
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.
🔥 14 hours 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.
• Collaborate and inform the case management process • Facilitate appropriate healthcare outcomes for members • Assist with appointment scheduling • Identify and assist members with accessing benefits and education • Conduct comprehensive evaluations of member needs and eligibility • Evaluate benefit plans and available internal and external programs and services • Identify high-risk factors and service needs, with referral 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 case conferences for multidisciplinary review • Identify and escalate quality-of-care issues • Negotiate appropriate options and services for members • Use motivational interviewing to engage members and promote lifestyle or behavior changes • Provide coaching, information, and support for independent medical and healthy lifestyle choices • Engage in team meetings and provide peer mentoring/training • Help members participate knowledgeably in healthcare decision-making • Use case management and quality management processes in compliance with regulatory, accreditation, and company requirements
• 2+ years experience in Behavioral Health, Social Services or an appropriate related field equivalent to program focus • Must be willing and able to travel 50-75% of the time in Mason, Cass, Scott and Brown counties, Illinois • Reliable transportation required • 2+ years of electronic documentation experience • Experience with Microsoft Office applications • Bachelor's degree or non-licensed master level clinician required, in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family Therapy, Counseling) • Case management and discharge planning experience preferred • Managed Care experience preferred
• New hire bonus of $3,000 • Mileage reimbursement 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
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⏰ Full Time
🟡 Mid-level
🟠 Senior