
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 0 minutes ago
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and information/data review • Recommend approaches to case resolution and meeting member needs by evaluating benefit plans and available programs/services • Identify high-risk factors and service needs affecting member outcomes and care planning • Refer members to clinical case management or crisis intervention when appropriate • Coordinate and implement assigned care plan activities and monitor progress • Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers • Present cases at multidisciplinary case conferences to achieve optimal outcomes • Identify and escalate quality-of-care issues through established channels • Negotiate appropriate options and services to meet members’ benefits and healthcare needs • Use influencing and motivational interviewing skills to maximize member engagement and promote lifestyle/behavior changes • Provide coaching, information and support to empower independent medical and healthy lifestyle choices • Help members participate knowledgeably in healthcare decision-making with providers • Apply case management and quality management processes in compliance with regulatory, accreditation and company guidelines
• Master's degree in behavioral health • License as an LAC, LPC, LMSW or LCSW • 2 years’ experience in behavioral health, social services or an appropriate related field equivalent to program focus • Computer literacy • Proficiency navigating internal and external computer systems • Proficiency with MS Office Suite applications, including Word and Excel • Ability to travel in state with a personal vehicle up to 10% of the time • Valid AZ driver's license • Reliable transportation • Proof of vehicle insurance • Flexibility to work beyond Monday-Friday, 8am-5pm core business hours
• 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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