Care Coordination & Case Management Specialist

CVS Health; United States; Remote; USD 29,000 - 51,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Care Manager to support care coordination, education, and program implementation for members. You will work with case managers, medical directors, and other programs to improve healthcare outcomes using care management resources.

Responsibilities include presenting cases, coordinating with teams, and guiding members through decision-making with coaching and motivational interviewing. Requires 2+ years in behavioral health and Louisiana residency.

Qualifications

• Demonstrated attention to detail.
• Ability to travel up to 50% of time.
• Ability to interface with customers/clients.
• 2+ years’ experience in behavioral health, social services or related field.
• 2+ years’ experience with adult and/or adolescent populations.
• Must reside in Louisiana - Region 4 (Parishes: Evangeline, St. Landry, Acadia, Lafayette, St. Martin, Vermillion, or Iberia).
• 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

Attention to detail

Customer interfacing

Flexible schedule

Travel up to 50%

Experience in behavioral health

Experience with adult/adolescent

Ability to work until 9pm

Education

Bachelor's Degree

Tools

MS Office Suite

MS Teams

Outlook

Word

Excel

SharePoint

QuickBase

Job description

CVS Health is seeking a Care Manager to support care coordination, education, and program implementation for members. You will work with case managers, medical directors, and other programs to improve healthcare outcomes using care management resources.

Responsibilities include presenting cases, coordinating with teams, and guiding members through decision-making with coaching and motivational interviewing. Requires 2+ years in behavioral health and Louisiana residency.