Care Coordination & Case Management Specialist

CVS Health Corporation; Alexandria (LA); On-site; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation in Louisiana is seeking a full-time Case Manager to coordinate care, support members, and educate using care management resources. You will implement projects and apply practical knowledge of case management to help achieve optimal health outcomes for members.

The role requires a health care or human services degree, case management experience, strong communication and motivational interviewing skills, and the ability to travel within 125 miles.

Qualifications

• Degree in Health Care/Human Services related field required.
• Case management experience required.
• Excellent customer service orientation and problem solving skills.
• Excellent telephonic communication skills.
• Excellent motivational interviewing skills/ability to build rapport telephonically.
• Strong documentation and respecting compliance/regulatory standards.
• Highly organized, remain self-driven without direct supervision.
• Ability to travel within 125 miles round trip for 1 day in the field.
• Variable work scheduled with ability to work 2 days weekly until 9pm local time.

Responsibilities

• Consults with case managers, supervisors, medical directors and/or other health programs using a holistic approach, to overcome barriers to meeting goals and objectives.
• Presents cases at case conferences to obtain a multidisciplinary review in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Demonstrates negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Delivers influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Assists in encouraging members to actively participate with their provider in healthcare decision-making.
• Conducts comprehensive evaluations of referred members’ needs/eligibility using care management tools and recommends an approach to case resolution.

Skills

Case management

Communication skills

Motivational interviewing

Documentation

Organization

Time management

Travel

Flexibility

Education

Bachelor’s or Master’s degree in Health Care/Human Services

Job description

CVS Health Corporation in Louisiana is seeking a full-time Case Manager to coordinate care, support members, and educate using care management resources. You will implement projects and apply practical knowledge of case management to help achieve optimal health outcomes for members.

The role requires a health care or human services degree, case management experience, strong communication and motivational interviewing skills, and the ability to travel within 125 miles.