Care Coordination & Case Management Specialist

4004 Aetna Medicaid Administrators; Field (NM); Hybrid; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a field-based Case Manager to coordinate care, educate members, and support program initiatives. You will work with case managers and medical directors to overcome barriers and apply case management principles to improve member outcomes.

The role emphasizes collaboration, documentation, travel within the service area, and adherence to regulatory standards while delivering high-quality patient care.

Qualifications

• Degree in Health Care/Human Services related field required.
• Case Management experience required or preferred.
• Excellent communication and telephonic skills; strong problem solving.

Responsibilities

• Consult with case managers and medical directors to overcome barriers.
• Present cases at conferences for multidisciplinary review.
• Identify and escalate quality of care issues through channels.
• Use motivational interviewing to engage members in healthier choices.
• Provide coaching and support to empower informed decisions.

Skills

Customer service

Problem solving

Communication

Motivational interviewing

Organization

Education

Health care/Human Services degree

CCM certification

Job description

CVS Health is seeking a field-based Case Manager to coordinate care, educate members, and support program initiatives. You will work with case managers and medical directors to overcome barriers and apply case management principles to improve member outcomes.

The role emphasizes collaboration, documentation, travel within the service area, and adherence to regulatory standards while delivering high-quality patient care.