Case Management Coordinator – Transition of Care Team

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Connecticut, +21 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🐎 Kentucky – Remote 🗻 New Hampshire – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $21 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 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

• Evaluate referred members' needs and eligibility using care management tools and data review • Recommend case-resolution approaches and evaluate 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 when appropriate • Coordinate, implement, and monitor assigned care plan activities • 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 through established channels • Negotiate appropriate options and services for members' benefits and healthcare needs • Use motivational interviewing to engage members and promote lifestyle or behavior changes • Provide coaching, information, and support for independent medical and healthy lifestyle choices • Help members participate knowledgeably in healthcare decisions with providers • Monitor, evaluate, and document care in compliance with regulatory, accreditation, and company requirements

🎯 Requirements

• 2+ years of experience in behavioral health or social services • Ability to work 8:00 AM–5:00 PM in the assigned market time zone • 2+ years of experience with Microsoft Office Applications (Word, Excel, Outlook) • Dedicated workspace free of interruptions • Separate care arrangements for dependents during work hours • Case management and discharge planning experience preferred • Managed care experience preferred • Bachelor's Degree or non-licensed master level clinician degree in behavioral health or human services preferred, or equivalent experience (REQUIRED) • 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 • WiFi and satellite internet are not permitted • Quiet, secure, private designated home virtual work location compliant with CVS Health and HIPAA guidelines • Ability to work within the state and city where the candidate currently lives • Microsoft Office 365 applications or similar Google Workspace experience • Ability to navigate multiple monitors and applications • Ability to use email, calendar invites, Teams messaging, and virtual meetings • Ability to log in to secure systems such as VPN and EHR portals • Ability to maintain strong passwords and recognize suspicious emails or links • Ability to troubleshoot common technical issues independently

🏖️ Benefits

• 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 • Company-provided equipment, including keyboard, monitor, computer, and headset