Case Management Coordinator

Job not on LinkedIn

🔥 0 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

• Collaborate and inform the case management process • Facilitate appropriate healthcare outcomes for members • Aid with appointment scheduling • Identify and assist members with accessing benefits and education using care management tools and resources • Conduct comprehensive evaluations of referred members’ needs and eligibility • Recommend case-resolution approaches by evaluating benefit plans and internal/external programs and services • Identify high-risk factors and service needs affecting member outcomes and care planning • Refer members 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 multidisciplinary case conferences • Identify and escalate quality-of-care issues • Negotiate appropriate options and services for members’ benefit and healthcare needs • Use influencing and motivational-interviewing skills to engage members and promote healthy lifestyle changes • Provide coaching, information, and support for independent medical and healthy lifestyle choices • Help members participate knowledgeably in healthcare decisions with providers • Apply case and quality management processes in compliance with regulatory, accreditation, and company guidelines

🎯 Requirements

• Must reside in the state of Illinois • Must possess reliable transportation and be willing and able to travel up to 30–40% of the time from candidate home location • Computer literacy, including Excel and Microsoft Word • Effective communication, telephonic, and organization skills • Excellent analytical and problem-solving skills • Ability to work independently • Ability to participate effectively in a multidisciplinary team • 2 years’ experience in behavioral health, social services, or an appropriate related field equivalent to the program focus • Bachelor’s degree or non-licensed master level clinician required, in behavioral health or human services, including nursing, psychology, social work, marriage and family therapy, or counseling • Direct/hardwired internet connection to a modem/router within 7 feet of the computer • Minimum internet speed of 25 Mbps download and 3 Mbps upload • Quiet, secure, private, designated home work location compliant with CVS Health and HIPAA guidelines • Must work within the state and city where currently residing • Must provide own workspace furniture • Must obtain required internet speeds and comply with work-from-home requirements if hired • Comfortable setting up and using multiple monitors and navigating multiple applications • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Experience with Microsoft Office 365 or similar Google Workspace applications • Ability to log in to secure systems such as VPN and EHR portals • Ability to manage strong passwords and recognize suspicious emails or links • Ability to troubleshoot common technical issues and contact IT when needed • Openness to learning future workplace skills

🏖️ Benefits

• Mileage is reimbursed per company expense reimbursement policy • Company-provided equipment (keyboard, monitor, computer, headset, etc.) • 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