Case Management Coordinator

Job not on LinkedIn

🔥 2 hours ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Evaluate referred members’ needs and eligibility using care management tools and information/data review • Recommend case-resolution approaches based on members’ benefit plans and available programs/services • Identify high-risk factors and service needs and make appropriate referrals • Coordinate and implement assigned care-plan activities and monitor progress • Use a holistic approach to overcome barriers and meet goals and objectives • Present cases at case conferences for multidisciplinary review • Identify and escalate quality-of-care issues through established channels • Negotiate appropriate options and services for members’ benefits and healthcare needs • Use influencing and motivational-interviewing skills to promote member engagement and healthy behavior changes • Provide coaching, information, and support for independent medical and healthy-lifestyle choices • Help members participate knowledgeably in healthcare decision-making with providers • Apply case-management processes in compliance with regulatory, accreditation, and company guidelines

🎯 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 • 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 • Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or licensed RN valid in the state of Arizona

🏖️ Benefits

• $5000 sign-on bonus • CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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