Field Case Management Coordinator – Health Access (IL)

CVS Health Corporation; Collinsville (IL); Remote; USD 29,000 - 61,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health Corporation is seeking a Case Management Coordinator to collaborate with care teams and help members access benefits and education through care management tools. The role emphasizes critical thinking, coordination of care plans, and supporting members in navigating healthcare decisions.

The position is full-time and telework-friendly, with substantial travel in Metro East/Southern Illinois, standard business hours, and a comprehensive benefits package available.

Qualifications

• 2+ years experience in Behavioral Health, Social Services or equivalent field.
• Must travel 50-75% of the time in Metro East, Illinois area.
• 2+ years of electronic documentation experience and Microsoft Office applications are required.

Responsibilities

• Evaluate members’ needs/eligibility and plan care resolution.
• Identify high-risk factors and coordinate with clinical case management or crisis intervention.
• Coordinate and monitor care plan activities and progress.
• Consult with Medical Directors and other health programs to overcome barriers to goals.
• Identify and escalate quality of care issues.
• Use negotiation to secure appropriate options and services for members.
• Engage members with care decisions and promote healthy lifestyle changes.
• Provide coaching and support for independent medical decisions and well-being.
• Participate in team meetings and peer mentoring.
• Assist members in engaging with providers in decision-making.
• Document care and ensure compliance with regulations and company policies.

Skills

Behavioral Health experience

Education

Bachelor's or Master in Behavioral Health or Human Services

Tools

Microsoft Office

Job description

CVS Health Corporation is seeking a Case Management Coordinator to collaborate with care teams and help members access benefits and education through care management tools. The role emphasizes critical thinking, coordination of care plans, and supporting members in navigating healthcare decisions.

The position is full-time and telework-friendly, with substantial travel in Metro East/Southern Illinois, standard business hours, and a comprehensive benefits package available.