psychology, social work, marriage and family counseling).

Preferred Qualifications

• Discharge Planning and/or Managed Care (MCO) experience.
• Microsoft Office Suite experience.

Work From Home Requirements

• Direct/hardwired internet connection to a modem/router within 7 feet of your computer with a minimum download speed of 25 Mbps and upload speed of 3 Mbps (Wi-Fi and satellite internet are not permitted).
• Quiet, secure, and private designated home workspace, free from distractions, tidy, organized, and compliant with CVS Health and HIPAA guidelines.
• Work-from-home colleagues must work within the state and city where they have confirmed they currently live.
• Company-provided equipment (keyboard, monitor, computer, headset, etc.).
• You must provide your own workspace furniture (desk or standing desk).
• Commitment to obtaining required internet speeds and adhering to all work-from-home requirements.

Technical and Logistical Requirements

• Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously.
• Ability to communicate via digital channels (email, calendar invites, Teams messaging, virtual meetings).
• Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) or similar (Google Workspace).
• Ability to log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
• Ability to resolve common technical issues independently (e.g., restarting frozen applications, resolving internet connection issues) and contact IT for unresolved issues.
• Openness to learning new skills as the workplace environment evolves.

Schedule

• Anticipated weekly hours: 40
• Time type: Full time

Pay

The typical pay range for this role is $21.10 - $44.99 per hour. This pay range represents the base hourly rate 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.

Benefits

This 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, including:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources.

Additional details about available benefits are provided during the application process and on Benefits Moments.