
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.
🔥 1 minute 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.
• Facilitate appropriate healthcare outcomes for members through appointment scheduling, benefits access, and member education • Evaluate member needs, eligibility, benefit plans, and available programs or services • Identify high-risk factors and service needs, with referral to clinical case management or crisis intervention as appropriate • Coordinate assigned care plan activities and monitor care plan 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 influencing and motivational interviewing skills to engage members and promote lifestyle or behavior changes • Provide coaching, information, and support for independent medical and healthy lifestyle choices • Participate 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 guidelines
• 2+ years experience in behavioral health, social services or appropriate related field equivalent to program focus • Must be willing and able to travel 50-75% of the time in the Metro East area of IL • Reliable transportation required • Must have 2+ years of experience of electronic documentation experience and Microsoft Office applications • Bachelor's degree or non-licensed master level clinician required, with either degree 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
• Mileage is reimbursed per our company expense reimbursement policy • CVS Health bonus, commission or short-term incentive program in addition to base pay • 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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