Case Management Coordinator – Telephonic, Community

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🔥 2 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $21 - $44 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👫 Community Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process • The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources • Evaluation of Members: Conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution • Identifies high risk factors and service needs that may impact member outcomes and care planning components • Coordinates and implements assigned care plan activities and monitors care plan progress • Enhancement of Medical Appropriateness and Quality of Care: Consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives • T Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices

🎯 Requirements

• Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required • Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word • Case management and discharge planning experience preferred • 2 years’ experience in behavioral health, social services or appropriate related field equivalent to program focus • Managed Care experience preferred • Effective communication, telephonic and organization skills • Excellent analytical and problem-solving skills • Ability to work independently • Ability to effectively participate in a multi-disciplinary team including internal and external participants.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package