Bilingual Case Management Analyst

CVS Health seeks a Bilingual Case Management Analyst to support members in navigating healthcare and social services. In this role, you will review clinical and social needs, coordinate benefits, and connect patients with appropriate community resources. You will conduct telephonic and digital outreach in English and a second language, document cases, track outcomes, and escalate complex situations to clinicians. Success requires strong data entry skills, familiarity with healthcare terminology, and a passion for helping diverse populations achieve better health outcomes.

Responsibilities

• Conduct bilingual outreach to members via phone or digital channels
• Assess clinical and social needs using standardized tools
• Coordinate benefits and services with internal teams and external providers
• Document all case activities accurately in systems
• Monitor, track, and report case outcomes and key metrics
• Identify and escalate complex cases to clinical staff or supervisors
• Collaborate with community resources to address social determinants of health
• Maintain HIPAA compliance and protect member confidentiality
• Use data and reporting tools to prioritize caseload and follow-ups
• Contribute to process improvements and team collaboration

Required Skills

• Bilingual communication
• Case management
• Healthcare terminology
• Member outreach
• Data entry and documentation
• Care coordination
• Electronic health record navigation
• Benefits and claims understanding
• Microsoft Office/Excel
• Reporting and outcomes tracking