Case Management Coordinator – Field

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🔥 3 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $21 - $44 / 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

• Conduct comprehensive evaluations of members’ needs and eligibility using care management tools and data review • Recommend case resolution approaches and evaluate benefit plans and available programs/services • Identify high-risk factors and service needs, with referral to clinical case management or crisis intervention as 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 case conferences for multidisciplinary review • Identify and escalate quality-of-care issues • 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 • Coach, inform, and support members in making independent medical and healthy lifestyle choices • Engage in team meetings and provide peer mentoring/training • Help members participate knowledgeably in healthcare decision-making with providers • Apply case management and quality management processes in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• 2 years+ experience in behavioral health or social services • Willing and able to travel 50–75% in Franklin, Williamson, Union, Johnson, Massac, Alexander, Pulaski and surrounding counties • Reliable transportation required • 1+ year(s) of experience with Microsoft Office Suite applications (MS Word, Excel, Outlook and PowerPoint) • Bachelor's degree or non-licensed master level clinician required, with either degree in behavioral health or human services such as psychology, social work, marriage and family therapy, or counseling

🏖️ Benefits

• Mileage reimbursed per company expense reimbursement policy • 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 eligibility

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