Current jobs related to Analyst, Case Management Specialist - Frankfort - CVS Health

  • nursing (case manager)

    3 weeks ago

    Frankfort, Kentucky, United States Army National Guard Units Full time

    As a NURSING (CASE MANAGER), GS , you will interpret and translate service member (SM) limitations from non-military providers. Draft and submit recommendations for SMs with health limitations to profiling military provider for consideration and signature. Assist in ongoing patient care coordination. Support weekend Medical Readiness Events to schedule...

  • SAP Service Management Specialist

    4 days ago

    Frankfort, Kentucky, United States VOLT Management Full time

    Position Overview:VOLT Management is seeking a highly skilled Service Management Consultant/Business Functional Analyst to join our dynamic team in a fully remote capacity. This role involves a diverse range of responsibilities, primarily focusing on the integration of SAP Service Management systems.Key Responsibilities:As a Service Management Consultant,...

  • Systems Analyst

    1 week ago

    Frankfort, Kentucky, United States Cynet Systems Full time

    Position Overview:The Information & Technology Services (ITS) Division of Cynet Systems is tasked with the development and upkeep of numerous front-end applications that support various judicial functions.These applications encompass a range of areas, including Public Court Records, Case Management Systems, Financial Management for Cases, and Tools for...

  • Claims Management Specialist

    4 days ago

    Frankfort, Kentucky, United States Environmental Resources Management Full time

    Position Overview:As a key member of our Health & Safety division, you will leverage your expertise in Workers Compensation to autonomously assess, investigate, and resolve complex claims, ensuring optimal outcomes.Key Responsibilities:Claims Management:Oversee the intake of Workers' Compensation cases, which includes filing incident reports and claims with...

  • Senior Management Analyst

    2 months ago

    Frankfort, United States Strategic Resources Inc Full time

    Senior Management Analyst Job Description Strategic Resources, Inc. (SRI) is an international, ISO 9001:2015 Certified, CMMI Level 3 Rated full-service provider with more than 34 years’ experience in the Federal, Military, and Commercial Marketplaces. SRI is seeking committed and passionate professionals to provide professional services and management...

  • Disaster Case Manager

    3 months ago

    Frankfort, United States CDR Companies Full time

    Job DescriptionJob DescriptionCDR Maguire, Inc., a national multi-disciplinary engineering and emergency management consulting firm is seeking a qualified Disaster Case Manager to work directly with individuals and households affected by disasters, acting as a facilitator and advocate to empower their recovery process. This role involves assessing...

  • Disaster Case Manager

    3 weeks ago

    Frankfort, United States CDR Companies Full time

    Job DescriptionJob DescriptionCDR Maguire, Inc., a national multi-disciplinary engineering and emergency management consulting firm is seeking a qualified Disaster Case Manager to work directly with individuals and households affected by disasters, acting as a facilitator and advocate to empower their recovery process. This role involves assessing...

  • Case Management Professional

    16 hours ago

    Frankfort, Kentucky, United States CDR Companies Full time

    CDR Maguire, a national multi-disciplinary engineering and emergency management consulting firm, is seeking a qualified Disaster Case Manager to work directly with individuals and households affected by disasters. As a facilitator and advocate, you will empower their recovery process by assessing clients' needs, developing recovery plans, and coordinating...

  • Disaster Case Manager

    3 months ago

    Frankfort, United States CDR Companies Full time

    CDR Maguire, Inc., a national multi-disciplinary engineering and emergency management consulting firm is seeking a qualified Disaster Case Manager to work directly with individuals and households affected by disasters, acting as a facilitator and advocate to empower their recovery process. This role involves assessing clients' needs, developing recovery...

  • Customer Service Data Analyst

    3 months ago

    Frankfort, United States VOLT Management Full time

    Start working the way you have imagined with a top automotive manufacturer! Volt is immediately hiring multiple Customer Service Data Analyst - Auto Industry for an immediate opportunity with a top auto maker in Fountain Valley, CA. As a Customer Service Data Analyst you will: Work with management to develop and implement standards and procedures to enhance...

  • IT Solutions Analyst

    1 week ago

    Frankfort, Kentucky, United States Brooksource Full time

    IT Solutions AnalystLong-term Contract OpportunityRemote Work EnvironmentCompensation: $35-40/hrKey ResponsibilitiesThe IT Solutions Analyst will collaborate with the Project Manager to oversee project workflows by facilitating effective communication among business units, project teams, and relevant stakeholders regarding requirements and proposed...

  • Process Improvement Analyst

    18 hours ago

    Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Job DescriptionThe Kentucky Personnel Cabinet is seeking a highly skilled Business Analyst to join our team. As a Business Analyst, you will play a critical role in evaluating business needs and requirements, developing strategies for continuous process improvement, and providing consulting services to support the delivery of projects.Key...

  • Lead Financial Management Analyst

    1 week ago

    Frankfort, Kentucky, United States SMX Corporation Full time

    Position: Senior Financial Analyst at SMX CorporationLocation: United StatesSMX Corporation is in search of a Senior Financial Analyst who will proficiently provide services to clients by showcasing extensive financial expertise within our organization. This role involves overseeing and managing the financial operations of multiple Task Delivery Lines (TDLs)...

  • Business Process Analyst

    4 days ago

    Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Position OverviewThe Kentucky Personnel Cabinet is seeking a skilled Business Analyst to enhance our operational capabilities within the Administrative Office of the Courts. This role is pivotal in ensuring effective consulting services through thorough evaluation, analysis, and documentation.Key ResponsibilitiesAssist in the creation of project delivery...

  • Business Analyst

    4 weeks ago

    Frankfort, United States TEKsystems Full time

    Description:Our client has an immediate need for an exceptional individual to join our organization as a Business Analyst. This opportunity is based out of Frankfort, KY but can work mainly remote. The ideal candidate will have strong communication skills, critical thinking skills, possesses leadership skills, and is committed to delivering successful and...

  • Business Process Analyst

    4 days ago

    Frankfort, Kentucky, United States Kentucky Personnel Cabinet Full time

    Position OverviewThe Kentucky Personnel Cabinet is seeking a dedicated Business Analyst to join our dynamic team. This role is essential in enhancing our operational effectiveness and ensuring the delivery of high-quality consulting services.Key ResponsibilitiesEvaluate business requirements and develop comprehensive documentation.Collaborate with...

  • Case Manager Home Supervision/Home Incarceration

    2 months ago

    Frankfort, United States The Methodist Home of Kentucky, Inc. Full time

    Job DescriptionJob DescriptionMission Statement:  We serve Christ by providing for the physical, emotional, educational, and spiritual needs of children and families.Change a life, every single day.  The Kentucky United Methodist Children’s Homes (KyUMH) is seeking passionate, mission driven individuals interested in life-changing work. Our goal is to...

  • Case Manager Home Supervision/Home Incarceration

    2 months ago

    Frankfort, United States The Methodist Home of Kentucky, Inc. Full time

    Job DescriptionJob DescriptionMission Statement:  We serve Christ by providing for the physical, emotional, educational, and spiritual needs of children and families.Change a life, every single day.  The Kentucky United Methodist Children’s Homes (KyUMH) is seeking passionate, mission driven individuals interested in life-changing work. Our goal is to...

  • SAP Service Management Specialist

    1 week ago

    Frankfort, Kentucky, United States VOLT Management Full time

    Overview:VOLT Management is seeking a dedicated and experienced SAP Service Management Consultant for a fully remote position. This role is pivotal in ensuring the seamless integration of SAP Service Management functionalities.Key Responsibilities:- Engage in the integration of SAP Service Management, focusing on aspects such as Repair Service Orders and...

  • SAP Service Management Specialist

    4 days ago

    Frankfort, Kentucky, United States VOLT Management Full time

    Position Overview:VOLT Management is seeking a dedicated and experienced SAP Service Management Consultant for a fully remote role. This position involves a variety of responsibilities centered around the integration and management of SAP Service Management processes.Key Responsibilities:As a Service Management Consultant, your role will...

Analyst, Case Management Specialist

2 months ago

Frankfort, United States CVS Health Full time

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This is a full-time telework position with less than 10% travel required.Hours for this position are Monday-Friday 8:00am - 5:00pm in time zone of residence. The Care Manager Specialist is a member of the Care Team. The Care Manager Specialist is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited health conditions. These members are usually stratified as low risk. The Care Manager Specialist will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member’s health outcomes, address social determinants of health and connect members with community based organizations. The Care Manager Specialist will assess member’s needs as well as gaps in care, communicate with the member’s Primary Care Provider (PCP), maintain updated individualized care plans and participate in Interdisciplinary team meetings. Care Managers will be able to identify members who’s needs require clinician involvement and transition members appropriately. Job DescriptionConducts routine care coordination, support, and education through the use of care management resources in order to facilitate appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management. Applies practical knowledge of Case Management to administer best of class policies, procedures, and plans for the area. Consults with Nurse Case Managers, Supervisors, Medical Directors and/or other members of the Care team using a holistic approach. Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes. Identifies and escalates quality of care issues through established channels. Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs. Delivers 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. Assists in encouraging members to actively participate with their provider in healthcare decision-making. Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools and recommends an approach to case resolution. Program Overview: Help us elevate our patient care to a whole new level Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Fundamental Components • Uses tools and information/data review to conduct an evaluation of member's needs and benefits.• Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.• 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.• Uses a holistic approach to 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.• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications: • 3+ years experience in health-related field Preferred Qualifications:• CRC, CDMS, CRRN, COHN, or CCM certification • Medicare and Medicaid experience• Managed care experience• Experience working with geriatric special needs, behavioral health and disabled population• Knowledge of assessment, screenings and care planning• Bilingual (English/Spanish; English/Creole) Education:• Bachelors Degree or equivalent experience require Pay Range The typical pay range for this role is: $19.52 - $36.78 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will close on: 07/14/2024 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.