Care Coordination Specialist

CVS Health; Austin (TX); On-site; USD 25,000 - 58,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Care Management Coordinator to support healthcare management activities, coordinate member services, triage care tasks, and assist in developing care plans. You will liaise with members, providers, and internal teams to ensure effective delivery of care and cost-efficient services.

Ideal candidates have 1+ year in healthcare-related roles, strong communication, and excellent organizational skills.

Qualifications

• High School Diploma or GED required.
• 1+ year of experience in healthcare, call center, customer service, care coordination, or related field.
• Strong verbal and written communication skills.
• Excellent organizational skills with ability to multitask.
• Proficiency with Microsoft Office Suite (Outlook, Teams, Word, Excel).
• Ability to handle confidential information professionally.
• Strong problem-solving and customer service skills.

Responsibilities

• Coordinate intake, screening, referral management, and care plan implementation.
• Triaging Care Team tasks and member cases.
• Identify reasons for admission and apply assessment tools.
• Screen members using clinical and business rules to identify services.
• Coordinate services per benefit plans and guidelines.
• Monitor discharge dates and dispositions.
• Elevate complex cases to clinical staff.
• Refer to Case Management, Disease Management, Specialty Programs as needed.
• Assist with development and coordination of care plans under nurses' direction.
• Help members access appropriate providers while supporting cost-effective care.
• Promote member engagement and continuity of care.
• Serve as primary point of contact for members, providers, and stakeholders.
• Facilitate cross-functional communication to support outcomes.
• Provide administrative support and resolve routine issues.
• Participate in multidisciplinary teams.
• Maintain timely, accurate case documentation per policies and HIPAA.
• Protect confidentiality and compliance with HIPAA and privacy standards.
• Support hospital care management and QA processes per regulations.
• Assist with research and resolution of claims payment inquiries.
• Utilize internal healthcare management systems to research, update member information.
• Perform non-clinical research to support case management.
• Maintain organized records across systems and platforms.

Skills

Verbal and written communication

Organizational skills

Customer service

Problem solving

Education

High School Diploma or GED

Associate’s or Bachelor’s degree in Healthcare Administration, Public Health, Nursing, Social Services, or related field

Tools

Microsoft Office Suite (Outlook, Teams, Word, Excel)

Job description

CVS Health is hiring a Care Management Coordinator to support healthcare management activities, coordinate member services, triage care tasks, and assist in developing care plans. You will liaise with members, providers, and internal teams to ensure effective delivery of care and cost-efficient services.

Ideal candidates have 1+ year in healthcare-related roles, strong communication, and excellent organizational skills.