Case Management Coordinator – Field, Winnebago, Boone and Jo Daviess Counties

Job not on LinkedIn

🔥 57 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $21 - $44 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 approaches to case resolution and meeting member needs by evaluating benefit plans and available programs and services • Identify high-risk factors and service needs, referring to clinical case management or crisis intervention when appropriate • Coordinate and implement assigned care plan activities and monitor care plan progress • Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers and achieve goals • Present cases at case conferences for multidisciplinary review • 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 engage members and promote lifestyle and behavior changes • Provide coaching, information and support to empower members in medical and healthy lifestyle decisions • Engage in team meetings and provide peer mentoring and training • Help members participate knowledgeably with providers in healthcare decision-making • Apply case management and quality management processes in compliance with regulatory, accreditation and company requirements

🎯 Requirements

• 2+ years of experience in Behavioral Health, Social Services or an appropriate related field equivalent to program focus • Willingness and ability to travel 50-75% of the time in Winnebago, Boone, Stephenson, Ogle and Jo Daviess 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, including Psychology, Social Work, Marriage and Family Therapy, or Counseling • Case management and discharge planning experience preferred • Managed Care experience preferred

🏖️ Benefits

• Mileage is reimbursed per 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