Case Management Coordinator (Maricopa County, Arizona)

4004 Aetna Medicaid Administrators; Arizona; Hybride; USD 29 000 - 56 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings

Wellness programs

Résumé du poste

The Case Management Coordinator is a work-at-home position, collaborating with contracted providers in Phoenix, Arizona, with 25% of time spent at provider offices.

This role supports care coordination, education, and assessment to facilitate appropriate healthcare outcomes for members, using care management tools and resources. It requires a Bachelor's degree and 2+ years in behavioral health, with travel up to 25%.

Qualifications

• 2+ years of experience in behavioral health.
• Must reside in Maricopa County, Arizona.
• Ability travel to providers’ offices up to 25% of the time within Phoenix, Arizona.

Connaissances

Behavioral health experience

Care coordination

Formation

Bachelor's degree

Description du poste

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.

Position Summary

The Case Management Coordinator is a work-at-home position, working with contracted providers in Phoenix, Arizona. Please note that 25% of the work week will be spent at provider offices, with 75% of the work week spent at home. The Mercy Care RBHA (Regional Behavioral Health Authority) Care Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources. Care Management Coordinators utilize knowledge of program requirements, network, and community resources to facilitate appropriate physical and behavioral healthcare and social services for members through collaboration with internal and external providers. The Mercy Care RBHA Care Management Coordinator supports integrated care for the members, which centers on targeting social determinants of health concerns. Evaluation of Members Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs, determined 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 referrals. Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care Uses a holistic approach to overcome barriers to meet 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. Helps member actively and knowledgeably participate with their provider in healthcare decision‑making. Monitoring, Evaluation, and Documentation of Care Utilizes case management processes in compliance with regulatory and accreditation guidelines, as well as company policies and procedures.

Required Qualifications

• 2+ years of experience in behavioral health.
• Must reside in Maricopa County, Arizona.
• Ability travel to providers’ offices up to 25% of the time within Phoenix, Arizona.

Preferred Qualifications

• Case management and discharge planning experience.
• Managed Care experience.
• Non-licensed Master’s level clinician.

Education

Bachelor's degree.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $21.10 - $40.90 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: 10/20/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

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.