Case Management Coordinator

Job not on LinkedIn

🔥 47 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Coordinate, document, and communicate all aspects of the utilization/benefit management program • Apply critical thinking, clinically appropriate treatment knowledge, evidence-based care, and medical necessity criteria • Provide care coordination, support, and education using care management tools and resources • Conduct comprehensive evaluations of referred members’ needs and eligibility • Recommend case-resolution approaches by evaluating benefit plans and internal and external programs/services • Identify high-risk factors and service needs and make appropriate referrals • Coordinate and implement assigned care-plan activities and monitor progress • Present cases at case conferences for multidisciplinary review • Identify and escalate quality-of-care issues • Negotiate appropriate options and services for members’ benefit and healthcare needs • Use motivational interviewing to promote member engagement and lifestyle/behavior changes • Coach and empower members to make independent medical and healthy-lifestyle choices • Support members in participating knowledgeably in healthcare decision-making • Apply case-management processes in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• 2+ years of experience in case management • Experience working with people designated as having a serious mental illness (SMI) • Experience working with elderly people • Experience working with members with a physical disability • Must reside in Maricopa County, Arizona • Willingness to travel up to 50% of the time within Maricopa County, Arizona • Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or valid Arizona licensed RN (Registered Nurse) • Strong organizational and time management skills • Ability to collaborate with internal and external partners • Proficiency in Microsoft Office Suite, including Outlook and Word • Previous experience collaborating with medical professionals • Bilingual English/Spanish preferred

🏖️ Benefits

• $5,000 sign-on bonus • 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 (in addition to base pay)

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