Case Management Coordinator - Field (Winnebago, Boone and Jo Daviess Counties, IL)

CVS Health Corporation; Freeport (IL); Remote; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off and retirement options

Bonus/incentive program

Job summary

CVS Health Corporation is seeking a Case Management Coordinator for a full-time telework role with significant travel in and around Northwest Illinois. You will evaluate members, coordinate care plans, and collaborate with clinical teams to ensure optimal outcomes.

The role requires 2+ years in Behavioral Health, with strong documentation skills and the ability to travel 50-75%. A Bachelor’s or Master’s in Behavioral Health or Human Services is preferred.

Qualifications

• 2+ years of experience in Behavioral Health or related field.
• Willing and able to travel 50-75% of the time in Winnebago, Boone, Stephenson, Ogle and Jo Daviess Counties, IL.
• 2+ years of experience with electronic documentation and Microsoft Office applications.

Responsibilities

• Evaluate members’ needs and eligibility and recommend an approach to case resolution.
• Identify high risk factors and refer to clinical case management or crisis intervention as needed.
• Coordinate and monitor care plan activities and progress.
• Consult with medical directors and health programs to overcome barriers to goals.
• Escalate quality of care issues through established channels.
• Negotiate options and services to meet members’ benefits and healthcare needs.
• Engage members to promote healthy lifestyle changes and independence in decisions.

Skills

Behavioral Health experience

Electronic documentation

Education

Bachelor's or Master’s in Behavioral Health or Human Services

Tools

MS Office

Job description

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 Northwest Il including Winnebago, Boone, Stephenson, Ogle, Jo Daviess.

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 Winnebago, Boone, Stephenson, Ogle and Jo Daviess Counties, Counties, 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

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

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

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.