Case Management Analyst
Job Description:
- Provide comprehensive care management services to members enrolled in the New York Managed Long Term Care (MLTC) Plan
- Conduct psychosocial assessments and identify member needs
- Develop and implement person-centered service plans
- Coordinate long-term services and supports
- Facilitate access to medical, behavioral health, and community resources
- Collaborate with members, caregivers, providers, and interdisciplinary teams
- Promote member independence and improve health outcomes
- Address social determinants of health
- Ensure delivery of quality, cost-effective care
- Conduct member visits within the assigned service area as needed
Requirements:
- Active and unrestricted New York State Social Work license (LMSW or LCSW), as required
- Minimum 2 years of experience in care management, case management, managed care, behavioral health, long-term care, home care, or a related healthcare setting
- Knowledge of New York Medicaid, Medicare, Managed Long Term Care (MLTC), and Long-Term Services and Supports (LTSS)
- Experience conducting psychosocial assessments and developing person-centered care plans
- Strong communication, care coordination, advocacy, organizational, and problem-solving skills
- Ability to work collaboratively with interdisciplinary teams, providers, members, and caregivers
- Proficiency in Microsoft Office applications and electronic documentation systems
- Ability to travel within the assigned service area to conduct member visits as needed
- Master's Degree in Social Work (MSW) from an accredited college or university required
- Active New York State LMSW or LCSW licensure preferred or required based on business needs
- Equivalent combination of education and relevant care management experience may be considered where applicable
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility
