Case Management Coordinator - Field (Southern Cook County)

4004 Aetna Medicaid Administrators; Chicago (IL); Remote; USD 29,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Case Management Coordinator to support members by coordinating scheduling, benefits access, and education through case management tools. The role emphasizes collaboration, critical thinking, and proactive care planning within a telework framework.

The position requires 2+ years in Behavioral Health or Social Services, and travel of 50-75% around Cook County, Illinois. A Bachelor's or non-licensed Master's in Behavioral Health or Human Services is expected.

Qualifications

• 2+ years experience in Behavioral Health, Social Services or related field.
• Must be willing to travel 50-75% in Cook County, Illinois.
• Reliable transportation.
• Mileage reimbursed per policy.
• 2+ years of electronic documentation experience and Microsoft Office applications.

Responsibilities

• Evaluate members and assess needs/eligibility to determine care plan.
• Identify high risk factors and coordinate referrals to case management or crisis intervention.
• Coordinate and monitor assigned care plan activities and progress.
• Collaborate with Medical Directors and case managers to improve care quality.
• Engage in team meetings and mentor peers.
• Support member engagement and informed decision-making with providers.

Skills

Behavioral Health

Electronic documentation

Microsoft Office

Education

Bachelor's degree or master's in Behavioral Health or Human Services

Tools

Microsoft Office

Job description

Company Overview

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Location

This is a full-time telework position requiring 50-75% travel in and around Cook County, Illinois mainly South Side of Chicago and Southern Cook County.

Schedule

Standard business hours Monday-Friday 8:00am-5:00pm CST.

Position Summary

The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.

Key Responsibilities

• Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Utilizes 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.
• Engages with colleagues in ongoing team meetings and offers peer mentoring/training.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications

• 2+ years experience in Behavioral Health, Social Services or appropriate related field equivalent to program focus.
• Must be willing and able to travel 50-75% of the time in Cook County, Illinois.
• Reliable transportation required.
• Mileage is reimbursed per our company expense reimbursement policy.
• Must have 2+ years of experience of electronic documentation experience and Microsoft Office applications.

Preferred Qualifications

• Case management and discharge planning experience.
• Managed Care experience.

Education

Bachelor's degree or non-licensed master level clinician required with either degree being in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family therapy, Counseling)

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $21.10 - $44.99. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.

• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility

Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 10/30/2026

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.