Case Management Coordinator

Job not on LinkedIn

🕒 June 18

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $21 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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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

• Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care. • Inform the assigned care manager of newly identified health/safety risks or service needs • Complete care coordination activities delegated by the care manager within an established timeframe. • inform the assigned care manager and/or associate manager of any identified quality of care issues. • Passionately support the member’s care coordination needs and drive solutions to address those needs. • Use problem-solving skills to find alternative contact information for members who are unreachable by care management. • Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health. • Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies. • Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements. • Conduct oneself with integrity, professionalism, and self-direction. • Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. • Familiarity with community resources and services. • Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records. • Maintain strong collaborative and professional relationships with members and colleagues. • Communicate effectively, both verbally and in writing.

🎯 Requirements

• 2+ years in behavioral health, social services, or a related field relevant to the program focus • Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams) and capable of utilizing these tools effectively in the CM Coordinator role. • Access to a private, dedicated workspace to fulfill job requirements effectively.

🏖️ Benefits

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